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 GearGround 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 →A no-BS 2026 playbook for EMS/LE medics: immediate priorities in head injury, blood pressure/oxygenation targets, and when tranexamic acid (TXA)...
The 2026 deep-physiology field manual on trauma-induced hypothermia. Why cold stops clots — Q10 enzyme kinetics, GPIb/vWF platelet failure, fibrinogen...
The May 2026 TOWAR trial did not kill prehospital whole blood — it clarified it. Here is the no-BS read...
The 2024 NASEMSO Evidence-Based Guideline for Prehospital Airway Management is feeding 2026 model protocols. Here is the no-BS airway ladder...
A practical 2026 guide to prehospital whole blood programs: indications, storage, warming, training, QA, and what to stage in your...
The 2026 Surviving Sepsis Campaign guidelines finally address the prehospital phase. Here is what changed for EMS, Fire, flight, and...
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