Specialized Paramedicine

Tactical Medicine rss

Training Opportunity @ Wolf Brigade, Oct 20, 2018

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September 26, 2018

I’m excited to be teaching at Wolf Brigade’s first Preparedness Summit next month. For medics, this is a great opportunity to review and polish your basic trauma care skills, and the additional topics covered are equally important lifesaving skills. If your schedule allows, get in on this quick as space is extremely limited. More to… Read More ›

TECC After-Action Video

13 students representing seven agencies participated in SpecMed’s inaugural TECC class at Livingston County EMS on March 17-18. Some topics covered included Rescue Task Force operations and ballistic protection, TECC in fire and rescue environments, and applying tactical medical principles to more “conventional” assignments that include an element of threat. The class was presented through… Read More ›

TECC Developments

We’re excited to announce that SpecMed has become recognized as an educational partner of the Committee for Tactical Emergency Casualty Care! We will be holding our first TECC class next month, specifics TBD. The May 2017 ALS/BLS guidelines are available here.

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

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 ›