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 ≥...
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Clinical updates, CoTCCC guidance, product reviews, and field reports for tactical medicine professionals. Curated by medical SMEs and veterans.
Shop Tactical GearJUN 30, 2026
Prehospital Blood Transfusion Is Expanding in 2026: A No-BS Playbook for Ground EMS and Tactical Teams
Ground EMS blood programs doubled from 5% (2023) to 10% (2025). Here’s the practical playbook: indications, cold chain, calcium, TXA, warming, documentation, and safety.
Read Article →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...
Lithium-Ion Battery Fire Smoke Exposure: Recognition, Decon, and Treatment (First Responder Guide)
Lithium-Ion Battery Fire Smoke Exposure: Recognition, Decon, and Treatment (First Responder Guide)
K-9 Tactical Casualty Care 2026: Why Tennessee and Florida Just Changed the Game
Tennessee just cleared EMS to treat and transport injured police K-9s, joining Florida's 2021 statute. Here's the K-9 TCCC field...
Church Safety Medical Plan (2026): Bleeding Control + AED Setup That Volunteers Can Actually Run
Church Safety Medical Plan (2026): Bleeding Control + AED Setup That Volunteers Can Actually Run
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...
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...
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...
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,...
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