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  • Marines Patrolling in Kajaki Take Fire from Multiple Directions

    first published on April 18, 2019 by Sean Marines on a movement to contact patrol take fire from an elusive Taliban element in Kajaki Helmand province, continually ambushing them from multiple directions. The Marines quickly react and brush off the attacks despite sparse cover in the wide-open terrain. Video courtesy…

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  • LNA Troops Run and Gun Through Tripoli Neighborhood

    first published on April 16, 2019 by Sean A video of LNA troops running and gunning through a Tripoli neighborhood has been released. Fighting in the city appears to continue despite growing international pressure to cease hostilities. A camera mounted on a Libyan National Army (LNA) armored vehicle captures the…

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  • Game Over: Pakistani Soldier Caught In Ambush Without Cover

    first published on April 15, 2019 by Will A deadly ambush video reportedly filmed recently by the Balochstan Liberation Front (BLF) near the town of Hoshab, in Balochistan’s Ketch district shows a lone Pakistani soldier attacked and likely killed in a hail of gunfire. As the ambush is initiated, the…

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  • Houthi Rebels Capture One Position and Use it to Assault a Second

    first published on April 10, 2019 by Sean 108 SHARES More close combat footage has been released by the Houthi rebels in Yemen. Detailing yet another small-unit attack and route on coalition forces after they capture one position and use it to maneuver on another. Houthi rebels attack a Saudi-coalition…

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  • Violence Reignites in Libya as the Libyan National Army Attempts to Capture Tripoli

    first published on April 9, 2019 by Sean 713 SHARES Violence reignites in Libya as the Libyan National Army (LNA) attempts to wrestle control of the important city of Tripoli away from the Government of National Accord (GNA). A recent operation to capture the port city of Tripoli has been…

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  • 14 Medical Lessons Learned from The Battle of the Black Sea that are Still True Today

    Medical lessons learned have a habit of fading from memory as wars draw to a conclusion. Valuable knowledge can be lost if these hard earned lessons aren’t passed down to new providers. Below are 14 lessons learned from the 1992 battle which occurred in Mogadishu, Somalia, known today as the…

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  • Failure to Comply: Why Aren’t We Keeping Up?

    Despite the advances in our knowledge of tactical medicine and the incremental advancements in best practice, the battlefield still claims the lives and livelihoods of our brothers- and sisters-in-arms. Better armor, changes in policy, optimization of organized trauma systems, collection of data from battlefield care documentation, enhancement of non-medical first…

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  • High and Sick: Altitude Illness

    Note: types and dosages of medication used to treat altitude illness will be determined by your organization’s protocols as authorized by your physician oversight. This article does not list any medication doses. You and your team are conducting patrol operations on Mount Rainier (14,411 ft summit), a familiar route for your…

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  • Chemical Agent Casualty Recognition Simplified

    Glassman, et. Al Introduction Casualties exposed to CBRN agents present numerous challenges to medics, even in the most resource-rich environments. Outside of the potential for simultaneous trauma, medics must also recognize the exposure, protect themselves and others from contamination spread, provide appropriate antidotal therapy and needed supportive care. Although low…

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  • Train With Your Food: The Chicken Thigh Abscess I&D Trainer

    As we’ve previously described, medical simulation equipment, while having a place in training, can be expensive and therefore unobtainable for units with a tight budget.  Not wanting to deprive medics of good training ideas simply because of money jockeys and fiscal restraints, we here at NGCM continue to scour the…

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  • Expired Meds: CAN You Use Them?

    Scenario: You’re out in the field when an NCO approaches you about spraining his ankle during one of the last movements through some rough terrain.  “It’s not that bad,” he tells you, “I just want some ibuprofen for the pain.  Can you help me out?”  You reach into your bag…

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  • Sepsis in Austere Environments

    There is a 30-50% possibility that severe infection will develop into sepsis. For the Deployed Med, c this means that a minor laceration can turn into a severe infection and eventually sepsis. According to the National Centre for Health Statistics, the annual incidence of sepsis in the USA rose by 7–8% per year…

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  • The Pain Pack is as good as morphine

    The Pain Pack Multiple studies have shown that using 1g of Paracetamol with 400mg of Ibuprofen provides mild and moderate pain relief. The most recent addition to this long line of evidence came out last month in the Journal of American Medical Association. They showed that the Pain Pack is just…

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  • Tuning fork ultrasound

    How it works. Use a 128hz tuning fork and your stethoscope. Hold your stethoscope on one end of the bone and then hit the fork on the meaty part of your leg to get it vibrating. Starting at the other end of the bone and slowly walk your tuning fork towards…

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  • Vent Practicalities

    This is Part 5 of a 5 part series on fundamental concepts in ventilator management. See Part 1 here. Everything up to this point has been to provide a foundation to understanding ventilator management.  This section will demonstrate how theory is translated into practice.  This section is also structured to be…

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