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Special Operations Medicine In-Extremis Guide

special operations medicine in-extremis guide

Stay Prepared for Anything

A lot of people carry a first aid kit or some sort of trauma gear, but are they prepared for more medical situations involving more than just a flesh wound? The SOM – In Extremis Guide is one of the most versatile and field-proven trauma references available today, trusted by operators, medics, first responders, and prepared civilians who refuse to leave readiness to chance. Priced at only $18.00, this pocket-sized medical guide packs the same life-saving protocols relied on by U.S. Special Operations Forces, making it an essential tool for anyone operating in high-risk, remote, or resource-limited environments.

Our team at Guerrilla Tactical is going to break it down.

Built for Combat, Rescue, and Emergency Response

special operations medicine

Developed by Special Operations Medicine, the In Extremis Guide is engineered for real-world performance and durability. Its waterproof, tear-resistant, and weatherproof construction ensures you can reference critical information in rain, mud, snow, or harsh desert conditions. Unlike standard medical manuals, this guide is designed to thrive where equipment fails—inside kits, cargo pockets, plate carriers, and medic pouches exposed to constant abuse. Whether you are operating in the daylight or conducting nighttime operations, you have easy access.

Whether you’re deployed downrange, responding to a disaster, training in rugged terrain, or building out your emergency preparedness kit, this guide provides fast, dependable access to lifesaving medical algorithms.


A True TCCC & PFC Field Resource

This guide distills the latest Tactical Combat Casualty Care (TCCC) and Prolonged Field Care (PFC) concepts into simplified, mission-oriented steps, so you have a better chance at performing perfectly under pressure. Each section is written for use under stress—large print, clear flowcharts, and concise checklists that eliminate guesswork when seconds matter.

Topics Covered Include:

  • Massive Hemorrhage ControlTourniquet application, wound packing, hemostatic agents, pressure dressings
  • Airway Management – NPA placement, recovery positioning, obstruction treatment
  • Breathing and Chest Trauma – Tension pneumothorax signs, chest needle decompression landmarks, seal usage
  • Circulation & Shock Response – IV/IO access guidance, fluid resuscitation concepts, recognizing decompensation
  • Burns & Thermal Injury – Burn care steps, cooling, and field dressings
  • Hypothermia Prevention – Heat retention and rewarming strategies during prolonged evacuations
  • Head, Eye & Facial Injuries – Red flags, stabilization, and transport considerations
  • Prolonged Field Care (PFC) – What to do when evacuation is delayed for hours or longer

This is not fluff—it’s real-world, battlefield-tested information structured exactly the way operators need it during high-pressure situations.


Ideal for Tactical, Medical, and Preparedness Use

The In Extremis Guide is extremely adaptable, making it valuable far beyond military settings. It’s widely used by:

  • Tactical medics and EMS
  • Search and Rescue teams
  • Law enforcement officers
  • Disaster preparedness planners
  • Hunters and outdoorsmen
  • Everyday civilians building an IFAK or go-bag

If you spend time in the field, respond to emergencies, or simply want professional-grade trauma knowledge at your fingertips, this guide fills a critical gap.


Key Features

  • Pocket-sized, waterproof, and tear-resistant
  • TCCC-based trauma protocols trusted by Special Operations Forces
  • Covers MARCH, airway, breathing, circulation, shock, burns, and hypothermia
  • Clear medical algorithms for fast decision-making under pressure
  • Includes essential Prolonged Field Care references
  • Designed for operators, medics, first responders, and prepared civilians

Why This Guide Stands Above the Rest

spec ops medicine

Unlike bulky medical manuals, smartphone apps that crash or depend on your phone battery to be used, or laminated cards with limited detail, the SOM In Extremis Guide combines durability with depth. It’s small enough to fit in your pocket, in a pouch on a vest, or right on your belt, but it is still packed with expert-level instruction you can rely on in the most extreme situations. Because it’s built on the principles used by elite SOF medics, you know the information is proven where it matters most—on the battlefield and in life-or-death emergencies.


Final Verdict

The Special Operations Medicine – In Extremis Guide is a must-have for anyone serious about trauma care, tactical preparedness, or emergency response. With rugged construction, TCCC-backed content, and a layout optimized for high-stress situations, it delivers an unmatched blend of portability, reliability, and real-world medical guidance.

If you’re building out a duty kit, deployment loadout, trauma bag, or emergency preparedness setup, this guide is one of the smartest—and most affordable—tools you can add. When lives are on the line, the SOM In Extremis Guide ensures you’re equipped to respond with confidence.

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