Penn Tactical Solutions

Field Notes

Operational insights, clinical updates, and field perspectives from active practitioners in emergency medicine, law enforcement, fire, and tactical medicine.
Written by people who work the field. Updated as protocols evolve.
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Active Field Practitioners
Operationally Verified
Based on Experience

From the Field. For the Field.

Field Notes is where Penn Tactical Solutions publishes operational insights, clinical updates, and perspective pieces from active practitioners across emergency medicine, law enforcement, fire, and tactical medicine.

This is not a marketing blog. Every piece published here is written by someone who has worked the scenario, managed the call, or trained for the situation. We publish what we learn so others can be better prepared.

Have something worth sharing? We accept contributor submissions from qualified practitioners. Selected contributors receive a $25 gift card or a Penn Tactical t-shirt of their choice.

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Latest Guides
Excited Delirium is N-O-T A C-R-I-M-E
ContributorSubmitted by a field practitioner and reviewed by PTS before publication.
Excited Delirium is N-O-T A C-R-I-M-E

  Penn Tactical Editorial Note This article is provided by a guest contributor and reflects operational per...

S. Barnett
Sep 20, 2020
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Adaptation and Overcoming Obstacles in Austere Environments: Lessons from the Haiti Earthquake
Mass CasualtyContributorSubmitted by a field practitioner and reviewed by PTS before publication.
Adaptation and Overcoming Obstacles in Austere Environments: Lessons from the Haiti Earthquake

Haiti Earthquake Response – January 2010 On 12 January 2010, at 16:53 local time, a magnitude 7.0 earthquak...

Francisco Bermudez
Apr 06, 2020
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From Medic to “Doc”: Earning Your Place on the Team
ContributorSubmitted by a field practitioner and reviewed by PTS before publication.
From Medic to “Doc”: Earning Your Place on the Team

I was recently invited to sit in on a meeting to discuss proposed protocols and scope of practice for Tacti...

Jeff Brytczuk
Mar 12, 2020
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DE Air National Guard members during a TCCC Course
Training and EducationPTS StaffWritten by a Penn Tactical Solutions instructor with active field experience.
Training Scars in EMS Training

Training scars are inevitable in EMS, but through thoughtful, realistic training we can minimize them. The ...

Craig Hall
Feb 08, 2020
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Editorial note: PTS Staff articles are written by Penn Tactical Solutions instructors with active operational experience. Contributor articles are submitted by field practitioners and reviewed by PTS prior to publication. All content reflects the author's experience and perspective.