THE HANDOFF
Field-informed doctrine, evidence-based technique, and operational analysis from the SOARescue instructor cadre. Structured for the provider who needs truth, not theory.
The Placard Is Not a Capability Statement: Trauma Center Levels and the Destination Decision
\"Highest level of care, fastest\" is a slogan, not a plan. What ACS trauma-center levels actually require, where the measured Level I advantage really is (head injury, not shock), what police and private-vehicle transport do to survival, and a six-question destination framework for when you are the transport asset.
TCCC 2026: The Drug Box Changed More Than the Algorithm
The 1 May 2026 TCCC Guidelines don't restructure the algorithm — they rewrite the drug box. Fentanyl is out, two antibiotics swapped, suzetrigine and intranasal esketamine are in, and the TBI targets tightened. A change-by-change read on what each one actually costs in procurement, protocol, and training.
The Brief
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