Category Archives: Combat & Casualty Care

Joint Tactical Medicine


The evolution of combat medical training has been driven by evidence-based guidelines influenced greatly by data collection in recent years of U.S. wartime engagement.

By MAJ Walter Engle


TEMS – Bridging the TacMed Gap


Cover Photo

Police, firefighters, and paramedics are facing challenges that tactical medicine can address. Recently, C&CC attended a two-day training event to assess what civilian responders are learning – and how.  By Steve Melito (more…)

Closing The Real-Time Readiness Gap

3 Live Patient

The U.S. Army’s San Antonio Military Medical Center, Army Medical Command, Fort Sam Houston, TX, is applying advanced simulation technologies to training, research, and patient care challenges.

By Steve Melito, TDM Correspondent


Target: Warfighter Health

The Military Operational Medicine Research Program Brings Science to the Soldier

By George Jagels

During the thirteen years of U.S. operations in Iraq and Afghanistan, servicemembers were exposed to psychological and physical strains common to warfare and  yet unique to their wars. Survival rates from combat wounds are currently at their highest levels in history, which is a remarkable scientific and organizational feat; at the same time, concerns over traumatic brain injury and a lack of psychological healthcare as well as scandals at DoD health facilities dominate headlines related to military medicine. Clearly, there is more work to be done.

The DoD’s Military Operational Medicine Research Program (MOMRP) is one joint effort to improve the lives of warfighters in theater and back home. With a mission “to develop effective countermeasures against stressors and to maximize health, performance, and fitness,” MOMRP works to identify issues that affect soldiers now and in the future, resulting in research efforts that will be relevant long after the last American forces have left Afghanistan.


Optimizing Healthcare for a Maritime Force


C&CC magazine sat down with RDML Pecha in order to give readers insights into how USMC Health Services views it challenges for the present and future.

Though significantly smaller than the Army, RDML Pecha reminds us the Marine Corps is nevertheless an important expeditionary force always prepared to be sent abroad on short notice for combat operations, and as such faces its own battlefield medicine challenges. Like other services, the USMC must also address trials on the home front. To this end, the admiral also discusses the continued health and healing of garrisoned Marines and Wounded Warriors and the programs—some of which are in partnership with civilians his office is working on to improve their lives.


Effective Mobility Through Precision Immobility

A Skedco litter in action.

A Skedco litter in action.

By Kevin Hunter

Skedco Inc. was founded on December of 1981 for the purpose of manufacturing and marketing the Sked Stretcher System, the first-ever casualty evacuation (CASEVAC) kit. It was and still is a litter in a carrying case with all necessary accessories for rope rescue, a spine immobilizer, the Oregon Spine Splint, and a flotation system that floats the Sked in a nearly vertical position and is self-righting if capsized.

Since the Sked System was introduced and standardized, Skedco has produced many new and innovative products (over 200 and counting). The Sked system was tested for nearly two years before it was standardized in 1986. It is currently the standard battlefield litter.


First Aid: More than Meets the Eye

The Army is now issuing to soldiers the more robust, more streamlined “Individual First Aid Kit II” as replacement for the older kit, which was built inside an ammunition pouch for a Squad Automatic Weapon. (C. Todd Lopez)


By C. Todd Lopez, Army Staff Writer, in coordination with DoD Vision Center of Excellence

This article appeared in the Q1 2014 issue of Combat & Casualty Care magazine.

The Individual First Aid Kit II (IFAK II) contains all the supplies of the old kit, with the addition of a second tourniquet, a tactical combat casualty card to annotate what kind of first aid was applied to a wounded soldier, a marker, an eye shield, a rubber seal with a valve for sucking chest wounds, and a strap cutter. The kit fits inside a custom pouch that can be mounted out-of-the-way on the back of a soldier’s Improved Outer Tactical Vest.

“That’s typically low-rent real estate there,” said Major Peter Stambersky, assistant product manager of soldier clothing and individual equipment at Program Executive Office Soldier, Fort Belvoir, VA. “Guys don’t use it too much.”

Pouch Parceled 

The pouch has “US IFAK” printed on its rear, so soldiers may easily identify its contents, Stambersky said. The individual tourniquet pouches also contain customizable removable tabs that allow soldiers to hand write their blood type or unit on the kit.While the new first aid kit can be mounted on a soldier’s back, it is designed to be easily accessible when needed for both right-handed and lefthanded soldiers.