Goat-Trail Austere Medical Solutions GAMS

04/01/2026

04/01/2026

New scenario drop. Answer reveal from the last question below.

Question 13 — Tactical Field Care (TFC)

A casualty with penetrating chest trauma develops increasing respiratory distress.
What sequence is most appropriate?

A. Oxygen → IV → Chest seal
B. Chest seal → reassess → needle decompression if needed
C. Needle decompression immediately

Comment A / B / C.
Rationale will follow.

Answer Reveal — Question 12

A tourniquet placed during CUF is controlling bleeding. The limb is intact and distal pulses are present. Best next step?

Correct Answer: B — Convert to pressure dressing if tactically feasible

Once in Tactical Field Care, you reassess interventions placed during CUF. If bleeding is controlled and the situation allows, converting a tourniquet to a pressure dressing helps preserve limb viability while maintaining hemorrhage control.

Right care. Right time. Right environment.
goat-trailams.com/courses

03/30/2026

New scenario drop. Answer reveal from the last question below.

Question 12 — Tactical Field Care (TFC)

A tourniquet placed during CUF is controlling bleeding. The limb is intact and distal pulses are present. Best next step?

A. Leave tourniquet in place
B. Convert to pressure dressing if tactically feasible
C. Remove tourniquet immediately

Comment A / B / C.
Rationale will follow.

Answer Reveal — Question 11

After gaining relative cover, what is the most appropriate first medical action?

Correct Answer: B — Reassess hemorrhage control

Once in Tactical Field Care, priorities shift to reassessing life-threatening conditions. Even if a tourniquet was placed during CUF, hemorrhage control must be re-evaluated to ensure bleeding is fully controlled before moving on to further interventions.

Control what kills first. Reassess. Then continue care.
goat-trailams.com/courses

03/29/2026

𝗜𝗳 𝘆𝗼𝘂𝗿 𝗲𝘅𝗮𝗺 𝗱𝗮𝘁𝗲 𝗶𝘀 𝗰𝗼𝗺𝗶𝗻𝗴 𝘂𝗽, 𝗱𝗼𝗻’𝘁 “w𝗶𝗻𝗴 𝗶𝘁.”

GAMS offers fully online, self-paced review courses built for tactical + austere professionals—so you can train on your schedule.

IBSC review options: TP-C / TR-C / FP-C ($350)
CAPCE/NREMT review option: TAM-P ($300)

Comment “TRACK” and we’ll reply with the best course based on your role (EMT/AEMT/Paramedic/Flight/LEO/contractor).
Enroll here: https://goat-trailams.com/courses

03/29/2026

03/29/2026

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

03/29/2026

We’re proud to announce that Goat-Trail Austere Medical Solutions (GAMS) — Rory Hill, President & Developer, has been given the honor of presenting at EMS World Live – Austin on May 28, 2026.

From Cold Zone to Hot Zone: Preparing EMS and Fire for Tactical Operations in Active Shooter Events

This session will examine the limitations of legacy staging doctrine and discuss how redefining hot, warm, and cold zones—paired with integrated Rescue Task Force operations—allows EMS and fire to deliver earlier, lifesaving care in high-threat, time-compressed environments.

At GAMS, we believe that good medicine without tactical context becomes bad tactics. We look forward to connecting with the EMS and fire community and continuing to push the conversation forward on how we bring care closer to the point of injury—when seconds matter most.

I hope you all are able to watch the program.

Stay frosty, friends.

03/29/2026

03/29/2026

🚑 Tactical Austere Medical Practitioner (TAM-P) Austere Course with TCCC-CMC 🚑
May 3–7, 2026 | Wheatfield, Indiana

High-threat and austere environments demand medical providers who can make rapid decisions, operate with limited resources, and deliver immediate point-of-injury trauma care under extreme conditions. The Tactical Austere Medical Practitioner (TAM-P) Austere Course with Tactical Combat Casualty Care – Combat Medic/Corpsman (TCCC-CMC) prepares responders to operate effectively when conventional EMS systems are delayed, limited, or unavailable.

This intensive 5-day hybrid training program combines evidence-based tactical medicine with hands-on skill development and operational scenarios designed to replicate the realities of modern tactical and austere environments. Participants will train in hemorrhage control, airway management, tension pneumothorax treatment, tactical triage, casualty collection point operations, and the integration of medical care within high-risk operations.

The course is CAPCE Certified and provides 119 Continuing Education Units (CEUs) through the combined TAM-P Austere Course, IBSC TP-C / TR-C Review, and TCCC-CMC certification.

This training is designed for paramedics, EMTs, firefighters, law enforcement officers, military medical personnel, and tactical responders who operate in high-threat environments and want to advance their operational medical capability.

📞 Contact: 219-712-6731
🌐 Learn More: www.goat-trailams.com

Train with Goat-Trail Austere Medical Solutions (GAMS) and prepare to deliver life-saving care when conditions are at their worst.

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