Firing Line Duty of Care: Ballistic Trauma Readiness for Ranges & Academies
Live-fire training carries a duty of care. A gunshot wound to an arm or leg can be fatal within minutes, before any ambulance can reach the range. What changes the outcome is what the people on the firing line do first: direct pressure, a tourniquet, packed gauze and a vented chest seal.
SDVOSB Certified
CAGE 9VFL3 • SAM Registered
Medical SME Led
Marco R. Torres, MD, NRP
Evidence-Based
Field-Tested Clinical Standards
Free Shipping $200+
USA CONUS • APO/FPO Always Free
The 60-Second Ballistic Response Protocol
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1
0–10s: Universal Ceasefire & Cold Range. Range safety officers immediately call ceasefire, holster all weapons, and confirm shooter control before entering hot bays.
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2
10–30s: Immediate Arterial Occlusion. On-belt instructor tourniquet (C-A-T Gen 7) deployed high and tight or 2–3" above wound. Stop extremity bleeding instantly.
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3
30–60s: Vented Seal & Wound Packing. Apply Russell Chest Seal for penetrating thoracic wounds and pack junctional injuries with hemostatic/elastic pressure wrap.
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4
60s+: Coordinated 911 Dispatch & Gate Escort. Activate the printed range EAP card with exact coordinates and access gate codes for inbound EMS.
The Firearms Instructor's Medical Response Guide
Written for firearms instructors, range safety officers and range owners. It covers what to do in the first minutes after a gunshot wound or a collapse on the line, how to stage medical gear by tier, how to drill your staff, and what to buy. The QR codes in the book bring you here.
Free downloads for range staff
Does Your Facility Have a Documented Ballistic EAP?
Download the Range Safety Officer (RSO) Ballistic Trauma Readiness Checklist & Emergency Action Plan (Document MTC-RSO-001). Developed for commercial shooting facilities, firearms academies, and certified instructors to formalize a 60-second live-fire trauma protocol and fillable 911 dispatch cards.
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60-Second Ballistic Protocol: Clear ceasefire sequencing, hot-to-cold range transitions, and immediate arterial occlusion standards.
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4-Tier Staging Matrix: Instructor on-belt kits, firing-line wall stations, counter response packs, and perimeter litters.
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Fillable 911 Dispatch Card: print-and-laminate template with pre-staged GPS coordinates, gate combinations, and EMS staging points.
Universal 3-Tier Range Medical Ladder
Purpose-built medical loadouts for individual firearms instructors, firing bay staging cabinets, and multi-casualty academy response caches.
Immediate on-body GSW trauma loadouts worn on instructor duty belts or plate carriers for instant self-aid or line intervention.
Belt Trauma Kit
- Nylon trauma pouch for a duty belt, battle belt or chest rig
- Complete: C-A-T® tourniquet and holder · Evidence-based standard
- Wound packing gauze, 4 in. ETD, HyFin® chest seal twin pack, 28 Fr NPA, gloves
MED-TAC Premium Trauma IFAK
- C-A-T® tourniquet (evidence-based standard), QuikClot® hemostatic gauze, HyFin® seal
- Israeli 4 in. pressure bandage, 28 Fr NPA, CPR mask and Burntec® burn dressing
- Lightning X LXPB15 quick-access MOLLE pouch, belt-mountable, 3 colors
MED-TAC Premium Gunshot/IFAK Bleeding Control Kit
- IFAK fill kit: 15 line items, 2 lb, components only, no pouch included
- C-A-T® tourniquet (evidence-based standard), QuikClot® 25 g sponge, Israeli 4 in. bandage
- HyFin® chest seal, 28 Fr NPA, Burntec® dressing, 7.5 in. trauma shears
Ranger Bleeder Control Kit
- Individual bleeding-control kit modeled on the Ranger First Responder standard
- Tools for massive hemorrhage, chest-wound management and airway support
- Compact on-body carry for care at the point of wounding
Wall-mounted and staged trauma stations positioned along shooting bay partitions, pro-shop desks, and classroom facilities.
Range Trauma Kit
- 2× orange C-A-T® plus Combat Gauze® or ChitoGauze® PRO · Evidence-based standard
- HyFin® Vent twin pack, 4× 6 in. ETDs, 2× SAM® Splint II, Burntec® and eye shields
- Hi-vis orange 1000-denier nylon bag with reflective trim, four carry modes
Range Trauma Kit (Hard Case)
- Watertight Pelican™ 1400 case in orange, red or yellow; labeled removable pouches, 8 lb 12 oz
- 2× orange C-A-T® with Combat Gauze®, Celox™ Gauze or Basic packing gauze · Evidence-based standard
- HyFin® Vent twin pack, 2× SAM® Splint II, BurnTec® dressing, eye shields and eye wash
NAR Trauma and First Aid Kit - Class A
- Exceeds ANSI/ISEA Z308.1-2021 Class A, then adds a C-A-T® and HyFin® Vent twin pack
- Three versions: compressed gauze, bleeding control dressing or Celox® gauze
- Zippered nylon carry bag, 14.75 × 8 × 4 in., 2.94 lb, carried to the patient
TRAMEDIC® CABINET Kit
- 10 injury-type sub-kits so a bystander reaches for a category, not a supply pile
- 4 Massive Bleeding sub-kits, each a SOF® tourniquet (evidence-based standard) + OLAES®
- w/Cabinet variant adds the wall-mount cabinet; kit-only version also sold
Public Access Bleeding Control 5 Pack
- Five individual bleeding control kits plus a Responder QuikLitter™ in one tote
- Each kit: C-A-T® (evidence-based standard), 6 in. ETD, 2× wound packing gauze, shears
- Intermediate adds a HyFin® Vent Compact twin pack to every kit; no wall mount
Multi-casualty active threat response kits and high-capacity instructor line bags for large training academies, competitions, and tactical courses.
MED-TAC Firearms Instructor Medical Backpack
- 4× C-A-T® Gen 7, two in red holders outside the pack · Evidence-based standard
- 3× QuikClot® Combat Gauze®, 2× HyFin® Vent twin packs (4 seals), 3× 6 in. ETDs
- Red Vanquest FATPack-Pro LARGE, 12 L; sling or dual-shoulder carry, rear MOLLE
Crisis Incident Response Kit
- Multi-casualty kit sized for a lone responder: 2× C-A-T® · Evidence-based standard
- 2× HyFin® Vent Compact twin packs, 4× compressed gauze, 8× ETDs, abdominal ETD
- Ruggedized nylon bag, about 5 lb; Black or high-visibility Orange
TacMed™ Active Shooter Response Kit - NYPD Counterterrorism Unit
- Seven pre-packed Casualty Throw Kits, each with a SOF® tourniquet and Combat Gauze® LE
- Main bag: 4× SOF® tourniquets, OLAES® and BLAST® bandages, 2× Combat Gauze® LE
- 11 SOF® tourniquets in total (evidence-based standard); 9.5 lb, NYPD CT specification
Premium Range Trauma Kit - HARD CASE
- Airtight, watertight 14 in. Lightning X LXHC75 hard case with cut-foam insert
- C-A-T® (evidence-based standard), HyFin® Vent twin pack, two QuikClot® dressings
- Israeli 4 in. bandage, burn gel, roll splint; NPA and 14 g needle (trained providers)
Public Access Bleeding Control 8 Pack - Vacuum Sealed
- Eight vacuum-sealed bleeding control kits plus an ELITE™ Responder Litter
- Each kit: C-A-T® (evidence-based standard), flat 6 in. ETD, 2× wound packing gauze
- Intermediate adds a HyFin® Vent Compact twin pack per kit; folding red nylon carrier
Outfitting a whole range?
Send us your lane or bay count and the staging matrix from the free EAP. We return a line-item quote built on the four tiers in the book, with lot numbers and expiration dates on the packing list.
Range-Proven Ballistic Hardware Standards
Eliminate counterfeit risk and gear failures on the firing line. MED-TAC International standardizes exclusively on field-tested, clinical-grade medical devices.
Combat Application Tourniquet® (C-A-T®) Gen 7 - Genuine North American Rescue
- One-handed windlass limb tourniquet with a single routing buckle
- Ribbed windlass rod locks into an ambidextrous clip; writable TIME strap
- Genuine North American Rescue; evidence-based standard for arterial limb occlusion
READY WRAP™ Pressure Wrap — 4 in. × 50 in.
- 4 in. × 50 in. high-stretch pressure wrap in GRIP8™ thermoplastic elastomer
- Holds pressure over packed gauze or a dressing after your hands come off
- Non-adhesive, non-adherent, latex-free and powder-free; no pad of its own
Russell Chest Seal® — Vented, 8 × 6 in.
- 8 × 6 in. vented chest seal: hydrogel adhesive on a non-woven fabric backing
- Four-aperture valve lets air and blood out without letting air back in
- Sterile, latex-free, single use; one seal per pouch
SurSecur Nasopharyngeal Airway, – 28Fr
- 28 Fr nasopharyngeal airway in soft, flexible non-latex material
- Integrated retention feature helps resist displacement during transport
- Sterile, single use; package contains one airway
Range Facility Ordering & Net 30 Terms
Streamlined procurement logistics for commercial gun ranges, regional law enforcement academies, and certified training teams.
Net 30 & Agency Invoicing
Formal Net 30 payment terms are strictly available for verified government agencies, public law enforcement academies, and municipal training centers with formal purchase orders. Private ranges and academies are supported with 100% upfront digital ordering and volume tier pricing.
Federal & State Credentials
MED-TAC International is a certified Service-Disabled Veteran-Owned Small Business (SDVOSB) and fully registered in SAM.gov for direct micro-purchases and simplified acquisitions. We provide formal quotes with itemized manufacturer part numbers.
Fulfillment & Bio-Safety Standards
In-stock commodity components process within 48 hours. Custom-kitted bags require 7–10 business days for clinical inspection and hand-assembly. Free CONUS shipping on orders $200+; unconditional free shipping to all APO/FPO military addresses. 30-day unopened returns; sterile medical goods non-returnable once seals are breached.
Range Safety Compliance & Doctrine FAQ
Addressing OSHA standards, instructor liability reduction, tourniquet placement protocols, and facility emergency action planning.
What legal duty of care applies to live-fire shooting ranges and academies?
Why does MED-TAC International use evidence-based standards instead of marketing claims?
What is the clinical protocol for tourniquet application in gunshot trauma?
How often should range safety officers inspect and rotate staged medical gear?
How do pre-formatted Range EAP 911 dispatch cards accelerate EMS response?
Marco R. Torres, MD, NRP
Marco R. Torres, MD, NRP — physician and medical educator, U.S. Navy veteran, and founder of MED-TAC International and ALKEONHealth.com. Fifteen years of experience in tactical medicine as a flight medic, as a paramedic, and in high-threat VIP protection operations.
- ✓ U.S. Navy Veteran
- ✓ 15 Years Prehospital & Tactical Care Experience
- ✓ Physician and Medical Educator
- ✓ Service-Disabled Veteran-Owned Small Business