Most SWAT medics are paramedics who learned to operate. LASD's Emergency Services Detail flips that — operators first, paramedics second. Here is how the LA County Sheriff built one of the most demanding tactical EMS pipelines in the country, what they actually do, and what civilian EMS can take from it.

A working clinician's guide to tranexamic acid in trauma — the why, the when, and the calls people get wrong. Updated for the August 2025 NAEMSP/ACEP/ACS-COT joint position statement.

The May 2026 CoTCCC update expands tourniquet reposition and conversion to ASM and CLS tiers, pulls OTFC and IV fentanyl from first-line analgesia in favor of a suzetrigine-anchored CWMP, and ships the first standalone pediatric TCCC document. Here is what working tac medics — military and civilian — actually need to know.

In August 2025, a major joint position statement was released by NAEMSP, ACEP, and the ACS Committee on Trauma regarding tranexamic acid (TXA) use in trauma care. This represents one of the most unified and significant updates to prehospital hemorrhage management in recent years. Here’s what every EMS clinician should know:

The Tactical Medic Maturity Model (TM3) was born—to strip away the illusions, challenge the status quo, and provide a structure for what Tactical Medics should be, do, and aspire to become.

Paradoxical undressing is one of the most deceptive phenomena associated with hypothermia. Patients experiencing moderate to severe hypothermia may suddenly strip off layers of clothing, despite being in freezing conditions.

Assertive inquiry isn’t just a communication tool—it’s a lifesaving practice. By combining clear, confident observations with open-ended questions, providers at every level can voice concerns, clarify priorities, and keep patients safe in dynamic, high-pressure environments.