Goat-Trail Austere Medical Solutions GAMS

01/31/2026

IBSC TP-C / TR-C APPROVED REVIEW COURSE

Goat-Trail Austere Medical Solutions (GAMS) is proud to host an IBSC-approved TP-C / TR-C Review Course in partnership with the
Reid Hospital in Richmond Indiana.

This course is built for professionals ready to move beyond traditional EMS paradigms and deepen their understanding of tactical and high-threat medicine. Whether preparing for initial certification or recertification, this review emphasizes clinical reasoning, operational context, and point-of-injury care.

Why train with GAMS?

• IBSC TP-C / TR-C Approved Review Course
• Instruction grounded in real-world operational experience
• Learn from instructors with 20+ years of high-threat medical experience
• Emphasis on point-of-injury care, tactical considerations, and austere decision-making
• Designed for clinicians operating in dynamic, unstable environments

Location:
Reid Hospital
1100 Reid Parkway
Richmond, Indiana 47374
POC: Michael Woodford 937-569-1096

When:
June 13-14, 2026, 0800-1700 both days
Audience: TP-C / TR-C candidates, Tactical Medics, Paramedics, EMTs, and Law Enforcement Officers (with a Medical Director authorization letter)

This is more than a review course—it’s an opportunity to rethink how medicine is delivered when time, access, and safety are limited.

For questions, go to www.goat-trailams.com or call 219-712-6731.

Experience the GAMS Difference, Real-World Medicine for Real-World Situations

01/31/2026

𝗪𝗼𝘂𝗹𝗱 𝘆𝗼𝘂 𝗺𝗮𝗸𝗲 𝘁𝗵𝗲 𝗿𝗶𝗴𝗵𝘁 𝗰𝗮𝗹𝗹 𝗶𝗻𝘀𝗶𝗱𝗲 𝗮𝗻 𝗮𝗰𝘁𝗶𝘃𝗲 𝘁𝗵𝗿𝗲𝗮𝘁?

𝗤𝘂𝗲𝘀𝘁𝗶𝗼𝗻 𝟭: 𝗧𝗵𝗿𝗲𝗮𝘁-𝗕𝗮𝘀𝗲𝗱 𝗣𝗿𝗶𝗼𝗿𝗶𝘁𝗶𝘇𝗮𝘁𝗶𝗼𝗻

You are operating as part of a Medical Rescue Team inside a large commercial structure during an ongoing active threat. A casualty presents with massive arterial bleeding from the lower extremity, shallow respirations, and altered mental status. Which intervention is most appropriate at this point in the incident?

A. Rapid tourniquet placement followed by immediate casualty movement to a safer location
B. Airway management and assisted ventilations prior to hemorrhage control
C. Full MARCH assessment conducted in place to establish treatment priorities

Correct Answer: A

01/31/2026

𝗪𝗮𝗿𝗺 𝗭𝗼𝗻𝗲 𝗤𝘂𝗲𝘀𝘁𝗶𝗼𝗻 (𝗧𝗘𝗖𝗖 𝗺𝗶𝗻𝗱𝘀𝗲𝘁): 𝗪𝗼𝘂𝗹𝗱 𝘆𝗼𝘂 𝗹𝗶𝗺𝗶𝘁 𝗰𝗮𝗿𝗲 𝗵𝗲𝗿𝗲?

Q𝘂𝗲𝘀𝘁𝗶𝗼𝗻 𝟮: 𝗖𝗮𝗿𝗲 𝗟𝗶𝗺𝗶𝘁𝗮𝘁𝗶𝗼𝗻 𝗶𝗻 𝗪𝗮𝗿𝗺 𝗭𝗼𝗻𝗲𝘀

Which rationale best supports limiting medical interventions to immediate life threats while still operating within a warm zone?

A. Advanced interventions offer minimal benefit prior to hospital arrival
B. Time spent on noncritical interventions increases exposure to re-engagement and delays movement
C. Definitive care is prohibited outside of cold zones under TECC doctrine

Correct Answer: B

01/31/2026

From outdated first responder assumptions to saving more lives in active shooter events — two essential reads from GAMS.

In “From Complacency to Consequence: Unpacking Scene‑Safety Misconceptions in First Responder Culture,” the blog challenges traditional beliefs about “scene safe” protocols. It explains how static interpretations of safety can lead to delays in care, complacency in training, and ultimately preventable harm, especially in violent or rapidly evolving incidents. The article highlights the need for continuous threat assessment and cultural shifts in responder training and decision‑making. Read it here:
https://goat-trailams.com/post/from-complacency-to-consequence-scene-safety-misconceptions-first-responder-culture

In “Medical Response as a Co‑Equal Priority: Why Rescue Task Forces Are Essential to Saving Lives in Active Shooter Events,” the focus shifts to why medical response should no longer be secondary to threat neutralization. It makes the case that Rescue Task Forces (RTFs), which combine medical personnel with law enforcement protection, must operate in hot and warm zones so that life‑saving care such as hemorrhage control and rapid triage occurs during the incident—not after. Read it here:
https://goat-trailams.com/post/medical-response-coequal-priority-rescue-task-forces-active-shooter

Together, these posts advocate for rethinking first responder culture and response models to improve casualty survival and operational effectiveness.

01/23/2026

Two new posts are live on the GAMS blog, both focused on one problem: preventable delays caused by unclear roles, unclear tools, and uncoordinated systems.

First, Self-Care vs Scene Care clarifies why an IFAK is a personal, on-body self-aid/buddy-aid tool built for the first critical minutes, while trauma kits are scaled for coordinated multi-patient scene care. When responders treat IFAKs like mini trauma kits, they deplete their own survivability and fragment care across the scene.

Second, Fragmented Systems, Fatal Delays explains how siloed training and sequential “secure-then-treat” habits create predictable gaps in access, communication, and command—often leaving medical resources close to casualties but operationally disconnected. It also highlights how time-compressed modern incidents make integration (shared planning, cross-training, unified command) non-negotiable.

Read both here:
https://goat-trailams.com/post/self-care-vs-scene-care-ifak-vs-trauma-kits

https://goat-trailams.com/post/fragmented-systems-fatal-delays-uncoordinated-multi-agency-response

01/22/2026

01/21/2026