Entries by admin

Risks of Rubber Band Tourniquet Use

Rubber band tourniquets (RBT) have gained popularity in the law enforcement community over the past 24 months. The compact size and nominal cost make them attractive to cash-strapped, and over loaded with respect to equipment, LEOs. Furthermore, as LEO commanders seek to outfit their personnel with live saving equipment while grappling with budget constraints, RBTs […]

Review of Tactical Medical Articles

Here is a link to reviews of tactical medical literature. None are current, but if one is interested in peer-reviewed articles, these are a good start. Review of the Tactical Medical Literature By: Tripp Winslow, MD MPH In the medical literature, there is a paucity of peer-reviewed articles regarding Tactical Emergency Medical Services (TEMS). The […]

Managment of Suspected Spinal Injury In TCCC

A large discrepancy between civilian and military medicine exists with respect to the importance placed upon spinal injury management. In the past, most combat injuries have been secondary to penetrating trauma. Therefore, during the initial phases of treatment, moving the casualty to cover would be the only concern, without taking the time to immobilize c-spine […]

Rhabdomyolysis in the Tactical Enviroment

Rhabdomyolysis (Rhabdo for short) secondary to a combination over exertion and dehydration is gaining attention in exercise circles due to documented cases recently with the increasingly popular high-intensity workout regimens. The threat of Rhabdo is not only confined to the the gym. It ought to be planned for and considered in the tactical environment as […]

Update on Tactical Medicine Concepts and Controversies

We are pleased to announce an upcoming educational opportunity. On Thursday, October 14, 2010, the Texas Health Presbyterian Hospital will be hosting a conference titled, “Update on Tactical Medicine Concepts and Controversies.” This is a great opportunity and we will be attending. Tactical_Medicine_Web_Brochure Conference Description: This conference will address those new and innovative interventions, products […]

Hemostaic Primer

We often get questions regarding hemostaics: Which is the best? How do they work? What is the mechanism of action? The TCCC recommendation of Combat Gauze (TM) has clouded the issue of effectiveness with respect to other available agents. That is to say, there are others on the market that were just as effective in […]

Lessons Learned: “Four Hours of Tourniquet Time”

Below is an excerpt from a lessons learned compilation titled “First to Cut: Trauma Lessons Learned in the Combat Zone.” Though it is geared toward FST surgeons and forward medical providers, some of the lessons are applicable to tactical medics and mountain rescue. The larger take-away point is that the physiology occurring distally to a […]