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.