CTOMS

11/19/2025

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Saviez-vous que les packs et les cours de la CTOMS Academy sont disponibles en français?
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Did you know that CTOMS Academy bundles and courses are available in French?

11/18/2025

A last-generation MGTD™ M2™ Belt and Harness system and TRACE™ Ultra-Light Micro Rope System in service with .

11/17/2025

The MARCH Belt Concept uses the acronym MARCH—Massive hemorrhage (control bleeding), Airway (ensure patency), Respiration (support breathing), Circulation (manage shock), Hypothermia/Head injury (prevent heat loss, monitor trauma)—to organize medical gear on a first-line belt system. Rolling through tactical environments, especially close-quarter fights or rescue operations, while keeping mission-essential gear up front with the fight.

11/17/2025

‘The Lethal Diamond’ is a critical concept used to describe a destructive cycle of four interrelated physiological disturbances—coagulopathy, acidosis, hypothermia, and hypocalcemia—that can occur in patients suffering from severe trauma. These conditions mutually exacerbate each other, significantly increasing the likelihood of mortality. Originally referred to as the “lethal triad”—comprising coagulopathy, acidosis, and hypothermia—the concept was later expanded to include hypocalcemia. This addition is crucial because hypocalcemia impairs clotting mechanisms, intensifies bleeding risks, and is often worsened by blood transfusions, which can dilute calcium levels. The progression of these abnormalities can lead to a vicious cycle, complicating resuscitation efforts and requiring prompt, targeted interventions to interrupt this lethal cascade.

11/14/2025

Check out CCFR Radio Episode 158: Special Remembrance Day episode, featuring an interview with CTOMS CEO Chris Kopp, a Canadian veteran of the War in Afghanistan.

Additionally, a second video is available on the CCFR YouTube channel, featuring Chris Kopp sharing a first-hand account of the Tarnak Farm Incident, which occurred in the opening stages of the war in Afghanistan. He talks to Rod about the event and combat medical lessons in hindsight.

CCFR Radio is also available on Wild Television Network.

11/14/2025

The LETHAL DIAMOND T-shirt is live!

11/11/2025

11/10/2025

D2….Soon.

We are in the last Beta testing for the next generation of the CTOMS D-Bag.

10/31/2025

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Happy Halloween!

Inspect any candy before consumption. Carry a flashlight.

Stay Safe!!

10/30/2025

Live!

CTOMS TRUCKER HAT, LADIES FIT with PONYTAIL BACK!

We listen and build a stronger community.

10/29/2025

A WALKING BLOOD BANK is a forward whole blood collection system established for emergencies, whereby pre-screened donors can promptly provide whole blood when the immediate supply is insufficient to meet patient demand. This system is particularly beneficial during mass casualty events or in circumstances involving delayed evacuation. It functions by maintaining a readily available pool of donors who have been screened in advance, enabling swift blood donation to patients experiencing significant hemorrhage requiring transfusion.

Principal Advantages:
Promptness: Provides a rapid means of obtaining blood for critically ill patients.
Autonomy: Supports a local blood supply in remote or resource-limited settings where external procurement presents logistical challenges.
Preparedness: Represents a structured approach applicable to both military and civilian mass casualty situations.

In Norway, a ‘Walking Blood Bank’ program has been implemented within municipal health services and rural hospitals to prepare for scenarios involving extended transport times to primary medical facilities.

Check out the Podcast: Walking Blood Bank - Mastering
ROLO Transfusions in Combat. There is some great insight in forward blood collection and transfusion.

PMC9543315

10/24/2025

Is this Epinephrine usable?! Obviously not.

Beyond the obvious expiration date, other visual and physical signs of spoiled injectables include, but are not limited to:

• Cloudy or discoloured liquid: The solution should be clear and colourless for many injectables, such as epinephrine.
• Visible particles: Any floating particles or clumps in the liquid indicate the medication has degraded.
• Improper storage or environmentalfactors: If a medication has been exposed to extreme heat, cold, or moisture, it may be compromised even if it looks normal.
• Cracked or broken container: A cracked or damaged vial or pen can allow for contamination.
• Opened multi-dose vials: Some medications, like lidocaine, have a shorter “beyond-use” date after opening.

When in doubt, err on the side of patient safety.

How often do you check your med bag and meds?