Hurricane Season 2026 Medical Prep: What the Generic Checklists Miss
June 1 opens the Atlantic hurricane season — NOAA forecasts 8 to 14 named storms, 3 to 6 hurricanes, 1...
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Protocols, Gear, and Doctrine
Clinical updates, CoTCCC guidance, product reviews, and field reports for tactical medicine professionals. Curated by medical SMEs and veterans.
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Exertional Heat Illness 2026: Cool First, Transport Second — The No-BS Field Protocol
Exertional heat illness kills predictable, preventable casualties every summer because crews trust forehead thermometers and load-and-go before cooling. The 2026 no-BS field protocol: recognize EHS by exertion + altered mental status, confirm with core (rectal) temp, start aggressive cooling FIRST...
Read Article →Junctional Hemorrhage Control in 2026: The No-BS Playbook for Groin and Axilla Bleeding When a Tourniquet Won't Work
Junctional hemorrhage is the bleed that doesn't get stopped by the tourniquet you trained on. The 2026 playbook for SOF...
Wildland Firefighter Rehab in 2026: The NFPA 1584 Numbers That Decide Who Goes Back on the Line
The 2026 fire season starts hot. Most preventable injuries this summer will not come from the fire — they will...
Lightning Strike Field Care: Why Reverse Triage Saves Lives Once Summer Hits
Memorial Day kicks off the deadliest stretch of the year for lightning casualties. The no-BS field guide for coaches, camp...
The TOWAR Trial: What the 2026 Prehospital Whole Blood Data Actually Tells Tactical Programs
The May 2026 TOWAR trial did not kill prehospital whole blood — it clarified it. Here is the no-BS read...
Prehospital Airway in 2026: A No-BS Ladder for LE Medics, TEMS, and Tactical Teams
The 2024 NASEMSO Evidence-Based Guideline for Prehospital Airway Management is feeding 2026 model protocols. Here is the no-BS airway ladder...
Prehospital Sepsis in 2026: What the New Surviving Sepsis Guidelines Mean for EMS, Fire, and Tactical Med Teams
The 2026 Surviving Sepsis Campaign guidelines finally address the prehospital phase. Here is what changed for EMS, Fire, flight, and...
Wildfire Smoke Exposure First Aid (2026): N95 Reality, Eye Decon, and When to Evacuate
A no-BS field guide to wildfire smoke first aid: N95 limits, clean-air rooms, eye decon, when to evacuate, and what...
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The Operator Brief
Clinical field medicine for the prepared household. Pharmacology, prolonged field care, and household medicine series. Filed every other Tuesday.
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