MED-TAC Loadout Card · MTC-LC-002

Tactical Team Medical Loadout

Three tiers: the operator IFAK, the team medical bag, and casualty movement. One page.

Tier 1 — operator IFAK

Identical kit, identical position, every operator.

• M — 2 windlass limb tourniquets (CoTCCC-recommended): one staged outside the pouch and visible, one inside. Hemostatic wound packing gauze ×1. Pressure dressing ×1.
• A — nasopharyngeal airway ×1, if trained.
• R — vented chest seals ×2.
• H — casualty wrap or hypothermia blanket ×1.
• Support — gloves, shears, marker, casualty card.

Tier 2 — team medical bag (TEMS / team medic)

• M — limb tourniquets ×4 as element resupply, not just for the medic. Junctional tourniquet and/or pelvic binder ×1 — junctional bleeding is the gap most teams never train. Hemostatic gauze ×4, pressure dressings ×4.
• A — assorted NPAs, supraglottic airway, manual suction, per validated scope only.
• R — vented chest seals ×6. Chest decompression needle 14 ga × 3.25 in — TEMS scope only, under written medical direction.
• C — vascular access set; TXA and blood products strictly per protocol. Do not carry unauthorized.
• H — active warming ×1, casualty wraps ×2.
• Support — splints, triage tags, K9 module if the team runs a dog.

Tier 3 — casualty movement

• Soft litter or drag device, one per element, carried on the element and not staged at the vehicle.
• Casualty collection point and evacuation route briefed before entry — not decided after contact.

Placement doctrine

• High and tight, proximal third, never across a joint. Under armor and load-bearing gear, the tourniquet goes on the limb — not routed over the carrier.
• Every operator carries the same kit in the same place. Standardize position over personal preference. Anyone must be able to work anyone else's kit blind.
• Two chest seals per operator, minimum.
• The casualty collection point is a pre-mission decision. Teams that decide it under fire lose the casualty to the movement, not the wound.

Inspection and training floor

• Pre-mission — kit check by the team medic against this card, logged.
• Quarterly — full inventory by operator, signed by the operator and the team leader.
• Post-application — device destroyed and replaced; log entry within 24 hours.
• Every operator trains care under fire, self-aid and buddy-aid, and one-handed application in full kit, under load — not in a classroom in a polo shirt.
• TEMS scope validated annually by the medical director in writing. A verbal understanding is not a scope of practice.
• Rehearse casualty movement with the actual litter you carry, wearing the actual kit you wear, over the actual distance you would cover.

The five failures we find on audit

1. Non-standard kit placement across the team — every operator arranged their own.
2. Junctional and pelvic capability absent while the team trains only extremity bleeding.
3. Decompression capability carried by operators not authorized to use it.
4. No signed annual scope validation from the medical director.
5. The litter has never been used in a rehearsal. The first real drag happens on a real casualty.

Download the one-page PDF · Patrol supervisor version · Rescue task force (fire) version · EMS version