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(C) Circulation

Dr. Shertz demonstrates how and why we use doppler ultrasound during training to prove cessation of blood flow

What does a doppler have to do with massive hemorrhage?

  • Posted by Mike Shertz MD/18D
  • Categories (C) Circulation, (M) Massive Hemorrhage

đź•– Reading Time, 3 minutes

A doppler ultrasound is a non-invasive device that uses high-frequency sound waves to estimate the amount of blood flow through your arteries and veins, usually those that supply blood to your arms and legs. A doppler ultrasound can estimate how fast blood flows by measuring the rate of change in its pitch (frequency). For those who haven’t seen it before, an ultrasound gel is placed on the probe, also called a transducer, and then swept back and forth across a pulse point to locate and hear the distinctive sound of the blood flow.

Essentially, we use a doppler in class or when trying a new improvised tourniquet to establish cessation of blood flow. While during an actual event we would put the circumferential band of the tourniquet on as tight as possible and then twist the stick until all arterial blood flow has ceased, it’s nice in training to have a sense of how tight that is, how many turns, etc.

We use the Edan SonoTrax Vascular doppler 8 Mhz. They are available online new for as little as $120. It’s cheap, but seems to do the job. (Edan did not provide any support or product to Crisis Medicine.)

Improvise?Have a Plan B, C, and D

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.

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