911 TACTICAL MEDICINE - READY ROOM BLOG

TCCC Instructor Changes

Tue, 15 Jul 2025 22:29:13 GMT

Dear TCCC Faculty,

Thank you for your commitment to training military personnel in the evidence-based, life-saving techniques and strategies for providing trauma care on the battlefield. To ensure that TCCC training maintains its military focus, moving forward medical personnel interested in becoming an instructor for the TCCC-CMC and TCCC-CLS courses must be currently in the military or have prior military service. The instructor application will now require submission of military documentation (example: military ID card for active military or DD214 for prior military service).

Current TCCC-CMC and TCCC-CLS instructors with no military service can maintain their instructor status by teaching the required number of courses each year.

We appreciate the support of our TCCC Affiliate Faculty in helping us enforce this policy.

Very respectfully,
Richard Ellis, TC-P, MSEDM, NRP, CMSgt (USAF Retired)
Chair, NAEMT Military Relations Committee

www.911tacmed.com

Texas Legal Considerations for EMS

Tue, 29 Apr 2025 14:45:18 GMT

Texas Legal Considerations for EMS

Transporting a Minor Without the
Parent Present

Navigating the complexities of emergency medical services (EMS) often involves critical decisions under
pressure, and these decisions become particularly nuanced when the patient is a minor and a parent
or legal guardian is not immediately present. This overview delves into the crucial legal considerations
surrounding the EMS transport of a minor without parental consent, focusing on the foundational
doctrine of implied consent and its practical application in two distinct scenarios.
Understanding the legal framework, potential risks, and best practices outlined herein is paramount for
EMS professionals to ensure both the well-being of the child and the legal defensibility of their actions
in these challenging situations.

Implied Consent – Foundational Doctrine
Applies when a minor requires urgent medical care and
• The parent/guardian is unavailable, or
• The parent refuses consent, but the situation poses an imminent threat to life or serious harm.
Based on the principle that a reasonable parent would consent to emergency care if present.

Scenario A: Parent is Present and Refuses Consent

Legal Risks
• Parents have a constitutional right to make medical decisions for their children.
• Transporting a child against a capable parent’s wishes may raise legal issues such as:
o Medical battery,
o Unlawful detention, and or
o Custodial interference or kidnapping, if done without clear authority.

When EMS May Override Refusal
• The child’s condition is life-threatening or limb-threatening, and delay would cause harm.
• The parent is incapacitated, intoxicated, abusive, or otherwise unfit to make a safe decision.
• EMS has consulted with:
o Online medical control (hospital physician supports transport), and/or
o Law enforcement, who may place the child in protective custody.

Best Practices
• Document all details, including:
o Parental statements,
o Clinical condition, and
o Consultations with medical control or law enforcement.
• Involve law enforcement to assume custody if appropriate.
• Report suspected neglect or abuse to CPS.

Scenario B: Parent is Not Present / Cannot Be Located

Legal Standing
• Implied consent applies strongly—EMS may render care and transport based on:
o Child’s medical need.
o Inability to contact a guardian in a reasonable time.
• Courts generally uphold EMS actions taken in good faith during emergencies.

Best Practices
• Attempt to contact a parent/guardian and document all efforts.
• Determine if any adult on scene has legal authority to consent (e.g., guardian, foster parent).
• Involve law enforcement if:
o The child appears to be abandoned or neglected.
o There are custody questions or other concerns.

Summary
Transport without the parent is legally justified under implied consent in true emergencies or when the parent is unavailable. If a parent refuses, EMS must determine if the child’s condition justifies overriding refusal—and should involve medical control or law enforcement to avoid liability. In all cases, thorough documentation and adherence to local protocols are critical for legal protection.

This Week's Release.... It's All About Haiti

Fri, 18 Apr 2025 18:40:24 GMT

Haiti’s government announced Monday that it approved what it called a “war budget” of $275,000 aimed at alleviating the country’s crisis as gang violence surges.

Nearly 40% of the money will go toward Haiti’s police and military “to fight the armed groups that threaten national stability,” while nearly 20% will go to fortify the border the country shares with the Dominican Republic, Haiti’s transitional presidential council said in a statement.Another 16% will go to social programs, including those focused on education, health and humanitarian assistance. The council said the special budget reflects the state’s commitment to act decisively and target the growing insecurity.

The additional money, however, is not expected to alleviate the lack of resources hitting a U.N.-backed mission, led by Kenyan police, which is struggling to help local authorities quell gang violence.

Gangs that control at least 85% of the capital, Port-au-Prince, continue to attack communities surrounding it.

Recently, a powerful gang coalition known as Viv Ansanm took control of the towns of Mirebalais and Saut’d’Eau in Haiti’s central region, according to the National Human Rights Defense Network, a local group. Police officers at the Mirebalais police station and local prison fled during the attacks, it said.“Armed gangs then set fire to the police station and took control of the prison, orchestrating a mass escape of the inmates,” the organization said, noting that the prison held 533 inmates.

Staff and patients at the Mirebalais University Hospital also were evacuated.

At least 60 people died following the attacks launched on March 30 and 31, including gang members and escaped inmates, according to the human rights group.

Meanwhile, the neighboring town of Saut-d’Eau fell to gangs on the afternoon of April 3, activists said.

“Some say this was facilitated by the redeployment of law enforcement to Mirebalais, leaving Saut-d’Eau vulnerable,” the group said last week.

Two nuns and one police officer were among those killed during the attacks, while two journalists remain missing.

“By ignoring the (central region's) collapse the transitional authorities show they have no real plan to restore citizens’ rights and public safety,” the human rights group said. “The absence of state response has turned the police into firefighters — constantly reacting without strategic direction — while towns fall one after another.”

The group noted that civilians and self-defense groups in both towns “had repeatedly raised alarms that were ignored.”

Meanwhile, more than 260 people were killed in another gang attack on two communities in Haiti’s capital in late January, according to the U.N. political mission in Haiti that questioned the delay in response by authorities.

The attacks occurred in Kenscoff and parts of Carrefour. Another community in Kenscoff was attacked over the weekend, with at least one police officer missing and several others injured, according to SPNH-17, a police union.

Overall, from Jan. 1 to March 27, more than 1,500 people have been reported killed across Haiti, and 572 others injured, the U.N. mission said. Gang violence has also left more than 1 million people homeless in recent years, according to the U.N.

We left the video of the Kenyan KIA out and waited for the data from Jan-Mar to be released. With everything being said in the above released the some wealthy and politicians in Haiti have been controlling a lot of the gang activity. The elders appear to the particularly targeted by the gangs as they are pushed from area to area.

Blood Comm for the Delta Ice

Fri, 31 Jan 2025 15:07:58 GMT

We’re excited to share the newest updates to BloodCOMM in Version 2.5.1! This update includes key bug fixes, performance improvements, and significant feature enhancements to streamline your experience.
What’s New in Version 2.5.1
Improved Alerts Functionality:

Low Battery Alerts:
- Minimum alert threshold increased to 20%, ensuring alerts are able to be sent before the device battery dies.
- Users with thresholds below 20% will automatically be updated to the new limit.
Offline Alerts:
- Minimum time reduced to 30 minutes after disconnection, helping catch accidental power-offs or dead batteries sooner.
Alerts now display in both the Details Timeline and Charts, providing a clear and cohesive timeline of events.

Enhanced Report Timeline and Charts:

Details Timeline:
- Now sortable, faster, and includes alerts for better clarity and usability.
Hourly Chart:
- Features a new horizontal Event Timeline, detailing periods with excursions, no ice pack (Delta ICE), offline status, and when alerts were sent out.
- Updated chart UI offers a cleaner, more informative display.
These updates aim to clarify why alerts are triggered.

Bug Fixes and Performance Enhancements:

General performance improvements for a smoother experience.

These updates have been designed to improve visibility, clarity, and response times for critical events, helping you stay ahead of potential issues.
We can’t wait for you to explore these improvements. As always, if you have any questions or feedback, please don’t hesitate to reach out

#bloodcooler #fda #bloodprogram #DeltaIce

DELTA ICE 2L

$59.00 - $4,500.00

Smart Passive Blood Storage Unit

REMOTE ALERTS Bluetooth and Cellular alerts warn you and your command of temperature excursions.

TO BE FDA LISTED Demonstrate safety simply by showing our FDA listing to your blood supplier.

EXTREME HEAT ENVIRONMENTS Stays cold 12 hours even in uncooled vehicles.

ALL ORIENTATIONS Temperature maintained in any orientation RUGGED DESIGN Insulation protected from drops and punctures.

KNOW YOUR STORAGE TIME Screen and app informs remaining time before thermal storage melts.

RECHARGEABLE BATTERY Recharge with USB type C LONG STORAGE TIME Stays cold 30 hours in typical cooled vehicles and records temperature for 72 hours before recharging.

*DELTAICE 2L Comes with SMART Cooler and one Freezer Pack (TIC)

*Recommend You purchase an extra Freezer Pack (TIC) for 24/7 coverage.

*Optional MAT that tells you the Freezer Pack condition will be available in October.

SPECS:

GENERAL Freezer Space 4.7 L

Freeze Time 8 hrs at -9.5°C (15°F)

Prep Time 15 minutes in 25°C (77°F) ambient

PREPARATION Duration 48 hours in 25°C (77°F) 24 hours in 44°C (111.2°F) 12 hours in 60°C (140°F)

Internal Volume 2 L Unit capacity Three 450 ml bags

STORAGE Frequency 15 minutes Duration 35 days Accuracy ± 1°C

Reporting Cellular and Bluetooth to Application

Now, with the addition of a compact external battery attached to the case, the Delta Smart Blood Cooler offers an impressive 4 days of power. Plus, with its internal backup battery, you get an additional 13 hours of uninterrupted operation.

This enhancement ensures even greater reliability and flexibility in transporting and storing critical blood supplies.

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Clinic & Sick Call How to SOAP Note

Mon, 20 Jan 2025 19:18:39 GMT

clinic___how_to_soap_note.pptx
File Size:	64 kb
File Type:	pptx

Download File

If you are new to the world of clinical things and how to do a SOAP note, need some brushing up, or you need to train some folks with a ready-made class.... Then here you go. It's on us! Please take it and make it your own if you need.

If you are wondering a SOAP note is a written record that healthcare providers use to document a patient's care. SOAP stands for Subjective, Objective, Assessment, and Plan.

Purpose

SOAP notes help healthcare providers assess, diagnose, and treat patients
They help communicate between healthcare professionals
They help standardize patient care documentation
They help improve the quality of patient care

Content

Subjective: What the patient or caregiver says about their experience
Objective: What the healthcare provider observes, tests, or measures
Assessment: An evaluation of the patient's condition
Plan: What the healthcare provider will do next for the patient

Who uses SOAP notes?

A wide range of healthcare professionals, including doctors, nurses, therapists, and pharmacists
Other healthcare professionals in related fields
Insurance companies
Litigation

From your friends at www.911tacmed.com

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Signs and Symptoms of Hemothorax

Fri, 27 Dec 2024 13:52:07 GMT

Hemothorax occurs when blood accumulates in the pleural space, the area between the lungs and chest wall. Thos is generally caused by blunt force trauma, over pressure, or puncture that causes vascular damage. Symptoms can vary depending on the severity of the bleeding, but may include:

Shortness of breath: This is the most common symptom, as the blood accumulation reduces lung capacity. When you listen for breath sounds you may find them diminished on the affected side or even absent.

Chest pain: Pain may be sharp, stabbing, or dull, and can worsen with breathing.

Cough: A cough may produce bloody or frothy sputum.

Dyspnea on exertion: Difficulty breathing. This is due to the lung space that is normally taken up by air is now getting replaced with blood. The lung can't expand properly and have less volume. Oxygen and Carbon Dioxide exchange is not happening as it should. Can't oxygenate, can't ventilate causing the Hypercarbia and Hypoxia.

Rapid heart rate and breathing: The body tries to compensate for the reduced oxygen levels. The heart has to beat faster to make up for the lack of volume. The heart is preload dependent and if the pressure builds up in the chest it will push on the Vena Cava choking off the blood return to the heart. If the heart can't get the blood in to fill it then it will not pump it out. This leaves your patient hemodynamically unstable. The blood filling lung becomes take the place of the air and the lung can't expand. As pressure builds you will lose your ability to oxygenate and ventilate your patient. The pressure on the Vena Cava will build and late signs are JVD and Tracheal Deviation.

Low blood pressure: Blood loss can lead to hypotension. As you lose blood from the vascular system the heart also has to speed up to compensate for the volume loss.

Pale, cool, and clammy skin: This indicates poor circulation. The body is shunting the blood to the vital organs and your patient is showing signs of shock. Shock is inadequate tissue perfusion at the cellular level.

Confusion or anxiety: In severe cases, blood loss can affect brain function. Your patient is not perfusing the brain, and your patient is in shock. The hearts inability to properly pump due to the lose of preload and vascular volume will affect the blood pressure. Now add the hypoxia and hypercarbia to the mix and you have H Bombs killing your patient. Hypotension, Hypercarbia, Hypoxia are just a few of the many you need be aware and know how to treat.

Fever: If the blood becomes infected.

Other Symptoms:

nausea, vomiting, and fatigue

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Treatment for Hemothorax

Hemothorax, a condition where blood accumulates in the pleural space between the lungs and chest wall, requires prompt medical attention. Treatment aims to stop bleeding, remove accumulated blood, and restore lung function.

Initial Management:
Stabilize vital signs, Administer oxygen and monitor oxygen saturation, Perform chest X-ray or ultrasound to confirm diagnosis, and Control bleeding with chest tube placement.

Blood Removal:

Thoracentesis (needle aspiration): Used for small amounts of blood
Finger Thoracostomy: an emergency procedure that can be used to treat hemothorax and tension pneumothorax

Chest tube insertion: For larger volumes of blood
Surgical intervention: May be necessary if bleeding is uncontrolled or a chest tube is ineffective

Other Interventions:

Blood transfusions: To replace lost blood

Antibiotics: If infection is suspected

Pain management: To alleviate discomfort

Observation: Monitor for complications such as infection, pneumonia, and lung collapse

Follow-Up Care:

Regular chest X-rays to monitor blood drainage

Removal of the chest tube when drainage ceases

Observation for signs of infection or other complications

Pulmonary rehabilitation: To restore lung function

Specific Treatment Options:

Video-assisted thoracic surgery (VATS): A minimally invasive surgical procedure to remove blood clots and repair bleeding vessels.
Thoracotomy: An open chest surgery to access the pleural space directly and stop bleeding.
Intrapleural fibrinolytic therapy (IPFT): A medication injected into the pleural space to dissolve blood clots.

It's important to note that the specific treatment plan for hemothorax will vary depending on the severity of the condition, the underlying cause, and the patient's overall health. Consult with a healthcare professional for proper diagnosis and treatment recommendations.

www.911tacmed.com

TXA in Trauma Patients

Sun, 22 Dec 2024 13:47:13 GMT

Tranexamic acid (TXA) is an antifibrinolytic drug that can be used to reduce bleeding and the risk of death in trauma patients:

How it works
TXA reduces blood loss by preventing the breakdown of fibrin, which helps stabilize blood as it clots.

When to use it
TXA is most effective when given within the first hour after injury but should be given within 3 hours. If given after 3 hours, there is a higher risk of death from bleeding.

Who to use it for
TXA should be given to all trauma patients who are at risk of bleeding-related death, including those who need a blood transfusion. It's safe to administer to a wide range of patients and shouldn't be restricted to the most severely injured.

How to administer it
A typical dose is 2g of TXA given slow bolus,

Benefits
TXA has been shown to reduce mortality in trauma patients and can also reduce the need for blood transfusions.

Safety
TXA is generally considered safe, with no serious side effects.

Pre-hospital administration of TXA is becoming more common and can be given by trained emergency personnel prehospital.

Find this and more in the training provided by www.911tacmed.com on the training calendar. Just scroll down for the list of courses and dates.

BURN PATIENT LABS

Sat, 21 Dec 2024 01:20:49 GMT

When evaluating a burn patient in the ER, common laboratory tests include a
complete blood count (CBC), electrolytes, blood urea nitrogen (BUN), creatinine, glucose, coagulation profile (PT/PTT), arterial blood gas (ABG), and sometimes a carboxyhemoglobin level to assess for smoke inhalation,
all aimed at monitoring fluid balance, electrolyte abnormalities, kidney function, and potential complications related to the burn severity.

Key points about burn patient lab tests

CBC:
Checks for anemia or infection by evaluating red and white blood cell counts.

Electrolytes:
Monitors sodium, potassium, and other electrolytes which can be significantly altered due to fluid shifts caused by burns.
BUN and Creatinine:
Assesses kidney function, important for monitoring fluid resuscitation in severe burns.
Coagulation profile:
Checks for potential bleeding issues like disseminated intravascular coagulation (DIC) which can occur in severe burns.
ABG:
Measures blood oxygen and carbon dioxide levels, especially crucial for patients with smoke inhalation injuries.
Carboxyhemoglobin level:
Specifically detects carbon monoxide poisoning from smoke inhalation.

Factors influencing specific lab tests:

Burn severity:
More extensive burns may require more frequent and comprehensive lab monitoring.

Type of burn:
Chemical burns might require additional tests to assess specific toxins involved.
Patient's medical history:
Existing conditions like diabetes or heart disease could necessitate additional lab monitoring.

FDA APPROVED PROTABLE COOLER SYSTEMS

Sat, 24 Aug 2024 13:54:45 GMT

FDA APPROVED BLOOD COOLERS

911 Tactical Medicine has your FDA Approved Blood Coolers for your Blood Programs. visit at www.911tacmed.com or click the link to take you direct to the Blood Fridge and Cooler.

TCCC 2024 Guidelines

Tue, 25 Jun 2024 01:34:19 GMT

Review the 2024 TCCC Guidelines.

Look for TCCC Courses at www.911tacmed.com

#tccc

National Registry and the latest on recertification

Tue, 13 Feb 2024 18:51:05 GMT

National Component Requirements Expiration dates through Sept. 30, 2025: Download the 2016 NCCP Model (PDF)
Expiration dates on or after March 31, 2026: Download the 2025 NCCP Model (PDF)

This is for everyone who is an EMR, EMT, A-EMT, and NRP to see where your hours count and the minimum required hours to recertify.

For Scheduled Training please to go www.911tacmed.com and scroll down to mid page.

Also, you can find level-specific information on the recertification pages for:
EMR: https://nremt.org/EMR/Recertification
EMT: https://nremt.org/EMT/Recertification
AEMT: https://nremt.org/AEMT/Recertification
Paramedic: https://nremt.org/Paramedic/Recertification

Global Pandemics: Gain-of-Function Research of Concern by the Congressional Research Service (CRS).

Fri, 25 Nov 2022 00:24:33 GMT

Fentanyl Webinar

Mon, 31 Oct 2022 22:59:17 GMT

WHAT IS HAPPENING NOW FROM DHS

Fri, 19 Aug 2022 21:24:43 GMT

ONE YEAR AFTER TALIBAN TAKE OVER. AFGNANISTAN IS A HOT BED AND SAFE HAVEN FOR TERRORIST

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Border Patrol Chief Describes Agency Response to Stop Uvalde School Shooter

Fri, 27 May 2022 19:09:03 GMT

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Morning Briefing

Fri, 27 May 2022 19:02:09 GMT

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Tactical Combat Casualty Care / TCCC Training

Wed, 19 Jan 2022 15:48:35 GMT

Tactical Combat Casuatly Care (TCCC) 2 Day Course with Ballistic Wound Packing Lab, Lung & Airway Labs
Sat, Feb 26 - Sun, Feb 27, 2022
8:00am-5:00pm
11641 I-35W N, Grandview, TX 76050-3522, United States
Tactical Combat Casualty Care
BRING YOUR TACTICAL KIT & (Weapon not required / optional) AND BE READY TO LEARN AND GET DIRTY!

If you have NVGs bring them for optional night training.

We have Plate Carriers and Armor if you do not have your own.
TCCC with ballistic wound packing lab, lung and airway lab

The Tactical Combat Casualty Care (TCCC) course introduces evidence-based, life-saving techniques and strategies for providing the best trauma care on the battlefield. NAEMT conducts TCCC courses under the auspices of its PHTLS program, the recognized world leader in prehospital trauma education.

NAEMT’s TCCC courses use the PHTLS Military textbook and are fully compliant with the Department of Defense’s Committee on Tactical Combat Casualty Care (CoTCCC) guidelines. It is the only TCCC course endorsed by the American College of Surgeons.

The TCCC-MP (TCCC for Medical Personnel) course is designed for combat EMS/military personnel, including medics, corpsmen, and pararescue personnel deploying in support of combat operations.

NAEMT’s TCCC course is accredited by the Continuing Education Coordinating Board for Emergency Medical Services (CECBEMS) and recognized by the National Registry of EMTs (NREMT).

Almost 90% of American service men and women who die from combat wounds do so before they arrive at a medical treatment facility. This figure highlights the importance of the trauma care provided on the battlefield by combat medics, corpsmen, PJs, and even the casualties themselves and their fellow combatants. With respect to the actual care provided by combat medics on the battlefield, however, J. S Maughon noted in his paper in Military Medicine in 1970 that little had changed in the preceding 100 years. In the interval between the publication of Maughon's paper and the United States’ invasion of Afghanistan in 2001, there was also little progress made. The war years, though, have seen many lifesaving advances in battlefield trauma care pioneered by the Joint Trauma System and the Committee on Tactical Combat Casualty Care. These advances have dramatically increased casualty survival. This is especially true when all members of combat units – not just medics - are trained in Tactical Combat Casualty Care (TCCC.)

Cost:

$400
You must notify us to pay and reserve a training seat.
Call if you have anyquestions or to submit payment: 270-871-2953

Where:

11641 I-35W N, Grandview, TX 76050-3522, United States

Credit:
16 hours TCOLE Credit
16 hours Medical CEUs

• Host Hotel:
Comfort Suites Hotel
(817) 293-7900
400 Village Park Dr., Alvarado, TX 76009
Rate Code: RANGE 35 Rate: $59.00 King - $69.00 double queen

Course info can be found on the www.911tacmed.com homepage

#tccc #deplymentmedicine #911tacmed #combatmedic #68W #pj #corpsman #military #ems #leo #fire #police

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Upcoming Training

Wed, 19 Jan 2022 15:19:30 GMT

26
FEB

IBSC TACTICAL PARAMEDIC (TP-C) & TACTICAL RESPONDER (TR-C) REFRESHER COUSRSE
Sat, Feb 26 - Sat, Mar 5, 2022
11641 S. Interstate 35W, Grandview, TX 76050
TP-C & TR-C Refresher Course
26
FEB

Tactical Combat Casuatly Care (TCCC) 2 Day Course with Ballistic Wound Packing Lab, Lung & Airway Labs
Sat, Feb 26 - Sun, Feb 27, 2022
8:00am-5:00pm
11641 I-35W N, Grandview, TX 76050-3522, United States
Tactical Combat Casualty Care
26
FEB

TEMS / Basic SWAT Tactical Medic Course
Sat, Feb 26 - Fri, Mar 4, 2022
8:00am-5:00pm
11641 S. Interstate 35W, Grandview, TX 76050
Basic SWAT Medic Course
28
FEB

Basic SWAT Course by Special Operations Systems
Mon, Feb 28 - Fri, Mar 4, 2022
10:00am-10:00am
11641 I-35W Frontage Rd, Grandview, TX 76050
admin@specopsystems.com
7
MAY

TEMS Advanced SWAT Medic (MUST HAVE COMPLETED BASIC TEMS OR EQUIV)
Sat, May 7 - Wed, May 11, 2022
All day
11641 S. Interstate 35W, Grandview, TX 76050
Advaned SWAT Medic for the Tactical Operators
If you Agency or Department needs any K-9, Medical or Tactical Training for TCOLE, Medical CEs, or Proficiency Training do not hesitate to contact us at admin@911tacmed.com , matt@911tacmed.com or call 270-871-2953. Find more training on the homepage of www.911tacmed.com

#training #Medical #tactical #SWATMedic #Tactical Paramedic #TCCC #TCOLE #911tacmed

DD-1380

Wed, 19 Jan 2022 15:12:02 GMT

FREE TCCC Card DD-1380 $0.00Get your free download for TCCC Cards / DD-1380. This stuff is free so please take it and download it here, print it off and laminate of if you need to, punch a hole in it and put a rubber band on it. After words put that sucker in your IFAK and your teams IFAKs. Then go get a sharpie (small one) and you are set.

he DD Form 1380, TCCC Card is the standardized method for documentation of casualty care in the prehospital environment for battle and non-battle injuries. The DD Form 1380 promotes Department of Defense goals of capturing documentation of pre-hospital medical interventions at the point-of-injury. First responders, to include clinical providers, will document treatment using the current TCCC guidelines.
ADDITIONAL INFORMATION
This content was designed for use in the Tactical Combat Casualty Care for All Service Members Course (TCCC ASM), and is intended for nonmedical personnel.
The Joint Trauma System (JTS) establishes the standard of care for prehospital battlefield medicine for the Department of Defense. The JTS is part of the Defense Health Agency providing clinical practice guidelines and performance improvement for all levels of military trauma care.
The JTS is supported by the Committee on Tactical Combat Casualty Care (CoTCCC) which is composed of representatives from across the Army, Navy, Air Force and Marines develops clinical practice guidelines for the delivery of Tactical Combat Casualty Care (TCCC) on the battlefield.

For all your medical training needs and real-world mission needs feel free to reach out to us at www.911tacmed.com

#TCCC #Documentation #CoTCCC #TacticalMedicine #Emergency #tacticalParamedic, #DD1380 #TECC #Tacmed #Fire #EMS #EMT #911tacticalmedicine #documentation

FREE TCCC Card DD-1380

$0.00

Get your free download for TCCC Cards / DD-1380. This stuff is free so please take it and download it here, print it off and laminate of if you need to, punch a hole in it and put a rubber band on it. After words put that sucker in your IFAK and your teams IFAKs. Then go get a sharpie (small one) and you are set.

#TCCC #Documentation #CoTCCC #TacticalMedicine #Emergency #tacticalParamedic, #DD1380 #TECC #Tacmed #Fire #EMS #EMT

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Injuries and Back Pain

Mon, 13 Dec 2021 16:59:49 GMT

Here at 911 Tactical Medicine, we do a lot of training and teaching others about some serious real-world situations. A lot of the time some of the minor things get over looked, even though they are just as important. We want to start publishing articles on some of the more common things around us. Anything from allergies to a sprained ankle, we want to cover all areas of education to help you.

Injuries and Back Pain

Injuries can cause back torment, including injuries to the upper appendages, shoulders, neck, spine, and so forth Injuries can happen likewise cause back torment if the rotator sleeves are upset. The rotator sleeves contain acromion, ligaments, for example, the rotator sleeves, which rest at the upper bones at the arm, and associate with rotator sleeve muscles. The muscles are at the highest point of the upper arm bones, and beneath the shoulder joints. Rotator sleeves are bunches of more modest muscles, ligaments, and so on, and join to different pieces of the body. On the off chance that the ligaments are torn or potentially burst it can cause back torment. The injuries as a rule happen when unexpected effects or powers focus on the district. Applying the muscles can likewise cause injury. On the off chance that the ligaments are harmed, it causes aggravation and expansion, which makes a large amount of pain.

Such issues are treated with rest, ice packs, pressure, and elevation. Shoulder injuries are seen when the arm is tossed out of attachment. The injuries happen from falls, overexerting muscles, and so forth. The specialist considers such injuries carefully since breaks might emerge, which begin inside the humerus. In certain occurrences, medical procedure is mandatory to address the issue.

Additional injuries incorporate circular segment pain, shoulder freeze, tendonitis, subacromial bursa, acromio-clavicular, etc. The Bursa is a sac loaded up with liquids that fill in as cushioning to diminish friction. The reason for the bursa is to make development simple and to deflect scouring of the joints. The bursa can cause issues when the shoulders are out of nowhere thrown over the head. Treatment for subacromial bursa conditions, incorporate steroid regimens, exercise-based recuperation, prescriptions, and so forth, particularly when aggravations set in. The condition can cause back pain since the bursa is an aide to the joints, ligaments, bones, and synovium. Bursa works by making light of the dangers of joint harm. On the off chance that bursa kindles it packs the nerves or ligaments. What occurs after is a disappointment, particularly once the joints rub. The delicate pockets amid the bones that cover and ensure different bones can cause genuine back torment since aggravation has set in from bursa problems. The strain caused by aggravation hits the muscles, overexerting these muscles, which the tangible nerves are dialed back and development is restricted.

Stance is the posture we get from bearing muscles and joints. If an individual slouches, regularly it can cause back pain, since the muscles and joints are not moving, as they ought to. Active recuperation and medications are frequently utilized to address the issue. Sitting at long spans can likewise cause back issues, particularly if the lower back isn't upheld. Indeed, sitting erroneously can twist the spine at the lower back and cause genuine agony. Back torment in this nature might show up from sport exercises also, for example, truly difficult work, continued curving, etc. Slouches can address back issues by figuring out how to sit and remain in legitimate positions. The back when harmed from slumping influences the lumbar. Furthermore, the slouchier should learn the right methods of lifting.

Back pain can show up from the slipped circle, sciatica, Sacro-iliac, and so forth Slip circles are a Herniated core pulposa (HNP) jumble. Slip circles are bursting of the "intervertebral plate." The intervertebral circle sits amid the Spinal Columns and is close to the spine.

Profoundly, lastly at the disk. At the point when the nerve roots are compelled, the disk can slip, causing herniated core pulposa. Sciatica is a kind of slipped disk, since the aggravation sends sharp, electrical shock-like agony down the waterway of the spine, sending an upsetting hurt that begins in the back. The aggravation conveys onto the legs. The aggravation is now and again discontinuous, yet on different occasions, it can prompt ongoing torment condition. Surgeries are frequently needed to address the issue.

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Michael Taylor
Head of 911TacMed
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US Army Ret.
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TCCC Card DD-1380

Thu, 03 Dec 2020 18:26:52 GMT

Get your free download for TCCC Cards / DD-1380. This stuff is free so please take it and download it here, print it off and laminate of if you need to, punch a hole in it and put a rubber band on it. After words put that sucker in your IFAK and your teams IFAKs. Then go get a sharpie (small one) and you are set.

#TCCC #Documentation #CoTCCC #TacticalMedicine #Emergency #tacticalParamedic, #DD1380 #TECC #Tacmed #Fire #EMS #EMT #Paramedic #Medic

MASK CHALLEGE USA

Mon, 04 May 2020 17:32:37 GMT

MASK CHALLEGE USA

Please Share With Anyone Who May Need Them.
Every time you buy 3-ply face masks with Mask Challenge USA, we will donate masks and Personal Protective Equipment (PPE) to our everyday heroes: frontline volunteers, medical workers, and first responders.
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You buy a 20 or 50 pack of 3-ply, non-medical masks through Mask Challenge USA website for yourself and your family.
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Mask Challenge USA donates Personal Protective Equipment (PPE) to support those who support our community: volunteers, medical workers, first responders.

BUY Masks Buy MasksWhy buy masks online from Mask Challenge USA?

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Do you know of a worthy group of everyday heroes who need masks? Nominate the volunteer group or organization below for a chance to receive 500 3-ply masks from Mask Challenge USA.

Please note: We're excited to donate to as many everyday heroes as possible but please know that due to the high volume of need, we are unable to accommodate all requests. Thank you so much!

This Is Why We Train

Sun, 29 Dec 2019 23:16:35 GMT

This is why we train and stay ready. This is the difference between 2 and 24 killed. Church shooting today near Fort Worth Tx. Bad guy in black with shotgun (red) gets killed by good guy and parishioner with LTC (green). Clearly this could have ended so much worse. That’s a solid distance to shoot a pistol under stress. Good work! Make sure you have trained staff and kits to treat people afterwards. If you need help let us know. If we cant get you what you need we will point you in the right direction or find someone else who can. Train hard because dying sucks.

#thingsthatmatter #training #emt #medic #leo #police #chl #shooter #stayready #tragedy #education #medical #tactical #stopthebleed #bleedingcontrol #shootingclass #pistol #school #church #trainhardbecausedyingsucks #goodpeople #Texas

911 Tactical Medicine 50M targets for up coming training

Mon, 04 Mar 2019 14:30:01 GMT

EVOLVING “GOLDEN HOUR” CARE TO MITIGATE THE TREATMENT GAP

Tue, 22 May 2018 01:56:09 GMT

Check out the Spring 2018 Combat & Casualty Care magazine put out by Defense Media. Matthew Kinney our CEO wrote a little article that was three pages with picture. Those pictures where of him doing a Rescue Hoist mission in the Korengal Valley, Afghanistan, Training Soldiers in TCCC and PFC, and last is one of his critical care patients that had a gunshot wound to the right side of the head who was ventilated in Iraq. Take a read through the magazine and make sure to read the"
"EVOLVING “GOLDEN HOUR” CARE TO MITIGATE THE TREATMENT GAP"

911 TACTICAL MEDICINE - READY ROOM BLOG

TCCC Instructor Changes

Texas Legal Considerations for EMS

This Week's Release.... It's All About Haiti

Blood Comm for the Delta Ice

DELTA ICE 2L

Clinic & Sick Call How to SOAP Note

Signs and Symptoms of Hemothorax

Treatment for Hemothorax

TXA in Trauma Patients

BURN PATIENT LABS

FDA APPROVED PROTABLE COOLER SYSTEMS

TCCC 2024 Guidelines

National Registry and the latest on recertification

Global Pandemics: Gain-of-Function Research of Concern by the Congressional Research Service (CRS).

Fentanyl Webinar

WHAT IS HAPPENING NOW FROM DHS

ONE YEAR AFTER TALIBAN TAKE OVER. AFGNANISTAN IS A HOT BED AND SAFE HAVEN FOR TERRORIST

Border Patrol Chief Describes Agency Response to Stop Uvalde School Shooter

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This Is Why We Train

911 Tactical Medicine 50M targets for up coming training

EVOLVING “GOLDEN HOUR” CARE TO MITIGATE THE TREATMENT GAP