Improvised Field Medicine Shopping List for the Austere Clinician
From tourniquets to chest seals, our community has been at the forefront of innovating, problem solving and improvising when not...
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Tactical Medicine News Blog
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 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 →Prolonged Casualty Care for all
The wait is over... The Role 1 Prolonged Casualty Care Guidelines for the entire DoD are now available here and...
Prolonged Field Care: Lessons from the Battlefield to the home front
Prolonged Field Care: Lessons from the Battlefield to the home front Authored by Dr. Richard Hoang | Jun 20, 2019 | Even without an...
Medical Support to Resistance: Special Warfare Article
This article first appeared in the Jul-Sep 2019 Special Warfare Magazine which can be found open-source at soc.mil. SURVIVABILITY MEDICAL...
Wilderness Medical Society Clinical Practice Guidelines for Spinal Cord Protection
Techniques for immobilization and extrication of the patient with a real or potential spine injury have been implemented for decades,...
Tranexamic Acid in Civilian Trauma Care in the California Prehospital Antifibrinolytic Therapy Study
Hemorrhage is one of the leading causes of death in trauma victims. Historically, paramedics have not had access to medications...
2018 Manchester Bombing - lessons learnt from a mass casualty incident
Preparation for mass casualty incidents (MCI) is obligatory, involving such methods as multiagency tabletop exercises, mock hospital exercises, as well...
The Use of Tranexamic Acid by TEMS Medics - by Kevin B. Gerold
Tranexamic acid (Cyklokapron) for intravenous use is supplied in 1-gram/100 ml ampules and vials (stoppered vials are preferred for prehospital...
Vital sign thresholds predictive of death in the combat setting
Introduction: Identifying patients at imminent risk of death is a paramount priority in combat casualty care. This study measures the...
A Practical Approach to Care after SMARCH-E-PAWS-B: RAVINES
The RAVINES Mnemonic was created to help the medical provider on the ground in an austere environment with a very...
Podcast Episode 61: TBI Update with Dr. VanWyck
Traumatic Brain Injuries coupled with other injuries can be one of the most difficult wound patterns to manage in the...
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Clinical field medicine for the prepared household. Pharmacology, prolonged field care, and household medicine series. Filed every other Tuesday.
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