29/05/2026
Are pelvic binders the new collar?
We use to apply collars to every trauma patient with c-spine tenderness, the evidence caught up and now we don’t have to apply one to every patient.
Pelvic binders could be heading that way.
Around 50% are misplaced, the mortality evidence is inconsistent and the NAEMSP have now formally recommended reconsidering routine prehospital use.
This post isn’t about scrapping binders altogether but about applying it correctly, on the right patient, for the right reason.
Also we’ve put together a FREE 30 page NQP guide if you’re struggling to find a job as a paramedic. Comment “stuck” to get your copy.
Lastly we have 2x live webinars coming up in June.
1️⃣ Respiratory emergencies: A prehospital masterclass: 11th June
2️⃣ Optimising prehospital resuscitation
Comment “webinar” for more info
Learn. Adapt. Respond.
29/05/2026
🩺Blood Pressure Targets in Trauma Resuscitation: The New Thinking.
1. Isolated Hemorrhagic Shock
2. Acute Traumatic Spinal Cord Injury
3. Traumatic Brain Injuries.
4. Polytrauma – When Priorities Collide in Real Life.
https://emottawablog.com/2026/03/blood-pressure-targets-in-trauma-resuscitation-the-new-thinking/
29/05/2026
POV: You let the intern take a stab at your stroke awareness graphics… This isn't quite what we meant, but the letters in B.E. F.A.S.T can help you spot a stroke. By knowing the signs, you just might save a life from stroke.
05/05/2026
The Tactical Emergency Casualty Care (TECC) guidelines for 2026 continue to focus on civilian high-threat trauma management, following the established "Direct Threat," "Indirect Threat," and "Evacuation" phases of care. These guidelines are designed for EMS, law enforcement, and first responders to manage preventable deaths in scenarios like active shooter events or mass casualty incidents.For those preparing for certification, the TECC Study Guide 2026-2027 offers scenario-driven insights into these protocols.
Core Phases of CareThe guidelines organize medical interventions based on the level of threat present at the scene:
Direct Threat Care (Hot Zone): Care rendered while under active attack or in imminently dangerous conditions. The primary focus is threat mitigation and rapid hemorrhage control using tourniquets.
Indirect Threat Care (Warm Zone): Care rendered once the immediate threat is suppressed but may still resurface. This phase utilizes the P-MARCH-PAWS assessment algorithm (Positioning, Massive Hemorrhage, Airway, Respirations, Circulation, Head/Hypothermia, Pain, Antibiotics, Wounds, Splinting).
Evacuation Care (Cold Zone): Care rendered while the casualty is being moved to a staging area or definitive medical facility.Key Skills and InterventionsThe 2026 curriculum emphasizes several critical trauma interventions:
Hemorrhage Control: Immediate action drills for limb tourniquet application and wound packing.
Airway & Respiration: Surgical airway intervention (cricothyroidotomy) and chest-needle decompression for tension pneumothorax.
Special Populations: Dedicated strategies for pediatric patients in tactical environments.
Movement: Proven best practices for lifting, dragging, and carrying victims to safety.
Course AvailabilityOfficial 16-hour provider courses for 2026 are hosted by organizations like the National Association of Emergency Medical Technicians (NAEMT) and STOPS Medical, often including hyper-realistic simulations.
Are you looking for a specific course location or detailed equipment requirements for a TECC training program?
