Drowning Response 2026: The Evidence-Based Protocol (Updated for WMS 2024 / ILCOR Utstein Terminology)
Drowning is the process of experiencing respiratory impairment from submersion or immersion in liquid — outcome is nonfatal or fatal....
Evidence-Based Reporting
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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.
Shop Tactical GearJUN 23, 2026
Why Your CAT Tourniquet Is the Wrong Tool for Your Dog: The Canine Limb Problem K9TCCC Finally Resolved
The 2023 K9TCCC guidelines explicitly state that CoTCCC-recommended windlass tourniquets (CAT, SOFTT-W) should NOT be used as first-line therapy on working dogs — they slip distally on the tapered canine limb. The SWAT-T is the only tourniquet that should be...
Read Article →Hypothermia After Trauma 2026: The Lethal Triad, the Lethal Diamond, and Why Cold Stops Clots
The 2026 deep-physiology field manual on trauma-induced hypothermia. Why cold stops clots — Q10 enzyme kinetics, GPIb/vWF platelet failure, fibrinogen...
Wound Packing 2026: The Definitive Field Manual (TCCC-Aligned, Myth-Killed, Bilingual)
The definitive 2026 wound packing playbook. Modern TCCC/TECC doctrine on where to pack and where you never do, plain gauze...
TCCC Tourniquet Reassessment (2026 Update): Repositioning, Conversion, and the 2-Hour Rule
A no-BS guide to the TCCC proposed update on tourniquet reassessment: what ‘repositioning’ means, when conversion is appropriate, and how...
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...
What Tourniquet Does the U.S. Military Use? A Complete History from Vietnam to 2026
The U.S. military issues the CAT Gen 7 as standard, with SOFTT-W, SAM-XT, and other CoTCCC-recommended devices for SOF. Evidence-based...
Best Tourniquets of 2026: The Complete Evidence-Based Comparison Guide
An evidence-based comparison of every CoTCCC-recommended tourniquet for 2026. CAT Gen 7, SAM-XT, SOFTT-W, TMT, and more — with application...
Austere Medicine: What to Do When Emergency Help Is Hours Away (2026)
A complete guide to austere and limited-resource medicine for wilderness travelers, rural residents, international travelers, and emergency preparedness. Covers the...
Protocolo MARCH: Guia Completa del Algoritmo de Medicina Tactica (TCCC 2026)
Guia completa del protocolo MARCH en medicina tactica. Cada paso del algoritmo TCCC explicado con estadisticas, actualizaciones 2025-2026, equipo recomendado...
TCCC Guidelines 2026: What Changed, What It Means, and How to Stay Current
The definitive 2026 guide to CoTCCC and TCCC guideline changes — covering Change 24-1 airway overhaul, Change 25-1 antibiotic shift...
The Complete IFAK Guide: What's Inside, How to Choose, and Why Your Kit Might Not Be Enough
The definitive IFAK guide: what's in an IFAK, CoTCCC-recommended contents, how to choose between pre-built and custom kits, use-case configurations,...
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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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