Jellyfish Stings (2026): Hot Water vs Vinegar — The No-BS First Aid Protocol for Boaters, Lifeguards, and Beach Med Kits
Jellyfish sting first aid in 2026: when to use hot water, when vinegar can make it worse, and how to...
Evidence-Based Reporting
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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 27, 2026
Marine Wound Infection: A Tactical Antibiotic Guide for Vibrio vulnificus, Mycobacterium marinum, and Aeromonas hydrophila
Vibrio vulnificus kills 1 in 5 patients it infects; Aeromonas hydrophila causes necrotizing fasciitis from a freshwater scratch; Mycobacterium marinum hides for weeks before presenting as a nodule on an angler's hand. Standard wound first aid misses every one of...
Read Article →Animal and Fish Antibiotics for Humans: The 2026 Pharmacology Brief
"Amoxicillin is amoxicillin." It's the most-repeated argument in the prepper community for stocking pet-store and aquarium antibiotics as a contingency...
Tick-Borne Threats for Responders (2026): What Changes This Season + Field Removal, Symptoms, and When to Treat
A no‑BS 2026 guide for responders and prepared families: tick prevention, removal, symptom timelines, doxycycline prophylaxis, when to test, and...
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.
Police Transport for Penetrating Trauma (2026): When to Load-and-Go, What to Do on the Way
A no-BS 2026 playbook for law enforcement: when rapid transport beats on-scene medicine for penetrating trauma, what care actually matters...
Why Your CAT Tourniquet Is the Wrong Tool for Your Dog: The Canine Limb Problem K9TCCC Finally Resolved
The 2023 K9TCCC guidelines explicitly state that CoTCCC-recommended windlass tourniquets (CAT, SOFTT-W) should NOT be used as first-line therapy on...
STOP THE BLEED® Site Kit Audit (2026): Build a Real Bleeding-Control Program, Not a Box on the Wall
A no-BS audit for workplace, school, and church bleeding-control programs in 2026. The right gear, the right placement, the right...
Drowning Response 2026: The Evidence-Based Protocol (Updated for WMS 2024 / ILCOR Utstein Terminology)
Drowning is the process of experiencing respiratory impairment from submersion or immersion in liquid — outcome is nonfatal or fatal....
Head Injury on the Street (2026): When TXA Matters, When It Doesn’t, and the First 10 Minutes That Decide Outcomes
A no-BS 2026 playbook for EMS/LE medics: immediate priorities in head injury, blood pressure/oxygenation targets, and when tranexamic acid (TXA)...
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 ≥...
Wildfire Smoke + Youth Sports 2026: The AQI Decision Tree Every Coach, Camp Director, and Athletic Trainer Needs
Oregon just rewrote the youth wildfire-smoke playbook. Here's the AQI cancel-or-modify decision tree, the duration thresholds, and the kit add-ons...
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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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