Specialized Paramedicine

Tactical Medicine rss

Tactical Paramedic Loadout 3: The Aid Bag/Indirect Threat Care

March 9, 2016

In the last two articles in the series we’ve looked at first line gear, which are the things we always carry, and second line gear for use in the Direct Threat Care phase. In this segment I’ll offer some suggestions for third line gear. This is the equipment we’re carrying to manage casualties in the… Read More ›

Junctional Hemorrhage

Now that extremity tourniquets are in widespread use by the U.S. military, junctional hemorrhage is the most common cause of death from compressible hemorrhage. —Death on the Battlefield (2001-2011): Implications for the Future of Combat Casualty Care Junctional hemorrhage represents a critical area of concern in combat casualty care as improvised explosives have evolved to… Read More ›

TCCC and C-TECC Updates From SOMA 2014

ITS Tactical has a great update from SOMA. Relatively minor updates to TCCC/TECC but there are some other items of interest discussed in the article such as perspectives from tactical medics in Ferguson. We can do a better job of being prepared for long term deployments by carrying some basic nutrition/water/hygiene supplies. One not mentioned… Read More ›

Tactical Paramedic Loadout 2: Fighting Load/Direct Threat Care

Second line gear consists of those things carried on the vest or plate carrier, helmet, and possibly a battle belt (again, depending on when you put the battle belt on). It comprises those things that serve to make the medic combat effective and able to sustain an operation, callout, or conflict, and also expands on… Read More ›

Tactical Paramedic Loadout 1: Essentials

This is the first of four parts on the topic of tactical medic loadout. When I joined the tactical team, I was given a great degree of autonomy over how I would organize my personal equipment and even what equipment I would carry. “Set it up however you want” was the order. While I appreciated… Read More ›

USSOCOM Advanced Tactical Practitioner Protocols

The 2010 ATP Protocols are interesting reading for anyone involved in tactical or remote medicine. Updated protocols are available through the Journal of Special Operations Medicine.

Body Armor: Not Just for TEMS?

In September, FEMA released a guideline for EMS and fire response to active killer events, which it terms AS/MCI’s. Quoted here are the salient operational points, emphasis added: Considerations should be made for all potential first responders, including LE patrol officers, to be trained to the basic tenets of TECC. Training, equipment and protocols around… Read More ›

Hypothermia Treatment and Prevention Tools

Let’s say that you are the medic in a search party looking for someone who has been lost for several hours in upstate New York’s less-than-forgiving winter. Let’s go one step further and say that you find them, and they’re cold. What tools do you have to deal with the temperature issues? Throw a traumatic… Read More ›

TECC Pediatric Appendix

For those unfamiliar, TECC (Tactical Emergency Casualty Care) is the counterpart to TCCC in the setting of civilian law enforcement. TECC has recently released a draft of a pediatric-specific guideline. Per TECC, this guideline should not be considered evidence based:  Using a combination of review of existing literature, current and anecdotal best practices, and based… Read More ›

TCCC Handbook Fall 2013

For those interested, I’ve uploaded a copy of the latest TCCC guidelines. This handbook represents the most current doctrine in tactical combat casualty care. This document is essential reading for any tactical or combat provider and is recommended for all EMS providers, as there are many commonalities between combat medicine and prehospital care. There is… Read More ›