Next Generation Combat Medic

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Next Generation Combat Medic

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We provide a forum of perpetual learning, discussion, and camaraderie for "Doc", because knowledge we Fully understand the principle and master the basics.

Remember, We PRACTICE medicine so there is typically "A way" and not "The way". Only then can you apply or adapt to solve the problem and execute.

**Individuals that post in this group will post as private individuals and not as a representative of their organization or official position**

10/30/2026

We wanted to clarify some things from a viral video floating around. 🚨

Do not be worried about dirty tourniquets causing infection. You don’t need to keep them in plastic packaging. TQs should be easy to reach and apply.

However, you can frequently reassess your equipment exposed to environment to check for frays and damage.

The second part of the video addresses tourniquet pain. You should still train to apply tourniquets to yourself and teach your guys. Some few patients may find them painful, so reassure them and reassess tourniquet. Proper training will also expose them to this for expectation management.

What would you add? This was only a couple portions of the full video.

10/30/2026

Tranexamic Acid (TXA). If it potentially helps clots not break down, does that mean we use it if hemorrhage is controlled on an extremity with a tourniquet or wound packing? Or is it only for bleeds in torso or brain injury we can’t control?

Is a junctional bleed that we think is controlled fair game? or is TXA low risk enough to give everyone (if supplies are unlimited)?

What do TCCC guidelines suggest?

Let’s discuss. If you had a junior medic choose to give or defer TXA due to wound set, you must be able to talk through this.

10/26/2026

We’ve performed a surgical airway… but have we fully addressed the maxillofacial trauma that lead to us making the decision to take the airway? What do these patients need next?
did the “Facial Trauma” episode with on some of the ways to address various bleeds in the face.

Not every problem above the collarbone is solved with a Cricothyroidotomy or packing the neck. Those may be more important or frequent, but not the only issues we can address. With drones increasing frequency of upper body injuries, these can be considerations to add into trauma training.

🧟‍♂️ Wearable Cric Trainer by

10/24/2026

You’re running blood transfusion training as a medic. As you take a unit out of the “donor” and give it back to them as if they are also the “patient”, they start to get pale, sweaty and a little light headed.

Have you seen this in training? How do you account for this?

10/23/2026

You’re treating a patient with a traumatic brain injury from a drone blast inside a room, which also damaged their upper left arm. Upper left arm now has a TQ in place.
Patient is nauseous and has worsening mental status. You get a quick BP and see it is 92/64.
What is your first priority? Vote below and let’s talk about what is priority for head injury patients.

We have an article on the website:
“Treating TBI out of the aid bag”. Meant for Medics or their NCO’s/PA to walk through what is going on and what they can do about it, using a provided scenario. Great guest authors and editors helped make this happen so that you can eventually work head injuries and maxillofacial, neck and upper torso injuries into scenarios for drone wound exposure..

Did you know there is a “Tactical MACE” (T-MACE)? A shorter version for the field/ deployment, especially with multiple TBI patients. (Third slide) Search “T-MACE” on Deployed Medicine app.

You can use T-MACE as a card in Aid Bag/ IFAK.

Advanced/Paramedic: When would you consider using a clear fluid for a head injury? Would normal saline, lactated ringers or other fluid be better?

10/23/2026

Wondering how to give back some of that experience and education?
Submit a proposal to present at SOMA 2027 in Raleigh, North Carolina!
Come share ways to improve medical care for our operators and beyond!

🔗 Submit your proposal now: https://bit.ly/4iE0Zon

Next Generation Combat Medic Journal of Special Operations Medicine Special Operations Recruiting Battalion, U.S. Army U.S. Army Special Operations Command 1st Special Forces Command - Airborne Marine Forces Special Operations Command Special Forces Medics Tactical Combat Casualty Care - TCCC - DoD Committee on TCCC Joint Trauma System

10/20/2026

When during your TCCC sequence do you prioritize cutting away (or exposing) clothes over extremities as well as cutting off shirt and taking off plates, as well as checking back / log roll? Vote below and discuss on the poll.
Explain why you
chose your answer, or if it doesn’t fit in 4 options below.

✂️ Slide 2-4 is an example of how one follower modified uniforms to be reusable for cutting off with grommets and zip ties. This enables use of trauma shears instead of ripping velcro, or having the manikin naked like many unfortunately train. While it’s not cutting through clothes, not everyone can acquire extra uniforms from CIF on base or other means. ✂️

Consider: If you are a senior medic grading junior medics or Infantry, do you have a “right” answer for what you expect? Is there certain criteria you expect for it to be done right, or a time when you would call it negative or even a
“lane failure?” i.e., what if a medic chose
one of the other three options besides the one you chose.

2.) What happens if your medic finishes a training lane and they did not expose a limb, or area such as the back? Automatic failure, or do they “get lucky” if there is no wound there?

3.) When would you cut versus temporarily expose?

4.) Would being in an extremely cold environment change consideration of any of this?

10/19/2026

You’re a Senior Medic/Provider grading a SPC/E-4 68W (Combat Paramedic/SOCM) doing a trauma lane for pre-deployment. He is about to push Ketamine on his 176lb patient for procedural sedation in order to do a finger thoracostomy. He verbalizes that he will push 100mg IV of Ketamine for pain. He pulls out a vial of Ketamine that is 500mg/5mL and pushes 0.5mL in his IV or IO site.
Is this an appropriate dose? Why?

1.) If a medic pushes an inappropriate dose of Ketamine, Is this a minor or major? What does this mean for his trauma lane? Nothing because “Ketamine is safe at any dose?” Or still a 5 Rights violation? Poll below. 👇🏻

2.) If you had a medic give an inappropriate dose, verbalizing or otherwise, what would you consider an appropriate remedial training, if any? (Not necessarily what we had to do as younger medics.)

3.) Advanced: How might you tell roleplayer to act when medic does this procedure on this dose of medication? (and how do you tell without medic learning what you tell patient.)

10/17/2026

How do we train up to excel at mass casualty (MASCAL) management before big exercises?

Some units treat the exercise as training and exposure, instead of validation. We shouldn’t get a pat on the back for merely surviving chaos. We should aim to be managing these well, which means preparing in advance.

This may also mean getting another opportunity to refine mistakes made during the exercise through another iteration, instead of saying, “yeah we will fix these next time” (6-12+ months away).

How can a senior medics or provider prepare their units to succeed in these exercises BEFORE dozens of roleplayers covered in moulage pour through?

Let us know what classes, tips, tricks and drills you find useful to help prepare the team for their roles and responsibilities.

🚨One big mistake is newer medics getting tunnel visioned on medicine and treatment sucked into patients before triage.🚨

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Building 19032, 53rd St
Fort Hood, TX
76544

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http://www.nextgencombatmedic.com/

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