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    <title>The TACMED TWENTY Audio Show</title>
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    <description><![CDATA[<p><strong>The Talking TACMED Audio Series</strong></p>
<p>One skill. Twenty minutes. No guests, no fluff.</p>
<p>TACMED TWENTY is the audio side of Talking TACMED, hosted by Dr. Marco R. Torres — physician, flight and critical care paramedic, Navy veteran, and founder of MED-TAC International.</p>
<p>Each episode takes a single tactical medicine skill and works it to the ground: what kills, what the doctrine actually says, how it fails in the field, and a drill you can run today with no equipment.</p>
<p>What makes this show different is what happens at the end of every episode. Doc states the evidence tier out loud and names at least one specific gap in it. Manufacturer claims get labeled as manufacturer claims. When the show gets something wrong, the correction is made on-mic, in the episode.</p>
<p>Four times a season, that habit becomes its own format: the Claim Audit, where a claim everyone repeats gets traced back to what it actually rests on.</p>
<p>For law enforcement, fire, EMS, military, and anyone who has decided they are not going to stand there and watch.</p>
<p>Free field guides and reference cards at tactical-medicine.com — no cost, no course to buy first.</p>
<p>Clinician founded. Veteran led. Service-disabled veteran-owned. South Florida, US of A.</p>
<p>tactical-medicine.com  (short: tac.med)<br />Instagram: @medtacintl · @talkingtacmed</p>]]></description>
    <pubDate>Thu, 06 Aug 2026 02:06:23 -0400</pubDate>
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        <copyright>Copyright 2026 All rights reserved.</copyright>
    <category>Health &amp; Fitness:Medicine</category>
    <ttl>1440</ttl>
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        <itunes:author>Marco R. Torres</itunes:author>
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        <itunes:name>Marco R. Torres</itunes:name>
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    <item>
        <title>E001 — High and Tight</title>
        <itunes:title>E001 — High and Tight</itunes:title>
        <link>https://medtac.podbean.com/e/e001-%e2%80%94-high-and-tight/</link>
                    <comments>https://medtac.podbean.com/e/e001-%e2%80%94-high-and-tight/#comments</comments>        <pubDate>Wed, 05 Aug 2026 20:45:21 -0400</pubDate>
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                                    <description><![CDATA[<p>Two inches above the wound. High and tight over the uniform. Both are taught, both are correct, and which one applies depends on something most courses skip entirely — the phase you're operating in.</p>
<p>Doc works tourniquet placement to the ground: where the doctrine actually diverges between care under fire and tactical field care, why repositioning and conversion are not the same decision, and the two-bone myth that will not die.</p>
]]></description>
                                                            <content:encoded><![CDATA[<p>Two inches above the wound. High and tight over the uniform. Both are taught, both are correct, and which one applies depends on something most courses skip entirely — the phase you're operating in.</p>
<p>Doc works tourniquet placement to the ground: where the doctrine actually diverges between care under fire and tactical field care, why repositioning and conversion are not the same decision, and the two-bone myth that will not die.</p>
]]></content:encoded>
                                    
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        <itunes:summary>Two inches above the wound. High and tight over the uniform. Both are taught, both are correct, and which one applies depends on something most courses skip entirely — the phase you’re operating in.</itunes:summary>
        <itunes:author>Marco R. Torres</itunes:author>
        <itunes:explicit>false</itunes:explicit>
        <itunes:block>No</itunes:block>
        <itunes:duration>1884</itunes:duration>
        <itunes:season>1</itunes:season>
        <itunes:episode>1</itunes:episode>
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        <title>TACMED TWENTY — Episode 002: Packing a Wound</title>
        <itunes:title>TACMED TWENTY — Episode 002: Packing a Wound</itunes:title>
        <link>https://medtac.podbean.com/e/tacmed-twenty-%e2%80%94-episode-002-packing-a-wound/</link>
                    <comments>https://medtac.podbean.com/e/tacmed-twenty-%e2%80%94-episode-002-packing-a-wound/#comments</comments>        <pubDate>Thu, 06 Aug 2026 01:29:00 -0400</pubDate>
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                                    <description><![CDATA[<p>TACMED TWENTY — Episode 002: Packing a Wound</p>
<p>A tourniquet handles a limb. It does nothing for a groin, an armpit, or a neck. That's where most people run out of training.</p>
<p>In this episode:
- Pack the tract, not the surface — find the source with a gloved finger first
- Three minutes of uninterrupted pressure, on an actual clock
- Technique beats product: plain gauze plus good hands outperforms hemostatic plus bad hands</p>
<p>This week's drill: Pool noodle or rolled towel wound trainer. Pack a full roll, tract first, then hold three minutes with a stopwatch running.</p>
<p>Referenced: CoTCCC hemostatic dressing guidance (consensus). Kaolin efficacy data is primarily bench and animal model. Package clot-time figures are manufacturer claims.</p>
<p>Get the free Ultimate Hemostatic Agent Guide → tactical-medicine.com  (short: tac.med)</p>
<p>MED-TAC International Corp. — clinician-founded, veteran-led tactical medicine.
South Florida, US of A. tactical-medicine.com | @medtacintl | @talkingtacmed</p>
]]></description>
                                                            <content:encoded><![CDATA[<p>TACMED TWENTY — Episode 002: Packing a Wound</p>
<p>A tourniquet handles a limb. It does nothing for a groin, an armpit, or a neck. That's where most people run out of training.</p>
<p>In this episode:<br>
- Pack the tract, not the surface — find the source with a gloved finger first<br>
- Three minutes of uninterrupted pressure, on an actual clock<br>
- Technique beats product: plain gauze plus good hands outperforms hemostatic plus bad hands</p>
<p>This week's drill: Pool noodle or rolled towel wound trainer. Pack a full roll, tract first, then hold three minutes with a stopwatch running.</p>
<p>Referenced: CoTCCC hemostatic dressing guidance (consensus). Kaolin efficacy data is primarily bench and animal model. Package clot-time figures are manufacturer claims.</p>
<p>Get the free Ultimate Hemostatic Agent Guide → tactical-medicine.com  (short: tac.med)</p>
<p>MED-TAC International Corp. — clinician-founded, veteran-led tactical medicine.<br>
South Florida, US of A. tactical-medicine.com | @medtacintl | @talkingtacmed</p>
]]></content:encoded>
                                    
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        <itunes:summary><![CDATA[TACMED TWENTY — Episode 002: Packing a Wound
A tourniquet handles a limb. It does nothing for a groin, an armpit, or a neck. That's where most people run out of training.
In this episode:- Pack the tract, not the surface — find the source with a gloved finger first- Three minutes of uninterrupted pressure, on an actual clock- Technique beats product: plain gauze plus good hands outperforms hemostatic plus bad hands
This week's drill: Pool noodle or rolled towel wound trainer. Pack a full roll, tract first, then hold three minutes with a stopwatch running.
Referenced: CoTCCC hemostatic dressing guidance (consensus). Kaolin efficacy data is primarily bench and animal model. Package clot-time figures are manufacturer claims.
Get the free Ultimate Hemostatic Agent Guide → tactical-medicine.com  (short: tac.med)
MED-TAC International Corp. — clinician-founded, veteran-led tactical medicine.South Florida, US of A. tactical-medicine.com | @medtacintl | @talkingtacmed]]></itunes:summary>
        <itunes:author>Marco R. Torres</itunes:author>
        <itunes:explicit>false</itunes:explicit>
        <itunes:block>No</itunes:block>
        <itunes:duration>1715</itunes:duration>
                <itunes:episode>2</itunes:episode>
        <itunes:episodeType>full</itunes:episodeType>
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        <title>TACMED TWENTY — Episode 003: Junctional Hemorrhage</title>
        <itunes:title>TACMED TWENTY — Episode 003: Junctional Hemorrhage</itunes:title>
        <link>https://medtac.podbean.com/e/tacmed-twenty-%e2%80%94-episode-003-junctional-hemorrhage/</link>
                    <comments>https://medtac.podbean.com/e/tacmed-twenty-%e2%80%94-episode-003-junctional-hemorrhage/#comments</comments>        <pubDate>Thu, 06 Aug 2026 02:06:23 -0400</pubDate>
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                                    <description><![CDATA[<p>TACMED TWENTY — Episode 003: Junctional Hemorrhage</p>
<p>Groin, armpit, base of the neck. Three places a tourniquet can't reach and a chest seal does nothing. That's the gap.</p>
<p>In this episode:
- Junctional means pack and press — in the first ten seconds, before you touch the kit
- Never circumferential on a neck. Pressure over the wound, secure under the opposite armpit.
- A junctional device you haven't drilled five times is cargo, not capability</p>
<p>This week's drill: Partner drill — sustained body-weight inguinal pressure for three full minutes while verbalizing the rest of MARCH out loud.</p>
<p>Referenced: CoTCCC junctional hemorrhage guidance (consensus). Junctional device efficacy data is primarily bench and cadaver. No randomized human trials exist.</p>
<p>Get The Brief, free → tactical-medicine.com  (short: tac.med)</p>
<p>MED-TAC International Corp. — clinician-founded, veteran-led tactical medicine.
South Florida, US of A. tactical-medicine.com | @medtacintl | @talkingtacmed</p>
]]></description>
                                                            <content:encoded><![CDATA[<p>TACMED TWENTY — Episode 003: Junctional Hemorrhage</p>
<p>Groin, armpit, base of the neck. Three places a tourniquet can't reach and a chest seal does nothing. That's the gap.</p>
<p>In this episode:<br>
- Junctional means pack and press — in the first ten seconds, before you touch the kit<br>
- Never circumferential on a neck. Pressure over the wound, secure under the opposite armpit.<br>
- A junctional device you haven't drilled five times is cargo, not capability</p>
<p>This week's drill: Partner drill — sustained body-weight inguinal pressure for three full minutes while verbalizing the rest of MARCH out loud.</p>
<p>Referenced: CoTCCC junctional hemorrhage guidance (consensus). Junctional device efficacy data is primarily bench and cadaver. No randomized human trials exist.</p>
<p>Get The Brief, free → tactical-medicine.com  (short: tac.med)</p>
<p>MED-TAC International Corp. — clinician-founded, veteran-led tactical medicine.<br>
South Florida, US of A. tactical-medicine.com | @medtacintl | @talkingtacmed</p>
]]></content:encoded>
                                    
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        <itunes:summary><![CDATA[TACMED TWENTY — Episode 003: Junctional Hemorrhage
Groin, armpit, base of the neck. Three places a tourniquet can't reach and a chest seal does nothing. That's the gap.
In this episode:- Junctional means pack and press — in the first ten seconds, before you touch the kit- Never circumferential on a neck. Pressure over the wound, secure under the opposite armpit.- A junctional device you haven't drilled five times is cargo, not capability
This week's drill: Partner drill — sustained body-weight inguinal pressure for three full minutes while verbalizing the rest of MARCH out loud.
Referenced: CoTCCC junctional hemorrhage guidance (consensus). Junctional device efficacy data is primarily bench and cadaver. No randomized human trials exist.
Get The Brief, free → tactical-medicine.com  (short: tac.med)
MED-TAC International Corp. — clinician-founded, veteran-led tactical medicine.South Florida, US of A. tactical-medicine.com | @medtacintl | @talkingtacmed]]></itunes:summary>
        <itunes:author>Marco R. Torres</itunes:author>
        <itunes:explicit>false</itunes:explicit>
        <itunes:block>No</itunes:block>
        <itunes:duration>1530</itunes:duration>
                <itunes:episode>3</itunes:episode>
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