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**

06/14/2026

Do you keep the “Tactical” in Tactical Combat Casualty Care? Comment how you have designed your units training so TCCC is not just a stand alone week that focuses on medicine in a void instead of embedded into a units mission.

Many times CUF is glazed over, lasts 30 seconds and never comes back. A unit that just took a casualty is probably not going to move a mere 30 feet and not have to move again for 30 minutes… so why is little to no movement done in TCCC training?

A medic must be prepared for multiple movements to account for leadership moving the unit for lethality and survivability. A medic who does not train this WILL get tunnel vision and delay movements for minor procedures and assessments. They must learn priorities of work and hit times; they cant do everything at once. They must think DURING litter movements and get to work the second the litter touches down.

Failure to do so results in negative feedback.

If you want to include medical training on military ranges, you may need to include that when submitting range packet. While we dislike manikins, they are a safer option when blanks or live fire are involved.

*AI generated images of movement examples on slide 2 & 3, obviously.

06/13/2026

You see your first amputation in a real trauma patient soon after a blast. Your heart rate is ~120 bpm and hands are a little shaky…

You notice it’s dry. Little to no blood. Not squirting blood like a hollywood film. Does that mean it does not need a tourniquet now?

Vote below, and defend your answer in the comments.

06/05/2026

It was great to teach the CBRN lane at JEMX.

If you’re in military medicine and not aware of JEMX, you have to send some of your medics, PA students and residents next year.

SOF medics and Providers can apply to be SME’s for lanes.

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? 🗳️

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Building 19032, 53rd St
Fort Hood, TX
76544

Website

http://www.nextgencombatmedic.com/

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