Hypothermia After Trauma 2026: The Lethal Triad, the Lethal Diamond, and Why Cold Stops Clots
The 2026 deep-physiology field manual on trauma-induced hypothermia. Why cold stops clots — Q10 enzyme kinetics, GPIb/vWF platelet failure, fibrinogen...
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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.
Shop Tactical GearJUN 18, 2026
Shock Index in Trauma Triage (2026): The HR >= SBP Rule for Tactical and Austere Medicine
Shock 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 →Wound Packing 2026: The Definitive Field Manual (TCCC-Aligned, Myth-Killed, Bilingual)
The definitive 2026 wound packing playbook. Modern TCCC/TECC doctrine on where to pack and where you never do, plain gauze...
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