Austere Medicine

Austere Medicine

Special Operation Combat Medic School Survival Guide

Special Operations Forces Medic Joint Special Operations Medical Training Center Medicine 68W 68WW1 18D Combat Medic SOCM SFMS Green Beret
Crisis Application Group Founder and CEO, Jay Paisley, stands where his journey as a Special Forces Medic began some time ago.

     We are writing this as a guide to help future students prepare and know what to expect when attending the Joint Special Operations Medical Training Center (JSOMTC) Special Operations Combat Medic School (SOCM). We have instructors that are SOCM/SFMS qualified and wanted to pass the knowledge on.

Read more: Special Operation Combat Medic School Survival Guide

When Do We Apply the TQ "High and Tight?"

TQ Forearm      There is a lot of discussion on whether to place a tourniquet (TQ) "high and tight" on an arm or leg,  or place 2-3 inches above the wound, even if on the forearm or lower leg, sometimes called a  "double bone compartment. " There is also those who say a tourniquet can be on for 1 hour, or for 8+, so which is it? 

The short answer is, it depends on the wound, who you are, and where you are.

 "When do we do high-and-tight? "

High-and-tight is a "catch all" for most situations and non-medical professionals. It's easy to remember and unlikely to be placed distal (away from the injury, not between injury and heart) or be placed over a joint which would make it ineffective. High and tight also accounts for blast wounds where the wound may be more extensive or deeper than it appears, and when placing over clothes during "Care Under Fire" where the wound and location of bleeding may not be easily apparent.

For non-medics and Tactical Combat Casualty Care (TCCC) trained individuals, high-and-tight is for care-under-fire.

For those close to a hospital, within 1-2 hours, high-and-tight is also fine. We will discuss why if farther away from care you may want to consider other options.

Read more: When Do We Apply the TQ "High and Tight?"

Abdominal Aortic Tourniquet (AAT) Published on Jul 19, 2013 The Abdominal Aortic Tourniquet (AAT) is the most stable device available to treat non-compressible junctional pelvic bleeding. It is FDA approved for difficult to control inguinal bleeding. The AAT is the only junctional device that has actually saved human life! Click here to learn more!

Improvised pelvic splint

Austere medical tips for stabilizing a fractured pelvis with supplies you have in your aidbag. If you don't have a pelvis sling you can fashion a hasty sling out of a TQ and SAM splint. Take a look!

Xstat- Intrinsic vs extrinsic pressure (Video)


Medical Concepts: Intrisic vs. extrinsic pressure. Click here to watch: Synopsis: In this video we show you the difference between the two concepts of pressure using a Gen 7 CAT tq, and the X stat trauma syringe....
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