PODCAST · health
Tac Medic Whiskey: The Tactical Medicine Podcast
by Stephen P Wood
Tac Medic Whiskey is the podcast for tactical medicine. Join host and tactical paramedic Stephen P Wood to discuss the current concepts, research, vignettes and case studies in tactical medicine and tactical operations.
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29
Plasma for TBI
A review of plasma for TBI
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28
Airway Crisis: The Cricothyrotomy
We discuss the when, the how, and the why of cricothyrotomy
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27
Taking a Deep Dive- Literally
This episode focuses on tactical care of rescue and recovery dive teams
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26
Our Four Legged Friends: K9 Care in the Tactical Environment
In this episode we focus on managing injuries to our K9 Colleagues.
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25
Gear and Gadgets: Top Tech You Should Be Carrying
In this episode we talk about the top tech and gadgets for the tactical setting.
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24
The Unthinkable: MOI in SWAT Officer Down
We look at injury patterns and medical examiner data of deaths due to officer down.
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23
Quick Hits - Tips and Tricks of The Trade
In this quick hitter we look at some tricks of the trade for successful tactical operations.
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22
Pain in the Arse: Analgesia Under Fire
In this episode, I talk about the tools and tricks of the trade for managing pain in care under fire.
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21
Blood on the Ground: Whole Blood, Components, and the Battle for Better Prehospital Care
In this episode of Tac Medic Whiskey, Dr. Stephen P. Wood dives deep into one of the most urgent—and controversial—topics in trauma care: the use of prehospital whole blood. Drawing on military data, civilian trials, and boots-on-the-ground experience, this episode explores why whole blood saves lives, why component therapy may fall short in the field, and what’s holding back broader implementation. Dr. Wood tackles everything from hemorrhagic shock and logistics of field transfusion to walking blood banks, cold-stored platelets, and freeze-dried plasma, all while challenging the institutional inertia that puts patients at risk. He also shines a light on the equity gap—why elite teams get whole blood while underserved urban communities often go without. Eastridge BJ, et al. Death on the battlefield (2001–2011): implications for the future of combat casualty care. J Trauma Acute Care Surg. 2012. Sperry JL, et al. Prehospital Plasma during Air Medical Transport in Trauma Patients at Risk for Hemorrhagic Shock. N Engl J Med. 2018. Yazer MH, et al. Safety of low‐titer group O whole blood in trauma patients: a retrospective cohort study. Transfusion. 2018. Seheult JN, et al. Platelet storage conditions and transfusion outcomes: cold vs. room temperature. Shock. 2020. Strandenes G, et al. Cold-stored platelets: physiology and emerging data. Transfusion. 2021.
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20
Did You Bring Protection?
In this episode, a live podcast from the FDNY SRFM conference in NYC for a discussion on eye pro, helmets and tactical gear. We discuss the minimum standards, vest levels and the rounds they protect you from, as well as the importance of training in that gear.
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19
Lightning Round: Taser related injuries
In this episode we look at Tasers. We take a deep dive into how they work, some of the injuries associated with tasers, as well as special populations including pregnancy and people with cardiovascular disease.
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18
Major Burns: What is in, What is Out
In this episode we chat about major burns. From airways, to fluids and pain management, this episode covers the soup to nuts in major burn management.
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17
That Sucks! Sucking Chest Wounds and Crics.
In this episode we get down and dirty on the management of sucking chest wounds and cricothyrotomy. We explore the methods and the science behind several cric methods as well as some myth busters around chest seals.
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16
Selfcare and Wellness: Staying Alive and Well
In this episode we tackle mental health, wellness, selfcare and suicide. PTSD, depression, and suicide are 40% higher in our field than in the general population. Learn some of the keys to taking care of your mind and body, as well as your operator colleagues.
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15
Let's Talk TKs: Proper techniques and myth busting
In this episode we look at tourniquets. We discuss the controversy of high-and-tight versus proximal placement, tips for the best application, tourniquet removal, as well as some brand comparisons. Join us as we talk TKs!
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14
Chemical Battleground: Protecting SWAT from Toxic Threats
In this episode of Tac Medic Whiskey, Dr. Stephen P. Wood breaks down the real and present dangers of chemical exposures faced by SWAT operators and tactical medics. From OC spray and tear gas to unknown deployed gases and hazardous industrial chemicals, we cover the risks, symptoms, and critical field treatments. We also dive into one of the deadliest hidden threats—detergent suicides—detailing how first responders can recognize, respond, and stay safe. Whether you're in the field or training for the next operation, this episode is packed with essential tactical medical knowledge to keep you and your team protected. Tune in, learn, and stay mission-ready!
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13
Move it, move it, move it: Tactical Ops and the Funnel of Death
In this episode we explore the Fatal Funnel, Tactical Movement, and Safety
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12
The Eye of the Storm: A Focus on Eye Injuries
This episodes focuses on prevention of eye injuries as well as the tactical management of simple to advanced eye injuries.
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11
Junctional Trauma: Tricks of the Trade
In this episode we take a deep dive into junctional trauma. What is it and what can we do about it. We talk about some novel tools as well as Bordeaux and baguettes.
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10
Having a Blast: Assessment and Management of Blast Injuries
In this episode we review the mechanisms of blast injury, as well as the pathophysiology and acute treatment.
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9
Baby it's Cold Outside: Preventing Hypothermia in Trauma
In this episode we tackle hypothermia - from prevention to treatment in the tactical environment. References Jurkovich, G. J., Greiser, W. B., Luterman, A., Curreri, P. W. (1987). Hypothermia in trauma victims: An ominous predictor of survival. Journal of Trauma, 27(9), 1019-1024. Smith, C. E., et al. (1998). Thermal protection and hypothermia prevention in trauma patients. The Journal of Trauma, 44(3), 519-525. Deakin, C. D., et al. (2010). The efficacy of the Hypothermia Prevention and Management Kit (HPMK) in prehospital settings. Prehospital Emergency Care, 14(4), 521-526. Sessler, D. I., et al. (1995). Perioperative thermoregulation and heat balance. Anesthesiology, 82(4), 892-899. Bristow, G. K., et al. (2006). Prevention of heat loss in cold environments: The role of Mylar blankets. Wilderness & Environmental Medicine, 17(1), 18-22. Sessler, D. I. (1997). Current concepts: Mild perioperative hypothermia. New England Journal of Medicine, 336(24), 1730-1737. Kurz, A., et al. (1995). Perioperative normothermia to reduce the incidence of surgical-wound infection and shorten hospitalization. New England Journal of Medicine, 334(19), 1209-1215. Brown, D. J. A., et al. (2019). Prehospital hypothermia management in trauma patients: A systematic review. Critical Care Medicine, 47(7), 959-966.
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8
Penetrating Neck Trauma: A Practical, Tactical Approach
In this episode I discuss penetrating neck trauma. What to do, how to do it and what to prioritize
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7
My favorite side is stufiing: A review of wound packing
In this episode we look at wound packing and a new product called Trauma gel.
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6
Point of Care Antibiotics
In this episode we look at point of care antibiotics. Can we learn from the combat experience? Should tactical medics carry antibiotics? If so, what should we carry? This and more on this episode of the Tac Medic Whiskey podcast.
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5
Breaking the Tension: Needle Decompression vs. Finger Thoracostomy
In this episode we compare needle chest decompression versus finger thoracostomy
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4
TXA and Calcium Chloride: A Match Made for Trauma
In this episode, I discuss TXA and Calcium and their role in hemorrhagic shock.
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3
Casualty Collection Points: Case Studies and Points to Ponder
In this episode I look at the difference between the military and civilian experience with Casualty Collection Points. I review some case studies, lessons learns and best practices.
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2
Does Size Matter? Looking at Needle Size for Needle Chest Decompression
In this episode, we look at the data on needle size for needle chest decompression.
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1
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