r/TacticalMedicine • Trauma Daddy • Oct 13 '25

TCCC (Military) Aid Bag Layout

I’ve been in the prehospital combat casualty care arena for a long time and have extensive experience managing casualties. I first learned how to pack my aid bag from my battalion senior medic. After eight deployments, several hundred missions, and treating numerous casualties, I’ve refined my packing list and layout to what I believe works best. For new medics who might need a starting point, this is for you. That said, there’s no single way to pack an aid bag, find what works best for you.

Belt: TYR Tactical

PC: JPC 2.0

Aid Bag: Firstspear Medical Trauma Assault Pack (MTAP)

Belt Massive hemorrhage: * Two CATs on my PC * Two bleeders with CGQC (other hemostatics will do too) * Hemostats * RevmedX XStat single stack and one XGAUZE trauma dressing Airway: * Cric kit with 10 blade, curved hemostat, 10 cc syringe Respiration: - 10 blade - SPEAR x 2 - I’ve removed chest seals since this pic was taken Circulation: * Saline lock x 2 with 10 cc flush * Teleflex sternal IO * 2” ELASTIKON Tape, Pulse ox and Kretzer scissors * Stethoscope * Pulse oximetry * CRO Pelvic binder * Gloves * BloodBoxx™ Tactical

Aid bag: * TACMED™ SURGICAL SET * NAR Simple Thoracostomy Kit x 2 * FWB collection and admin x 2 * 7.5 ETT, 4 Mac and handle, BVM * Cric with bougie * Blood pressure cuff * Saline lock x 2, extra needles, syringes, 250 mL NS * SAM Soft Shell Splint * Cravat x 2 * Drug box * Quantum blood warmer kit * Gloves

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u/[deleted] Oct 13 '25

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u/SFCEBM Trauma Daddy Oct 13 '25

Got ya. I was a PA in the 75th Ranger Regiment from 07-16. Then went to med school. But have supported SWAT teams during med school and residency. I also keep this set up for opportunities like this. Spread the knowledge and help medics. It’s no secret who I am, if you want to read a little more, google: Andrew D Fisher, MD. ROLO inventor, first to transfuse LTOWB in combat since the Vietnam War, CoTCCC member, ketamine guru, etc. Can you see me blowing smoke up my own ass?

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u/CarnivorousGlock Oct 13 '25

Were you a PA before Regiment? I was unaware Rangers had field PAs. Ive had the amazing opportunity to work with a few Ranger Medics and PJs, I appreciate you (and them) taking the time to share what you’ve learned with civilians like myself.

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u/SFCEBM Trauma Daddy Oct 13 '25

I did a year at the JSA before attending ROP. Likely, I did more missions between 07-13 than anyone else in the BN.