TACMED TWENTY — Episode 003: Junctional Hemorrhage

Groin, armpit, base of the neck. Three places a tourniquet can't reach and a chest seal does nothing. That's the gap.

In this episode: - Junctional means pack and press — in the first ten seconds, before you touch the kit - Never circumferential on a neck. Pressure over the wound, secure under the opposite armpit. - A junctional device you haven't drilled five times is cargo, not capability

This week's drill: Partner drill — sustained body-weight inguinal pressure for three full minutes while verbalizing the rest of MARCH out loud.

Referenced: CoTCCC junctional hemorrhage guidance (consensus). Junctional device efficacy data is primarily bench and cadaver. No randomized human trials exist.

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MED-TAC International Corp. — clinician-founded, veteran-led tactical medicine. South Florida, US of A. tactical-medicine.com | @medtacintl | @talkingtacmed

TACMED TWENTY — Episode 002: Packing a Wound

A tourniquet handles a limb. It does nothing for a groin, an armpit, or a neck. That's where most people run out of training.

In this episode: - Pack the tract, not the surface — find the source with a gloved finger first - Three minutes of uninterrupted pressure, on an actual clock - Technique beats product: plain gauze plus good hands outperforms hemostatic plus bad hands

This week's drill: Pool noodle or rolled towel wound trainer. Pack a full roll, tract first, then hold three minutes with a stopwatch running.

Referenced: CoTCCC hemostatic dressing guidance (consensus). Kaolin efficacy data is primarily bench and animal model. Package clot-time figures are manufacturer claims.

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MED-TAC International Corp. — clinician-founded, veteran-led tactical medicine. South Florida, US of A. tactical-medicine.com | @medtacintl | @talkingtacmed

Two inches above the wound. High and tight over the uniform. Both are taught, both are correct, and which one applies depends on something most courses skip entirely — the phase you're operating in.

Doc works tourniquet placement to the ground: where the doctrine actually diverges between care under fire and tactical field care, why repositioning and conversion are not the same decision, and the two-bone myth that will not die.