Austere Medicine: What to Do When Emergency Help Is Hours Away (2026)
A complete guide to austere and limited-resource medicine for wilderness travelers, rural residents, international travelers, and emergency preparedness. Covers the...
Protocols, Gear, and Doctrine
Clinical updates, CoTCCC guidance, product reviews, and field reports for tactical medicine professionals. Curated by medical SMEs and veterans.
Shop Tactical GearShock Index (SI) is simple: HR ÷ SBP. In 2026, more EMS systems are using SI ≥ 1.0 (HR ≥ SBP) as a trauma triage trigger. Here’s how to use it in tactical and limited-resource medicine.
Read Article →A complete guide to austere and limited-resource medicine for wilderness travelers, rural residents, international travelers, and emergency preparedness. Covers the...
This is an article written by Sean Keenan, MD, FAAEM, FAWM and Jamie Riesberg, MD. It originally appeared in the June 2017 Volume...
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