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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 GearJUL 03, 2026
Prehospital Airway 2026: Ketamine In, Etomidate Out, and the Post-Intubation Sedation Discipline Every Medic Needs to Memorize
SPEMS 2026 formalized what leading services have been doing for two years: ketamine replaces etomidate as the primary RSI induction agent, apneic oxygenation is now mandatory during attempts, and post-intubation sedation gets its own protocol block. Here is the no-BS...
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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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