TCCC Tourniquet Reassessment (2026 Update): Repositioning, Conversion, and the 2-Hour Rule
A no-BS guide to the TCCC proposed update on tourniquet reassessment: what ‘repositioning’ means, when conversion is appropriate, and how...
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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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ILCOR 2026 First Aid Updates: The No‑BS Field Checklist for BLS Teams, Schools, and Prepared Families
A no-BS breakdown of the ILCOR 2026 CoSTR first aid and BLS takeaways, turned into a field checklist.
Read Article →Heat Illness in the Field 2026: The Cooling Kit That Actually Works (Ice Sheets, Groin/Axilla Packs, and Cold-Water Immersion)
Cool first, transport second. Exertional heat illness kills when teams delay cooling for transport or use the wrong method. The...
Tampons Don't Stop Hemorrhage: The 2026 Full-Stop Debunk Every Instructor Needs to Read
Tampons do not stop arterial hemorrhage. They never did. They are not on any modern military or civilian trauma standard,...
Warm-Zone Care in Active Shooter Events 2026: A No-BS Rescue Task Force Playbook That Actually Gets Casualties Treated
Warm-zone medical doctrine fails when agencies wait for a cold-zone declaration that never comes. The 2026 RTF playbook for LE,...
Fentanyl Exposure for First Responders (2026): The No-BS PPE and Decon Protocol (and What's a Myth)
A practical, evidence-based fentanyl exposure protocol for EMS and law enforcement: real risks, PPE, decon steps, what not to do,...
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...
Drowning Isn't Cardiac: The Ventilations-First Rescue and Resuscitation Protocol for Boats, Beaches, and River Ops (2026)
A no‑BS drowning resuscitation playbook for marine/maritime ops: why rescue breaths matter, when to use an AED near water, and...
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...
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...
Naloxone in 2026: A No-BS Dosing and Airway Playbook for First Responders and Prepared Families
Practical naloxone dosing in 2026 (IN 4 mg vs 8 mg), repeat dosing, rescue breathing priorities, and how to stock...
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...
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