The TACMED TWENTY Audio Show

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.

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.
Get the free Ultimate Hemostatic Agent Guide → tactical-medicine.com  (short: tac.med)
MED-TAC International Corp. — clinician-founded, veteran-led tactical medicine.South Florida, US of A. tactical-medicine.com | @medtacintl | @talkingtacmed

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.
Get The Brief, free → tactical-medicine.com  (short: tac.med)
MED-TAC International Corp. — clinician-founded, veteran-led tactical medicine.South Florida, US of A. tactical-medicine.com | @medtacintl | @talkingtacmed