Blog · 22 Oct 2026
Dignity in dying: when does treatment stop being care?
UK guidance and audit data ask a different question from when to stop treating a dying patient: when does treatment stop serving the person, and care…
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Practical medicine, plainly said.
Guidance on courses, kit and operational medicine from the clinicians who teach and equip.
Blog · 20 Oct 2026
The lethal triad now has a fourth corner. How strong is the evidence for the “lethal diamond”?
Low calcium has been proposed as a fourth corner of the lethal triad, giving the lethal diamond. This article looks at what the studies show, and…
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Blog · 18 Oct 2026
Wilderness first aid: what the data says about care that’s hours from help
UK mountain rescue call-outs are at record levels, and heat and cold are the biggest environmental threats in remote care. This article sets out what the…
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Blog · 16 Oct 2026
A number on a screen isn’t a measurement until the probe is in the right place
A pulse oximeter will give a number from almost anywhere you clip it. Published studies show what happens to accuracy when probes are misplaced or used…
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Blog · 14 Oct 2026
Blast and the brain: what UK Afghanistan casualties tell us
UK data from the Afghanistan campaign show how blast brain injury plays out eight years on: higher rates of PTSD, anxiety and depression, a raised brain-injury…
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Blog · 8 Oct 2026
Counterfeit Tourniquets: What the Research Shows
Look-alike tourniquets are cheap, common and hard to tell from the real thing in a photo. Published testing shows they apply far less force than genuine…
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Blog · 6 Oct 2026
How Military Medicine Shapes Civilian Trauma Care: Lessons From the UK, France, Norway and NATO
Military medicine's influence on civilian care is not only an American story. Allied countries have turned battlefield and attack experience into civilian practice, from UK trauma…
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Blog · 5 Oct 2026
Ambulance Crew Burnout and Fatigue: What It Costs the Healthcare System
Burnout and fatigue among ambulance clinicians are healthcare-system problems, not only staffing ones. The latest research puts numbers on burnout, fatigue, staff turnover and the crew…
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Blog · 25 Sep 2026
Tranexamic Acid and the Three-Hour Line: What CRASH-2 Showed
A trial of over 20,000 trauma patients showed TXA reduced deaths from bleeding, but only when given early. What the data says, its limits, and why…
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Blog · 24 Sep 2026
Tourniquets in Transit: How Long Is Too Long, and When to Convert
The evidence behind tourniquet safety, where the two-hour guideline really comes from, and how to plan the conversion decision before you need it.
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Blog · 23 Sep 2026
Death on the Battlefield: Where Preventable Combat Deaths Really Came From
A review of 4,596 battlefield deaths found that most survivable deaths were from bleeding, and that torso bleeding, not limb bleeding, was the largest share. Here…
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Blog · 18 Sep 2026
Bystander CPR and AEDs: Why Acting Early Saves Lives
In cardiac arrest, the nearest person is the first treatment. We look at UK survival and CPR data, what the evidence says about the common fears,…
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Blog · 17 Sep 2026
Care Under Fire: Where Civilian and Military Trauma Doctrine Meet
Civilian and military doctrine start from different rules, and real incidents do not respect the line between them. This article explains TECC, the Hartford Consensus and…
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Blog · 16 Sep 2026
Prehospital Whole Blood: What the SWiFT Trial Found and What It Means
The SWiFT randomised trial found no survival advantage for two units of prehospital whole blood over standard red cell and plasma care. We set out the…
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Blog · 15 Sep 2026
Remembering Paramedic Ricardo Quinn, 11 September 2001
A respectful account of FDNY paramedic Ricardo Quinn, drawn from memorial and obituary sources, with context on EMS on the day and the long-term health legacy…
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Blog · 10 Sep 2026
Tourniquets in Prolonged Field Care: What Ukraine Is Teaching Us
Tourniquets remain lifesaving, but Ukrainian reviews link non-indicated use and long evacuations to avoidable complications. What the evidence shows and how training should respond.
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Blog · 9 Sep 2026
Cabin Crew Medical Training: What Aviation Teaches Every Employer
How one major airline trains cabin crew in first aid, why annual practical refreshers matter, and what the in-flight emergency data show. Practical lessons for site…
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Blog · 8 Sep 2026
High-Rise Construction Medical Planning: Reaching and Removing a Casualty at Height
On a tall construction site the distances that matter are vertical. We look at the evidence on delays in tall buildings, five questions every medical plan…
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Blog · 7 Sep 2026
Manchester Arena and the Case for TECC: Acting Before the Scene Is Declared Safe
The Manchester Arena Inquiry found one victim's injuries were survivable and that inadequacies in the emergency response likely prevented his survival. We look at what it…
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Blog · 2 Sep 2026
Remote and Offshore Medical Cover: Planning for the Hours Before Evacuation
Offshore and remote-site medical emergencies are more often illness than injury, and evacuation is never instant. This article sets out what the evidence says about medevac…
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Prehospital care · 30 Aug 2026
The golden hour is under pressure: MERT, drones and prolonged field care
MERT rested on an assumption that is getting harder to guarantee: that a helicopter can reach the casualty and get back without being killed on the…
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Medical staffing · 30 Aug 2026
Executive medics: what they do, and why details carry one
A protective detail's job is to stop something happening. An executive medic's job starts the moment that has already failed, or the moment the emergency has…
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Community · 30 Aug 2026
The UAE’s Good Samaritan law: what it actually protects you for
The UAE was the first Arab nation to pass Good Samaritan protections. Here is what Federal Decree-Law No. 15 of 2020 covers if you stop to…
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Equipment · 30 Aug 2026
What’s in a D13 armed police first aid kit
Around 15 items in a pouch that mounts to a belt or plate carrier. For the moment an armed officer takes a hit and cannot spare…
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Training · 30 Aug 2026
FREC 3 or FREC 4: how to book the right one
Two regulated prehospital qualifications, one rung apart. Book the wrong one and you either pay for scope you never use or finish the week still not…
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Equipment · 29 Aug 2026
What’s in a FREC 3 response bag, and why each item earns its place
Around 36 items, chosen to match the FREC Level 3 syllabus item for item. What you train on is what you carry. A walk through the…
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