Next Generation Combat Medic

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Next Generation Combat Medic

We provide a forum of perpetual learning, discussion, and camaraderie for "Doc", because knowledge we Fully understand the principle and master the basics.

Remember, We PRACTICE medicine so there is typically "A way" and not "The way". Only then can you apply or adapt to solve the problem and execute.

**Individuals that post in this group will post as private individuals and not as a representative of their organization or official position**

05/30/2026

1.) Does anyone carry an abdominal tourniquet (AAJT)? If not, what is your plan for abdominopelvic trauma patients? Improvised TQ, direct pressure, or just administer blood?

2.) What would you say if you were inspecting aid bags/truck bags and your junior medics were packing this? Yes, Never, maybe? (Every medic planning in this must know risk)

Abdominal hemorrhage happens, but you don’t often see these patients in training. While extremity and junctional trauma are great, ensure occasional training patients get abdominal trauma besides the rare evisceration. That requires a medic understanding prognosis, their options and what this patient needs.

Remember: if you are training with any method of abdominal pressure, you must use doppler, pulse ox or palpated pulses to check if it is working… and how long. This can be painful even for short periods. However, before considering these interventions a medic must articulate the known risk and timelines to their unit providers.

05/28/2026

Suzetrigine is already being given by military providers stateside, and it has been added to the TCCC guidelines. But not many are familiar yet.

We wrote a guide so medics, their instructors and providers can be more familiar with this new option.

https://nextgencombatmedic.com/2026/05/27/suzetrigine/

What questions do you have?

If you’re already giving this, please chime in, let us know how it works for you, side effects you’ve seen, and send corrections on article.

05/26/2026

What do you use to make your improvised junctionals? Vote in the poll, then comment below 👇🏻

Assuming you even carry one.

Remember direct/proximal pressure and wound packing fundamentals are more important and must be mastered FIRST.

You must practice these with shoes off to feel for a pulse, or use a pulse ox or ultrasound to see if it works.. and if you can consistently apply this under 60-90 seconds WHILE someone else is holding pressure with hands.

Total arterial occlusion requires accurate anatomy. 1 inch to the left or right of the artery and all the pressure in the world wont stop bleeding.

Reassess often. EXPECT it to fail with time and transport and you won’t be surprised. You always have your hands to fall back on for additional pressure.

05/25/2026

Don’t forget why you signed up to do medicine in the Department of Defense.

No better way to honor them this year than through getting better at your craft, getting in better shape, and improving fulfillment and purpose outside of work.

Whatever you are working on, this community can try to help you get there. Set your goals and share them. Be grateful for the blessings you’ve already achieved and received.

05/24/2026

Should we carry a commercial TQ, Improvised, or plan on just doing wound packing? What would you tell your junior medic?

How can a medic know if their only experience is manikins or perfused cadaver, and similar high fidelity trainers?

Pro-tip: When training medics or Infantry on direct pressure, proximal or any junctional TQ (commercial or improvised) then we must palpate pulse BEFORE it has stopped so we can see if it worked, like the second photo. Trying to find it after application when it is weaker can be more difficult (like feeling for a pulse after stopping compressions in CPR).

You can also use a pulse ox (not perfect), vascular doppler (difficult), or Ultrasound (expensive) to verify if it worked. But if you aren’t checking, then you have zero way of knowing if it worked. Just one inch to the left or right and all the pressure in the world wont slow an artery. You MUST be accurate in anatomy.

05/22/2026

Who carries a foley in their aid bag as a military medic? Vote below 👇🏻

A lot of medics are seeing cool case reports and carrying this or saying they would try…without understanding the entire picture.

Let’s discuss the entire picture so we can understand rare case reports from advanced providers versus what we expect of a new 18 year old medic that just graduated.

05/18/2026

What are your ideas for improving medical training at your unit? Who would you pitch your idea to? I want to hear how medics and providers have got creative to squeeze more training in a stuffed calendar so we can help each other out.

Quantity + Quality.

There may be many obstacles, tasks and rank in your way of making this happen. There are a lot of moving human and bureaucratic pieces.

Less complaints, more solutions. If you have a unit memorandum that supports medical training, let’s make it a fillable shell for other units. DM us!

🚨 Poll: What is the biggest obstacle to training at your military unit? 🗳️

05/15/2026

Should we do a straight stick or saline lock when pulling a unit of blood off of a donor for a walking blood bank?

Which is faster, and by how much?

Let’s discuss pro’s, con’s of each and troubleshooting when your donation bag is flowing slowly.

Are there differences between doing this for a real walking blood bank, versus training when pulling a unit off of a roleplayer so he can receive his own blood during a TCCC lane (AKA Autologous transfusion)?

If you are a 68W NCO or PA who does not know how to run autologous training, we are here to help you conduct safe training. 🤙🏻

05/13/2026

The new snake CPG is back and even easier to use than the 2020 version.

- Urgent reference on first page
- Quick Guide in Q&A format
- ACSL style algorithms for neuro, hemo, dry bites, antivenom reactions and more. (Super High definition on actual PDF, for printing quality.)
- Printable sections designed for your COCOM / area of deployment to make pre-mission planning easier.
- Expanded INDOPACOM coverage.
- Explanations on BB-IND versus FDA

And much more.

has been putting out some good CPGs in the past year; Snake envenomation, to airway, pelvis trauma, burns, CBRN and more. Lots of opportunities for classes.

Check it out. 🐍

05/11/2026

Do you carry a blood pressure cuff in your aid bag? Question for the medics who carry it on their back, not in an ambulance.
Vote below. 👇🏻

Is it worth the weight?

Can we use an electronic cuff? … should we?

Is there one right answer? Nuance? Should we all? Situations where you will need a blood pressure to guide resuscitation and patient care? If you can consider hemorrhagic shock management without it…consider if you consider head injury management without it. (Reference new 2026 CoTCCC guidelines and our TBI article on website.)

Advanced: Could you acquire a systolic reading if you did not have a stethoscope or couldn’t use it, but had a BP cuff?

Address

Building 19032, 53rd St
Fort Hood, TX
76544

Website

http://www.nextgencombatmedic.com/

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