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OFFICIAL OPERATIONAL STANDARD • MTC-MAR-001 REV 1.0

Maritime & Offshore Mass Casualty Incident Protocol

At sea, external emergency services are hours or days away. In engine-room steam failures, confined-space crush injuries, or passenger-deck mass casualties, shoreside EMS models fail. Standardize blue-water prolonged care, vertical hatch extrication, and IP67 shipboard trauma caches across your fleet.

Clinical Direction: Marco R. Torres, MD, NRP (Clinician and Paramedic Educator, Flight Medic, U.S. Navy Veteran) • MED-TAC International
  • The 180 NM Medevac Reality: Managing critical trauma and hemorrhagic shock when aviation SAR windows exceed 3 to 6+ hours.
  • Confined Space & Hatch Extrication: Vertical companionway and 28-inch scuttle hoisting protocols using flexible roll litters.
  • Marine Environmental Hardening: Salt-fog corrosion resistance, 100% humidity hydrogel protection, and IP67 buoyant vaults.
  • Universal 3-Tier Staging Matrix: Tier 1 Watchstander IFAK, Tier 2 Compartment Response Bag, Tier 3 Shipboard MCI Vault.
Shipboard medical personnel conducting emergency trauma response drill on vessel deck
BLUE-WATER PROLONGED CASUALTY CARE • 180+ NM OFFSHORE HORIZON

Download Maritime Protocol

Instant 16-page operational standard and fillable vessel inspection checklist (PDF).

Kits Assembled in the USA • SDVOSB Certified • SAM Registered • Zero Spam

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Download Maritime Protocol PDF

Maritime Fleet Sourcing & Procurement:

Submit Marine Fleet RFQ →
SDVOSB CERTIFIED • EVIDENCE-BASED STANDARDS • KITS ASSEMBLED IN THE USA • SAM REGISTERED (CAGE: 9VFL3) • NET 30 FOR GOV & MARINE OPERATORS

Inside the Maritime Operational Standard

An evidence-based clinical and damage-control standard designed to eliminate casualty management gaps during blue-water emergencies.

SECTION 01

The 180 NM Isolation Reality

Prolonged casualty care (PCC) protocols when aviation or cutter medevac exceeds 3 to 6+ hours. Managing hemorrhagic shock and hypothermia during extended holds.

SECTION 02

Confined Space & Hatch Hoisting

Vertical companionway extraction through 28-inch watertight hatches, scuttles, and double-bottom bilges using flexible roll-up litters and haul harnesses.

SECTION 03

Marine Environmental Hardening

Preventing salt-spray corrosion and high-humidity hydrogel breakdown. IP67 crushproof vaults and 1000D welded tarpaulin dry bags for open-deck staging.

SECTION 04

Compartment Hazard Staging

Targeted loadouts for high-pressure steam line injuries, machinery crush trauma, galley scalding lacerations, and weather deck snap-back amputations.

SECTION 05

Passenger Atrium & Public MCI

Surface-mounted bleeding control stations for passenger promenades, atriums, and dining decks. Rapid triage protocols (START) for high-density crowds.

SECTION 06

Fillable Watchstander Audit Grid

Quarterly shipboard medical locker inspection forms, consumable expiration tracking, and 60-second shift-change walkaround checklists for bridge and engine rooms.

Critical Marine Operational Thresholds

180+ NM Horizon

Offshore aviation SAR delays require multi-hour prolonged casualty care before shoreside hospital transfer.

60-Second Reach

Trauma stations must be reachable within 1 minute from high-hazard machinery spaces and weather decks.

IP67 Watertight

Hermetic O-ring enclosures protect sterile hemostatic dressings and tourniquets from salt-fog oxidation.

28-Inch Hatch Spec

Flexible wrap litters allow non-ambulatory vertical hoisting through naval scuttles where rigid stretchers fail.

EQUIPMENT INTEGRATION

Standardized Marine Trauma Systems

Explore the evidence-based medical hardware specified in Document MTC-MAR-001. Ready for immediate vessel outfitting or Net 30 evaluation.

Boater and offshore trauma medical kit staged on deck
TIER 1 • DECK & WATCHSTANDER

Maritime Deck Officer IFAK

Rapid one-handed breakaway pouch for watchstanders, bridge officers, and deckhands. Contains C-A-T Gen 7 tourniquet, hemostatic gauze, pressure dressing, and vented chest seals.

Duty Belt / Console Mount • Saltwater Resistant
View Tier 1 Systems →
Waterproof maritime department trauma bag on vessel deck
TIER 2 • COMPARTMENT STAGED

Watertight Department Response Bag

100% waterproof tarpaulin dry bag with roll-top hermetic seal for engine control rooms, galleys, and weather decks. Multi-tourniquet MARCH loadout with hydrogel burn dressings.

Under-60s Compartment Access • Welded Tarpaulin
View Tier 2 Systems →
Watertight shipboard mass casualty hard case vault
TIER 3 • SHIPBOARD MCI VAULT

Shipboard MCI Hard Case Vault

Watertight, crushproof hard-case vault system (Nanuk / Pelican class) engineered to treat 8 to 12 casualties. Includes 8x tourniquets, rapid extraction drag litter, and waterproof triage tracking.

IP67 Watertight • Multi-Casualty Staging
Request Fleet Sourcing →

Explore our Cruise Ship Medical Emergency Solutions Hub, our Maritime First Aid Kits Collection, our Government Contracting Portal, or our Institutional Procurement Portal.

Mailing address (correspondence and authorized returns only — not a walk-in location): 15757 Pines Blvd, Suite 154, Pembroke Pines, FL 33027 • General Inquiries: info@tactical-medicine.com • Phone: (850) 409-9628

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