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,...
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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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Anaphylaxis in the Field (2026): Epinephrine First, Airway Second - A No-BS Guide
Anaphylaxis in the Field (2026): Epinephrine First, Airway Second - A No-BS Guide
Read Article →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...
OSHA Heat Standard (2026): The No-BS Heat Illness Plan + First Aid Playbook for Safety Teams
A practical, tactical guide to OSHA’s proposed heat standard: trigger thresholds, HIIPP checklist, hydration/rest schedules, and field-ready heat illness first...
Lightning Strike Field Care: Why Reverse Triage Saves Lives Once Summer Hits
Memorial Day kicks off the deadliest stretch of the year for lightning casualties. The no-BS field guide for coaches, camp...
The TOWAR Trial: What the 2026 Prehospital Whole Blood Data Actually Tells Tactical Programs
The May 2026 TOWAR trial did not kill prehospital whole blood — it clarified it. Here is the no-BS read...
Tick Bites in the Field (2026): Prevention, Removal, and Post-Bite Red Flags for Responders
A no-BS, responder-focused guide to tick bite prevention, safe tick removal, and post-bite monitoring. Includes quick-reference charts and field kit...
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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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