INCIDENT REPORT and Example of Remedial Plan of Action
https://www.nytimes.com/2019/10/11/world/africa/soldier-death-somalia.html Why does it take the NY Times to identify and disseminate our medical lessons learned?! How was this not...
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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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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 →Best Tourniquet Holding and Strap Pulling Technique
Best Tourniquet Holding and Strap Pulling Technique Wall PL, Buising CM, Donovan S, McCarthy C, Smith K, Renner CH. 19(2). 48 - 56. (Journal Article)...
Ease of Use of Emergency Tourniquets on Simulated Limbs of Infants: Deliberate Practice
Ease of Use of Emergency Tourniquets on Simulated Limbs of Infants: Deliberate Practice Kragh JF, Wright-Aldossari B, Aden JK, Dubick MA. 19(2). 41...
The MARCH Algorithm in Tactical Combat Casualty Care
The MARCH algorithm is synonymous with Tactical Combat Casualty Care (TCCC). It is a simple acronym for remembering the necessary...
Prolonged Field Care: Beyond the “Golden Hour”
This is an article written by Sean Keenan, MD, FAAEM, FAWM and Jamie Riesberg, MD. It originally appeared in the June 2017 Volume...
Current K9 TECC/TCCC guidelines
Current K9 TECC/TCCC guidelines - pass these to your dog handlers. However, in case the dog handler is injured, team medics need...
A primer on Individual First Aid Kits - IFAK2
The most ideal approach when choosing an IFAK pouch, bag, sack, container, or any type of ruck or pack, is...
CoTCCC Recommended Devices and Adjuncts - 06 MAY 2019
The current medical equipment recommendations from CoTCCC. You will notice that the list of recommended TQ has been expanded. A full...
Incidence and Cause of Potentially Preventable Death after Civilian Public Mass Shooting in the US
Presented at the 2019 Annual Meeting of the Academic Surgical Congress, Houston, TX, February 2019. E Reed Smith, MD, Babak Sarani, MD,...
CritCases 6 – Airway Obstruction
In this EM Cases CritCases blog - a collaboration with STARS Air Ambulance Service, Mike Betzner, we present a challenging...
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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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