Without getting into a lengthy argument, I'll just say that I disagree and that in my opinion TACMED is totally different from civilian medicine, with regards to situation, training/skill level, personnell and resources. It's akin to a civilian health worker rejecting pediatrics on the premise that children are nothing more than miniature adults.
It's not about surviving, it's about winning!
We'll have to agree to disagree. Priorities change (direct pressure vs TQ, evac times, care under fire), but physiology doesn't. Blood goes around and around, air goes in and out, messing with either causes trouble. It's not that the treatment or equipment is all that different, it's just applied in a different order. Wilderness EMS is probably closer to TACMED, but overall you're using a skillset to keep someone alive and prevent further injury.
Physiology doesn't change, but the very essence of prehospital care is defined by the environment and circumstances in which it's provided.
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