What’s your tactical load out 


We have been asked “What should I carry on a job?”

What and where you carry it on a job is critical to your pre planning. Think about the phases of care… Care Under Fire, Tactical Field Care, and CASEVAC. Each phase determines your treatment.

Care Under Fire: In this phase your only treatment is hasty tourniquets. You should “NOT” be taking your Aid Bag off your back and opening it up in this phase. Therefor you should have enough tourniquets (4-5) on your vest and easy to access cargo pockets to treat extremity hemorrhage during care under fire.

Tactical Field Care: Tactical Field Care can change to Care Under Fire in an instant therefor you should have pouches on your vest that allow for easy access without taking off that aid bag just yet. So what should you have in those pouches? Let’s start with the preventable deaths causes like extremity hemorrhage and pneumothorax’s. So you should have pouches that contain more hemorrhage control such as Combat Gauze (my preference) or other hemostatic control bandages. Pressure dressings such as Israeli Bandages and good old Ace Wraps (these work well for junctional hemorrhages if you don’t have a junctional tourniquet) You should carry enough of these items to treat at least 4 injuries. Chest seals (I prefer vented but any will do) carry enough of these for 2-3 open chest wounds (don’t forget exit wounds) and 2 NCD Needles 14g 3.25in at minimum. Add a few NPA’s, misc. bandages, a few IV start kits, and you can treat multiple injuries without ever having to remove your aid bag. This will allow for quick movement should you return to Care Under Fire. Now your Aid Bag should be stocked with all the above items and have enough to treat every person on the job this includes yourself. You should also carry a couple of chric kits, BVM, IV Fluids, Medications, Splints (SAM Splints work well they don’t take up a lot of room and are moldable), burn supplies, abdominal dressings, carabiner (can attach to the outside) VS17 panels, glow sticks, some type of warming blanket and any other misc supplies you may utilize depending on previous experiences and geographic locations.

CASEVAC: You should have a few different extraction devices remember if you are adding these to your bag they should be light and foldable North American Rescue carries a variety of options.

The most important thing you can carry with you is your training you should constantly train on your skills, your load outs, and always “train as you fight”. Make sure you are familiar with your kits, you should not be fumbling around when seconds count looking for a tourniquet.

Don’t carry anything you are not properly trained to use!!!

Categories Tactical Medics

3 thoughts on “What’s your tactical load out 

  1. Some good insight here. I posted a couple articles on loadout over at specmed.org a while ago. One thing I’ll add is that I consider hemorrhage control kind of a secondary concern in care under fire (or direct threat care in TECC terms). I’m more concerned with threat mitigation and patient extrication in this phase of care, so rescue gear such as slings, ropes, and drag straps have priority here. Hope to see more from you!


    1. Thanks. I carry the RAT strap and Hasty Harness they don’t take a lot of room they are easy to use and lightweight. If you carry something different or know of something we would definitely like to hear about it.


      1. Just caught this, sorry. I run the dragon handle from NAR and have also used and liked the rat strap and hasty harness. Both solid choices for care under fire. I also like the SOF-RK as it can be used as a throw rope, although this can be improvised less expensively. I have run the TED litter in the past but I don’t feel that it has a role in care under fire; rather it is more of a “warm zone” device for exfil to a casualty collection point.


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