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The Happy Little Dough Boy suffers a traumatic event

Once upon a time there was a Happy Little Dough Boy. He loved being in his bakery box. Until one day he was savagely attacked and severely wounded
Mike Shertz MD/18D

Once upon a time, there was a Happy Little Dough Boy. He loved being in his bakery box. Until one day he was savagely attacked and severely wounded.

A leg was traumatically amputated, he was bleeding jelly filling profusely from axillary wound, and rapidly losing consciousness.

Oh who could help him?

The Happy Little Dough Boy was savagely attacked and severely wounded. A leg was traumatically amputated, he was bleeding jelly filling profusely from axillary wound, and rapidly losing consciousness.

 Luckily, a nearby “Active Bystander” had been trained in TECC interventions by Crisis Medicine. The Candyman, confident in his skills, had his IFAK nearby and leapt into action.

Following MARCH, he rapidly placed  an extremity tourniquet with a windlass high on his thigh to stem the flow of jelly filing.

Following MARCH, an "active bystander" rapidly placed an extremity tourniquet with a windlass high on his thigh to stem the flow of jelly filing.
The Wounded Little Dough Boy's axillary injury wound was too high for a tourniquet, he was loosing filing fast. An X-Mellow 12 device was applied to place mini-marshmallows deep into the dough.

Next, he turned his attention to the Wounded Little Dough Boy’s axillary injury. This wound was too high for a tourniquet, he was loosing filing fast, and the the jelly pool rapidly expanding. After locating the point of jelly extrusion, the Candyman used his X-Mello 12 device and placed mini-marshmallows deep into the dough.

Having addressed Massive Filing Loss, the Candyman realized the Critically Injured Little Dough Boy was unresponsive and obstructing his airway.  Having no neck, opening the casualty’s airway was difficult so the Candyman performed a cricothyrotomy using a state of the art Pixie-key. 

The Critically Injured Little Dough Boy required a cricothyrotomy using a state of the art Pixie-key
The Critically Injured Little Dough Boy was struggling to breathe & so had a cocktail toothpick to deflate his dough and a vented Cheeze-it chest seal.

Now that his airway was secured, the Critically Injured Little Dough Boy was still struggling to breathe and did not have adequate rise and fall of his chest. A cocktail toothpick was placed in his anterior chest to deflate his dough and a vented Cheeze-it chest seal was applied. 

The Unfortunate Little Dough Boy was in pretty bad shape. He was unresponsive and had no radial pulse, so the Candyman placed a taffy sternal IO and began resuscitation with whole jelly (that’s what leaked out) through licorice tubing. Happily, shelf-stable whole jelly was already Federal Dough Administration (FDA) approved. 

The Unfortunate Little Dough Boy lays with his medical interventions and now a taffy sternal IO with strawberry jelly
The Wounded Little Doughboy is carefully wrapped in an HPMK to ensure he does not get hypothermic. Cold Jelly Filling does not clot.

 We all know cold jelly does not clot, so the Candyman used an HPMK to keep the little dough boy from becoming hypothermic. Using proper baking technique, the Candyman placed the shiny side toward the Doughboy. This was an early generation HPMK that still had the separate warming bonnet. The Wounded Little Dough Boy was transported to Sluy’s Bakery where he has made a full recovery and lived happily ever after. He appreciated the Force Multiplication for Good when everyone gets trained.

This little dough boy was treated by a well-meaning, but untrained bystander, and had zip ties applied to his injuries. All of his jelly filling leaked out.  Services will be held next week at Our Lady of the Bakery. 

The Little Dough boy who was treated with zip ties did not survive his injuries because his jelly all leaked out
A savage attacking the Happy Little Dough Boy, ripping him from his bakery box and amputating his limb.

Followup to the Wounded Little Dough Boy: After a lengthy investigation, the jelly-stained perpetrator has been located and will be dealt with accordingly.

 

Happy Holidays to all, stay safe, and get trained.

Picture of Mike Shertz MD/18D

Mike Shertz MD/18D

Dr. Mike Shertz is the Owner and Lead Instructor at Crisis Medicine. Dr. Shertz is a dual-boarded Emergency Medicine and EMS physician, having spent over 30 years gaining the experience and insight to create and provide his comprehensive, science-informed, training to better prepare everyday citizens, law enforcement, EMS, and the military to manage casualties and wounded in high-risk environments. Drawing on his prior experience as an Army Special Forces medic (18D), two decades as an armed, embedded tactical medic on a regional SWAT team, and as a Fire Service and EMS medical director. Using a combination of current and historical events, Dr. Shertz’s lectures include relevant, illustrative photos, as well as hands-on demonstrations to demystify the how, why, when to use each emergency medical procedure you need to become a Force Multiplier for Good.