Instagram story viewer> @precisiontacmed> Posts

Precision Tactical Medicine

@precisiontacmed

26K

followers

1421

following

POSTS STORIES REELS TAGGED

MARITIME COMBAT CASUALTY CARE & (FORWARD SURGERY)

"Maritime Trauma" - Frontline Surgery, CoTCCC 2026 & JTS PCC CPGs

OPERATIONAL DIMENSION & JOINT MARITIME OPERATIONS

Joint Forces Integration:

Surgery at sea is no longer exclusive to the Navy.

Army Forward Surgical Teams and Air Force specialized units (SOST/CCATT) are increasingly integrated onto naval platforms (LHD, LHA, CVN) within the framework of Distributed Maritime Operations (DMO).

Alert Conditions & Battle Dressing Stations (BDS):

During combat or active shipboard threats, the tactical integrity and survivability of the vessel take precedence over casualty evacuation.

When water-tight doors are sealed, casualties are managed at the nearest dispersed Battle Dressing Station (BDS) by Corpsmen/Role 1 medical personnel prior to transfer to Main Medical/OR.

The "Tyranny of Ship Architecture" & Hoisting:

Casualty movement aboard a warship represents one of the greatest operational challenges.

It requires continuous rehearsal of casualty transport through steep vertical ladder wells and hoisting/vertical extraction via litter and rigging from deep compartments to the BDS or flight deck.

S-MARCH-PAWS-H PROTOCOL & OPERATIONAL APPLICATION

The S-MARCH-PAWS-H protocol in a maritime environment and prolonged care scenario includes the following phases:

S - Security & Scene Safety (Vessel safety, ship integrity, and fire suppression).

M - Massive Bleeding (Control of life-threatening hemorrhage with tourniquets and hemostatics).

A - Airway (Airway management via cricothyroidotomy or supraglottic devices and C-spine stabilization).

R - Respiration (Breathing management, needle decompression for tension pneumothorax, and chest seals).

C - Circulation (Resuscitation with Low Titer O Whole Blood and shock management).

H - Hypothermia / Head / Handoff (Active hypothermia prevention, TBI management, and casualty handoff).

M - Massive Bleeding

Combat Trauma Mechanism:

40% to 50% of casualties in naval warfare result from penetrating fragment wounds (shrapnel), blast effects (primary/secondary blast), and secondary projectiles.

CoTCCC 2026 Tourniquet Conversion:

Tourniquets ar by @precisiontacmed

62

5

4 days ago

I am very proud of the work our team has been doing to stand up our own Pre hospital blood program. It has been a huge learning curve and a challenge to get all the stake holders to be on the same page.

By adding blood products, increasing man power + availability, and providing our team with quality sustainment training we are making improvements by leaps and bounds and making our officers and the community safer.

#goodmedicinebadplaces

#TECC
#swat
#swatmedic
#TEMS by @precisiontacmed

80

1

a month ago

by @precisiontacmed

4

0

a month ago

Hemorrhage control techniques and equipment continue to evolve and allow higher chances of patient survival.

Your milage may vary. by @precisiontacmed

13

0

a month ago

The Forgotten Procedure

Before ultrasound. Before intraosseous access. Before modern central lines.
When a trauma patient was bleeding to death and every peripheral vein had collapsed, physicians reached for a scalpel.
They performed a venous cutdown.
By making a small incision and exposing the vein under direct vision—most commonly the greater saphenous vein or, in selected cases, the femoral vein—they could establish vascular access for life-saving blood transfusion when conventional IV access was impossible.
For decades, this was considered a core trauma skill.
Today, many clinicians finish training without ever seeing one performed.
Should it stay that way?
Modern medicine has given us excellent alternatives: • Ultrasound-guided vascular access • Intraosseous (IO) access • Large-bore central venous catheters
These techniques are faster, less invasive, and supported by strong evidence for most patients.
But what about the rare situations?
Austere environments
Disaster medicine
Remote trauma
Prolonged field care
Failed conventional access
Is there still a place for the venous cutdown as a true salvage procedure?
Some skills disappear because they become obsolete.
Others become so rare that we risk forgetting when they might still save a life.
The question isn't whether we should perform venous cutdowns routinely.
The question is whether we should allow the knowledge to disappear entirely. by @precisiontacmed

714

28

2 months ago

Rescue teams continue to work tirelessly to rescue trapped victims in Venezuela.

While the initial phase of active rescues is ongoing we must prepare to support the next phase of recovery as there is immense damage to infrastructure and lack of access to health care.

Please consider donating supplies through the UCV firefighter foundation to help get supplies directly in the hands of locals doing the work.

@ucvfirefighters

#sosvenezuela🇻🇪🆘🆘🆘 by @precisiontacmed

60

3

4 months ago

#swatmedic #ems #bloodtransfusion by @precisiontacmed

11

0

4 months ago

The right tool for the right vein.
All three catheters shown are 20 gauge, yet each offers unique advantages.

In austere, prehospital, emergency department, and critical care environments, successful vascular access depends on more than catheter diameter alone.

• Catheter length affects flow and stability • Echogenic design improves ultrasound visualization • Longer catheters facilitate cannulation of deeper vessels • Guidewire-assisted systems expand options when standard IV placement fails

Understanding your equipment is just as important as mastering the technique.

Train beyond the basics.

#PrecisionTacMed #TacticalMedicine #UltrasoundGuidedIV #VascularAccess #CriticalCareMedicine EMSEducation POCUS FOAMed EmergencyMedicine TCCC by @precisiontacmed

150

0

4 months ago

Great Job by all the teams that participated at the @lttsmed TECC course.
SWAT medics/operators from various agencies came together to hone their skills In Tactical Medicine and team dynamics during CQB and open terrain engagements.

If you are on a swat team or other tactical team even if you are not a medic you will benefit immensely from training with @lttsmed by @precisiontacmed

109

1

a year ago

Who believes this was actually due to fentanyl exposure/overdose versus a panic attack.

We need to do a better job educating our officers on what the signs and symptoms of opioid overdose are. by @precisiontacmed

15

2

a year ago

By EARYEL BOWLEG

#Tribune Staff Reporter

#ebowleg@tribunemedia.net

An American tourist screamed in agony after he was struck by a passing boat while snorkelling in Exuma, leaving the victim with horrifying injuries, according to a bystander.

“You had skin and flesh hanging all over the place. Then once we got him on one of the chairs you had blood dripping on the ground,” said Reno Curling, a photographer who was conducting a family photo shoot nearby when the incident occurred.

He said he heard screams and saw people run toward the shoreline.

A few residents jumped into the water and pulled the injured man back to shore, where they helped carry him to a nearby pool deck.

Mr Curling said one of his clients, who is a nurse, rushed to assist but was unable to do much without medical supplies.

“She told him to remain calm and was speaking to him from that end of it but it wasn’t really nothing nobody could do other than wrap him up with towels and stuff like.”

According to reports, the American man was snorkelling near Tar Bay around 7.30pm on Monday when he was struck by a 20-foot white Boston Whaler.

He was initially taken to the Exuma Healthcare Facility before being airlifted to Miami for further treatment.

Police only reported the incident after The Tribune made inquiries.

Mr Curling told The Tribune he was the one who called police — only to be told to contact the local clinic.

He described the response as “counterproductive”, saying he expected emergency personnel to have direct communication with the clinic or ambulance service.
Reaching the clinic, however, proved difficult.

“Once I called the clinic, the clinic they asked for the information, but nobody ever showed up. So we eventually called the clinic four or five times, and at the last time, they told us it’s probably best to just try find a truck to bring the guy to the clinic.”

After 45 minutes to an hour, the group secured a vehicle with help from the caretaker of the property where the tourist was staying.
------

Do you carry sufficient medical gear while on vacation, even if it's a "luxury" destination? by @precisiontacmed

304

12

a year ago

The NPA is still in IFAKS and yet many people are not getting quality instruction/training on how to insert them. And how to trouble shoot issues.

What could they of done differently?

If you want to learn to properly place an NPA @lttsmed
Is hosting a class in June.

#paramedic
#emt
#tccc #tecc # by @precisiontacmed

83

28

a year ago