Hypothermia is one of the most preventable — and most overlooked — threats to a trauma casualty. Exposed wounds, IV fluids, cool air, and cold ground strip core temperature fast, and a standard emergency blanket tears the moment you need to move the patient.
How do you hold core temperature through prolonged field care?
The Reinforced HRS™ is built for it. The 4-ply composite incorporates a protected, non-conductive reflective layer that traps radiant body heat while the outer plies provide physical protection and durability in austere environments. What sets it apart from a basic blanket is structural integrity and access: 1.5″ continuous Velcro® closures run the full length, so a medic can open the wrap at any point for assessment, intervention, or IV access without pulling the patient out of thermal protection. A built-in hood cuts heat loss from the head; an integrated fluid-absorption pad manages wound drainage without compromising insulation. The reinforced design is weight-tested to 250+ lb — doubling as a drag or litter assist without tearing — and the tapered shape (wide at the shoulders, narrowing toward the feet) minimizes dead air space for isothermal efficiency.
Why This Shell
4-Ply Reflective Composite
Non-conductive reflective layer traps radiant heat; outer plies protect.
360° Velcro Access
Open the wrap anywhere for care without losing thermal protection.
Reinforced To 250+ lb
Doubles as a drag or litter assist without tearing.
Hood + Fluid Pad
Cuts head heat loss; manages drainage without compromising insulation.
Hypothermia In Trauma
The lethal triad of trauma — coagulopathy, acidosis, and hypothermia — is well established. Even mild hypothermia (core below 36°C / 96.8°F) impairs platelet function and clotting-factor activity, worsening hemorrhagic shock. In the field, casualties lose core temperature fast from exposed wounds, IV fluids, cool ambient air, and cold surfaces. Thermal management is a third pillar of hemorrhage control, working alongside tourniquets and hemostatic dressings to keep coagulopathy from compounding an already critical wound.
Who Fields It
Combat & tactical medics — point-of-injury thermal management
LE tactical teams — prolonged casualty care under threat
EMS — standard-of-care thermal wrap for trauma transport
Pair It Up
Round out the hemorrhage-control and evacuation load.
The Shell, Up Close


Hold The Core. Win The Triad.
Genuine North American Rescue, shipped from a clinician-founded, veteran-led team.

Genuine North American Rescue
Sourced direct from North American Rescue.
Specifications
| Manufacturer | North American Rescue |
| Product | Heat Reflective Shell (HRS™) — Reinforced |
| Construction | 4-ply composite with protected non-conductive reflective layer |
| Weight Capacity | Reinforced and tested to 250+ lb |
| Closure | 1.5″ continuous Velcro® for 360° access |
| Built-In Features | Integrated hood, fluid-absorption pad, tapered shape |
| Origin | Made in USA |
Related searches: NAR heat reflective shell, HRS casualty wrap, hypothermia prevention wrap, tactical thermal blanket, 4-ply reflective shell, North American Rescue HRS
All products sourced direct from North American Rescue. CoTCCC recommendation status verified where applicable. Ships from MED-TAC International, Pembroke Pines, FL — clinician-founded, veteran-led, SDVOSB-certified.
Specifications coming soon. Contact us for detailed product information.