Combat Medicine

Posted on October 23, 2020October 30, 2020 by Brian McLaughlin — Leave a comment

What’s Better? CAT Vs. SOF-T Wide

Trying to decide what the best tourniquet is for you? The Combat Application Tourniquet (CAT) is often viewed as the best device for controlling life-threatening bleeds and is trusted by medical professions all around the world. The SOF-T Wide is also just as trusted, but not quite so widely used. This doesn’t mean it’s inferior.

The CAT has the benefit of being the first to the market and was picked up by the US and British militaries for combat applications and so it enjoys great data supporting its effectiveness.

The SOF-T Wide came onto the scene a short time later, but since it was approved by the Committee on Tactical Combat Casualty Care (CoTCCC) after the CAT, it isn’t as widely recognized, but still deserves your consideration in my opinion.

I have used both TQ’s in real world applications and I have some opinions that might help you decide which is the right TQ for you.

Posted on October 2, 2020 by Brian McLaughlin — Leave a comment

How to Make a Improvised Tourniquet That Will Actually Work

In Part 1 of this little series about Improvised TQs, I talked about why they often don’t work well to control bleeding.

If you haven’t read that article, I suggest going and checking it out before reading this one, so you know the limitations of improvised tourniquets.

But even though they aren’t very trustworthy, knowing how to make your own TQ is a great skill to have and something you should always have floating around in the back of your mind.

Posted on July 29, 2020July 29, 2020 by Brian McLaughlin — 3 Comments

Why the SWAT-T is Good for Civilians, but Not the Military

I know I already touched on this topic a few weeks ago, but I wanted to go a little more in depth on why I believe the SWAT-T is a great back up.

When I became a part of Mountain Man Medical earlier this year, I knew I was about to learn a lot. Not only was I going to brush up on old trauma skills, but I was going to learn about how to publish articles and videos. Being a knuckledragger with a low-level IQ means it’s tenacity that wins the day over speed. Eventually, I’ll learn a new thing if I apply myself.

What I was unprepared for was how many rumors and myths I’ve encountered surrounding basic trauma medicine. The medical world is constantly changing and evolving. New techniques are always being studied, developed, improved on, thrown away, or otherwise changed so something once thought of as the gospel truth, is now widely frowned upon in modern medicine.

Posted on July 22, 2020August 6, 2020 by Brian McLaughlin — 24 Comments

How Long Can You Leave A Tourniquet Before Amputation?

Tourniquets are a frequent topic of discussion on the Mountain Man Medical YouTube channel and I’ve been seeing a lot of rumors. Most of these rumors come from the old ways of doing things.

All medicine is constantly changing, year to year and sometimes month to month as scientists and doctors search for the best way to keep a person alive, and trauma is no exception.

If you haven’t had any medical training for a few years you might not be up to date on the latest techniques for managing trauma. One of the most common myths I see pop up is this:

“Tourniquets are a last resort. If you apply a TQ, the victims injured limb will be amputated.”

Not only is this wrong, but it’s very dangerous.

Posted on July 15, 2020July 15, 2020 by Brian McLaughlin — Leave a comment

Rangers Lead the Way with Innovative War Medicine

75th Ranger Regiment Medic — Photo: U.S. Army

History was made by Staff Sergeant Charles Bowen and Sergeant Ty Able one long night in Afghanistan when they utilized a brand-new procedure developed by the Army to keep our nations warriors in the fight.

The Ranger O Low Titer (or ROLO as the troops know it), uses a live donor to supply combat medics with a fresh supply of blood on the battlefield.

Bowen and Able were conducting operations with their unit, Bravo Company, 1st Battalion, 75th Ranger Regiment, in the Wardak province of Afghanistan in the summer of 2019.

Work for the medics began after the Rangers were attempting to dislodge a barricaded shooter. Three soldiers were injured by an explosion and the two units of blood every Ranger medic carries was quickly used up treating the casualties.