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Showing 1-6 of 26 results
Mike Shertz

A hotel stay: reflections on the challenges managing casualties in a high-risk environment

  • Posted byMike Shertz
  • CategoriesMore
  • Comments0 comment
March 1, 2021
0

There is nothing like a brief stay in recently war-torn Portland, Oregon, to force you to rethink your security and tactical medical support plan in a high-risk environment.  If you consider yourself a competent tactical medic, besides TECC / TCCC …

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Mike Shertz

Always Learning: Basic Wild Hedgehog First Aid

  • Posted byMike Shertz
  • CategoriesMore
  • Comments0 comment
January 25, 2021
0

As a professional instructor, it is important to keep learning and improving your knowledge base. As an SF soldier, having some familiarity with any topic is beneficial because you never know what will come in handy in an Unconventional Warfare …

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After the officers announce their warrant, the bomb maker detonates his device, injuring law enforcement, the LEO K9, neighbors, and his own family.
Mike Shertz

START, SALT, and RAMP Triage in a Mass Casualty Event

  • Posted byMike Shertz
  • Categories(C) Circulation, MARCH, More
  • Comments0 comment
December 1, 2020
0

Triage systems are used by prehospital providers to “sort” casualties into essentially those who are dead or will likely die despite treatment, those with injuries that don’t really require prehospital treatment, and those with injuries that are immediately life-threatening and …

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An Afghan is pulled from a burning SUV lays on a stretcher with obvious burns to his arms, face and ears
Mike Shertz

Recommended EMS fluid resuscitation of burned casualties

  • Posted byMike Shertz
  • Categories(C) Circulation, More
  • Comments0 comment
September 28, 2020
0

Burns over 20% total body surface area (TBSA) result in increased capillary permeability and intravascular fluid deficits that are most severe at 24-hours post-burn. Cardiac output decreases rapidly post-burn. With correct fluid resuscitation, cardiac output returns to normal values 12 …

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A slide from the Burn section of CM online courses, including issues for inhalation, showing a photo of a burn victim on O2
Mike Shertz

Does that Burn Casualty Need Intubation?

  • Posted byMike Shertz
  • Categories(A) Airway, More
  • Comments0 comment
September 28, 2020
0

Airway control remains the top priority for field treatment of burn casualties.1 Hypovolemic and distributive shock can occur in burned patients but they are usually a late consequence. An inhalational burn injury can double a casualty’s burn mortality.2 Upper …

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A photo of a man with full thickness burns being carried by bystanders on an inflatable toy after a burn MCI at a waterpark
Mike Shertz

What would you do in a burn MCI?

  • Posted byMike Shertz
  • CategoriesMore
  • Comments0 comment
September 28, 2020
0

In 2015, 499 burn casualties occurred from a fire that broke out at the Formosa Fun Coast Park in Taiwan. A “color party” was occurring with 6,000 participants in an empty swimming pool while colored corn powder was sprayed into …

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