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Archive for the ‘Medical’ Category

Industry Responds to Blast Over Pressure Effects from Weapons Firing

Saturday, October 18th, 2025

Last week I wrote about Service Member exposure to the effects of Blast Over Pressure (BOP) firing weapons during training and combat.

There has been a great deal of innovation in the suppressor industry over the past few years as government demands and manufacturing technology both increase. However, most of the improvements have been on four areas:

1. Sound suppression

2. Light suppression

3. Thermal dissipation

4. Particulate blowback

We’ll break those down one by one and look at ways industry has worked to improve performance in those areas.

Sound Suppression

Silencers as they were known at the time were initially created to deaden the sound of a firing weapon. It’s a very straightforward concept and different construction techniques and materials have been used over the years to facilitate the process. Manufacturers have become so good at this attribute that they are willing to sacrifice some performance for improvements in the other areas described here. Interestingly, the desire to suppress more and more weapons has increased. There is even discussion of suppressing the upcoming Precision Grenadier System, a semi-automatic, magazine-fed grenade launcher.

The advent of additive manufacturing, or as it is commonly known, 3-D printing, has given rise to very complicated designs, which can control the release of sound from firing as well as other advantages we’ll get into next.

Light Suppression

Early in the Global War On Terror, Special Operators who operated primarily at night began to realize that sound suppression was only of particular advantage during the first memory’s of contact with the enemy. After that, visual cues in the form of flames coming out the end of weapons identify the location of operators and they asked suppressor manufacturers to deal with the issue. Now, shooters observe only a first round pop visual signature as initial gasses in the suppressor are ignited while other manufacturers have eliminated even that.

Thermal Dissipation

As suppressors heat up under fire they often take on an orange glow in the visual spectrum and almost serve as a beacon when observed under thermal or Infrared sensors. Not to mention, they plain old get hot and can burn the operator. US Special Operations Command’s Suppressed Upper Receiver Group program attempted to acquire an integrally suppressed M4 upper receiver with the suppressor under the weapon’s handguard but ended up buying a URP with a suppressor featuring a cage to prevent burn injuries.

As opponents on the battelfield began to use sophisticated sensors, special operators began to be targeted for their hot weapons and several systems and techniques were investigated to mitigate the threat. This remains a requirement in new NATO weapon acquisition programs.

Particulate Blowback

Special operators have been using suppressors for decades and have taken for granted being gassed in the face, particularly during sustained fire or in confined spaces. The burning of the eyes and difficulty breathing became the cost of doing business but the advantages of using a suppressor far outweighed the discomfort.

But as the Army and Marines Corps began to experiment with suppressors, the troops who were unused to the blowback started to complain and the acquisition community began to take a look at the issue. Turns out, sucking down fumes created by the combustion of propellants is very bad for your health.

When a semiautomatic firearm is suppressed, the suppressor doesn’t allow all of the propellant gases from flowing forward and out the end of the barrel. Many are pulled rearward into the shooter’s face during cycling.

Getting the Balance Just Right

The US Army’s Next Generation Squad Weapon program is one of the first that demanded that this new capability would be suppressed and provide sound and light suppression as well as mitigation from propellant fumes.

As the requirement was added during the competition, all three of the companies involved had to hit the ground running and tweak their systems to lower the amount of particulate expelled into the face of the firer.

SIG already had some experience with this answering the SURG requirement when they reduced the amount of fumes that reach the operator by up to 80%, but as it turns out, the Army and SOCOM have different particulate standards and measure differently meaning they still had their work cut out for them. All three met the requirement after learning a few things and applying some changes and the firers of the current NGSW rifle are exposed to lower noxious fumes levels than Soldiers firing the M4.

Still more may be done to mitigate the exposure to noxious fumes as propellant manufacturers rise to the challenge.

Meanwhile, some companies like SureFire have taken to using super computers at the national laboratories to conduct exhaustive fluid dynamic simulations to try out different suppressor designs before they actually cut any metal.

Attacking Blast Over Pressure

Unfortunately, the government had not until recently identified the medical threat posed by BOP. Consequently, industry has just begun to attack this new problem. Multiple concepts have been proposed, and several have made it past the white paper stage into actual material solutions. It’s a new frontier that will affect design and how weapons are employed, particularly during training.

Once thought to be the Holy Grail, we are learning it is attainable. In our next installment we are going to look at how one company has balanced the already identified suppressor attributes with a new capability, to mitigate the effects of BOP on both man and material and on me of the most difficult weapons to suppress, the M2 heavy machine gun.

Blast Overpressure – The Hidden Enemy

Saturday, October 11th, 2025

Just over a year ago, the Deputy Secretary of Defense issued a memorandum updating the requirements for managing brain health risks from overlooked sources of overpressure such as training with common weapon systems. It established DoD requirements and direction for the management of health risks to DoD personnel from exposures to Blast Over Pressure (BOP) and offers information on risks, ways to mitigate them, PPE suggestions, and who is likely at risk. The linked guide helps with specific techniques.

We’ve long known about the dangers of BOP resulting from Improvised Explosives Devices and other high order explosive events. The sudden onset of a pressure wave and associated above normal atmospheric pressure has led to physical injuries such as Traumatic Brain Injuries as well as hearing and vision loss. The damage to our troops is widespread. In 2020, there were 1.3 million Veterans receiving benefits for hearing loss while studies show that close to half-a-million Veterans have sustained TBIs.

What we’ve learned is that our troops have also been exposed to BOP in training for combat, just like they are when bullets are flying in both directions.

In particular, the policy focuses on exposures to BOP above 4 pounds per square inch (psi) which studies have shown can result in adverse effects on brain health and cognitive performance ( e.g., headache, decreased reaction time, attention difficulty, memory loss) resulting from acute (e.g., single or short-term) and chronic (e.g., repetitive or continuous) exposure to BOP.

In addition to damaging the personnel that wield those weapons, they can also affect any platforms they are mounted to such as light vehicles and aircraft as well as sensors and other weapons mounted to those platforms. This could include guided munitions, proximity fuzed warheads, and ISR gear. Now, we are facing a drone threat and have just begun fielding sensors and fire direction systems for the CUAS fight. Damaged equipment results in increased costs and down time for maintenance and in some cases, it can result in fatalities.

The policy memo does not preclude or unreasonably restrict commanders from conducting mission-essential weapons training. Rather, it establishes requirements for practical risk management actions to mitigate and track BOP exposures across the military.

My main issue with the memo itself is that it named specific careerfields as those likely to be exposed to BOP and overlooks some combat related specialties (enlisted AFSW) as well as those enablers assigned to close combat forces who often man crew served weapons in both training and defense of their formations. More appropriate would have been a more broad approach which included personnel assigned to certain types of units.

This matters for two reasons. First, some leaders may overlook personnel during risk management and second, the Veterans Administration will assuredly use this memo to deny services and compensation to those not specifically listed in the memo.

Regardless of who the memo includes, the reality is that anyone who uses or is in close proximity to these weapon systems during firing is exposed to the same overpressure forces. Fortunately, the military is beginning to take measures to limit unnecessary exposure and mitigate the effects where possible. Over the next couple of weeks we are going to examine how industry is working with government to create blast reduction standards and apply them to weapon systems in the form of Unconventional Personal Protective Equipment such as suppressors.

Shield of Odin Responds to VA Backlog: Offering Veterans an Alternative Pathway to Overcome Delayed Disability Claims

Sunday, October 5th, 2025

ORLANDO, Fla., Oct. 2, 2025 — The Department of Veterans Affairs (VA) currently reports a disability claims backlog of more than 190,000 unresolved cases across the country. While this marks progress compared to historic highs, veterans are still facing average wait times of 12 to 18 months — and in many cases, delays stretching two years or morebefore receiving a decision.

In recent years, the backlog has swelled dramatically, topping 300,000 cases and even approaching 400,000 at its peak, driven in part by the implementation of the PACT Act and a surge of new claims related to toxic exposure. For veterans with urgent health needs, these numbers translate into months — and often years — of uncertainty, lost income, and untreated conditions.

Shield of Odin, a veteran-focused healthcare and medical-legal services provider, is working to close that gap by offering veterans an alternative pathway to strengthen their claims and avoid repeated cycles of denials and appeals. Through its nationwide network of licensed physicians, nurse practitioners, psychologists, and vocational experts, the organization provides independent medical evaluations, Nexus Letters, Disability Benefits Questionnaires (DBQs), vocational assessments, and peer-reviewed evidence tailored to VA rating criteria.

The goal: ensure veterans can submit fully developed claims that stand on solid medical-legal evidence, reducing the risk of denial and expediting access to benefits.

“The VA’s official backlog today is just under 200,000 claims — but anyone watching this system knows how quickly those numbers can rise, and how devastating the wait can be,” said Ryan Hawley, CEO of Shield of Odin. “For a veteran with lung disease from burn pit exposure or PTSD from combat service, being forced to wait 18 months or longer is not simply a delay; it’s a barrier to care, stability, and dignity. Our mission at Shield of Odin is to ensure those veterans are not left behind.”

Shield of Odin emphasizes that the backlog is not merely a matter of statistics but of lived human impact. Veterans awaiting benefits often face mounting medical costs, difficulty maintaining employment, and mental health struggles as they navigate a system strained by volume and complexity.

“The averages don’t tell the full story — behind every number is a veteran and a family in crisis,”said Dean Johnston, COO of Shield of Odin and a board member of Heros of the Sea. “We see veterans waiting 24 months or more for a claim to move forward. Some pass away before ever receiving a decision. That’s why we’ve built a system to provide timely, accurate evidence that can cut through the bureaucracy and accelerate the process.”

VA Backlog by the Numbers (2025)

Current backlog (May 2025): 190,000+ unresolved claims (VA official reporting)

Peak backlog in recent years: Over 300,000 cases, with spikes near 400,000

Average wait time: 12–18 months for resolution

Extended delays: 24+ months common in complex or toxic exposure cases

First-time claim denials: Nearly 70% linked to insufficient or incomplete medical evidence

Rural veterans: Face 30–40% longer waits due to limited examiner availability

(Sources: U.S. Department of Veterans Affairs, VA News, Military Times, Federal News Network, advocacy group analyses)

Shield of Odin’s Role in Solutions

Shield of Odin has developed a nationwide telehealth platform that connects veterans with qualified practitioners across all 50 states, ensuring even those in rural or underserved areas can access timely support. Services include:

Telehealth Nexus Letters and DBQs to establish medical connections between service and condition

Independent Medical Exams (IMEs) for complex or contested cases

Vocational impact assessments linking disabilities to occupational limitations

Peer-reviewed, evidence-based opinions aligned with VA rating criteria and legal precedent

By providing medical-legal documentation that is both rigorous and veteran-centric, Shield of Odin helps veterans avoid common pitfalls that result in denials, repeat appeals, and further time lost in the system.

NMCSD Enhances Orthopedic Care with 3-D Printed Waterproof Casts

Tuesday, September 30th, 2025

If deemed appropriate by a medical provider, the waterproof casts can be especially useful for military service members, who can return to duty or training throughout the recovery process.

Naval Medical Center San Diego has become one of the first Military Treatment Facilities to adopt a cutting-edge new 3D-printing technology for producing waterproof casts. The technology, developed by ActivArmor, uses additive manufacturing to create breathable casts and splints that allow for improved treatment options with fewer limitations on patients’ activities. 

The waterproof casts offer several advantages over traditional fiberglass casts or plaster splints, according to U.S. Navy Cmdr. Kimberly Spahn, department head, Orthopedics, Naval Medical Center San Diego. “You can swim in these and play sports, so they’re great for kids. They’re more hygienic. You can take them on and off so we avoid a lot of the skin breakdown we see with fiberglass and plaster casts,” Spahn said. 

Spahn noted that the new casts are not appropriate for all orthopedic conditions, and traditional fiberglass or plaster casts remain an effective treatment in many cases, but if deemed appropriate by a medical provider, the waterproof casts can be especially useful for military service members, who can return to duty or training throughout the recovery process. “It’s great for service members whose training involves water activities,” said Jill Eastin, business manager, Department of Orthopedics Surgery, Naval Medical Center San Diego. “They are able to still go out in the water and continue training in a way that isn’t possible with traditional casts.” 

Each cast is custom-fit, allowing providers to make patient-specific modifications, such as amputated fingers or toes, metal pins or other surgical implants, and children with small limbs that don’t fit standard casts or splints, according to U.S. Navy Hospital Corpsman Petty Officer Third Class Danny Berroa Figueroa. “It’s actually a really simple process. We just use the forward facing camera on a mobile device, and we will mark on the skin around bony areas or anything we don’t want to rub, and just scan someone’s arm or leg like that,” said Berroa Figueroa. “Once it’s good, we send it off to an engineer who analyzes it and figures out the best way to create the cast, they send back the guide file and we feed it into the machine to start printing.” 

NMCSD is the second MTF to implement the technology, along with Walter Reed National Military Medical Center in Bethesda, Maryland, after ActivArmor received a $1.3 million competitive SBIR direct-to-phase II grant award from the Defense Health Agency. The award “will facilitate the deployment of ActivArmor systems to 11 military bases over 24 months,” according to the company’s website. 

The mission of NMCSD is to provide a superior experience for our patients, staff, and warfighters. NMCSD employs more than 5,000 active duty military personnel, civilians, and contractors in Southern California to deliver exceptional care afloat and ashore.

By Seaman Jason Afable, Naval Medical Center San Diego

SOTech Cobra Aid Bag is Jump Approved and Patented

Wednesday, September 17th, 2025

SOTech is proud to announce both that our Cobra Aid Bag has been added to the CAASOP being approved for Airborne operations and that we have received our US Patent for our unique design. What attracted the Cobra to the attention of the 82nd’s senior medics was it’s configuration to ride closed comfortably on the paratrooper’s back and to open splaying out flat to give quick ID and access to all of the labeled pouches. It’s sleek design can also strap to the paratrooper’s ruck keeping within the jump size limits, and it’s modular pouches allow for reload after the 72 hour sustainment window.

Aid Stations are being targeted and need to move within 2 hours.

 In the age of drone warfare, the word coming out of Ukraine was that Russian Artillery targeting aid stations was forcing them to treat and move within two hours.  SOTech has been redesigning medical load carriers to be more mobile while comfortable to wear.  The Cobra system takes a panel organizer and allows it to quickly zip closed into a super comfortable pack for fast and extended movement.

The SOTech Cobra JAKES (Jumpable Aid Kit and Equipment Sack) is designed to be jumped in conjunction with the MOLLE 4K or as a stand-alone pack. When jumped attached to the MOLLE 4K, it provides more expedient access to treatment than other current aid bags. The JAKES was evaluated by ABNSOTD who conducted a rigging exercise and actions inside the aircraft assessment. The test concluded that the overall risk of rigging, carrying, and using the JAKES during static line parachute operations is low. Solution: AEC published the Safety Confirmation; USAAAS published the updated AUL. This rigging solution will be included in CH. 12 of the CAASOP — from MJM Update 25-01 The Cobra CAAB can be jumped stand alone or piggyback to the MOLLE 4000.

Brigades of the Army’s elite 82nd ABN DIV have been purchasing the Cobra JAKES CAAB after we customized the design to clip and strap onto the outer face of the MOLLE 4000 ruck in a piggyback configuration. An octopus strap condenses the outer pockets flat so the addition of the Cobra CAAB keeps the overall dimensions of the two packs together within the cubed dimension limitations for exiting the aircraft. This also allows the Cobra to splay open perfectly when the MOLLE ruck is dropped presenting the internal pouches for quick ID and access. And it’s modular pouches allow for reload after the 72 hour sustainment window.  While the 82nd ABN DIV and 18th ABN CORPS prefer to jump the Cobra piggyback strapped to the MOLLE 4000 ruck, the Rangers, SF and SEALS all requested the ability to jump it stand alone. Per the CAASOP, JAKES is authorized to be jumped with the MOLLE 4K and IHSPR or as a stand-alone pack with the HSPR.

The ability of the tail to fold up and still give access thus allowing wall mounting inside confined vehicle spaces followed the SOF medical doctrine of Ruck-Truck-House. The layout of the pouches allows for the MARCH protocol in labelling and arrangement. And the load space allows for a paratrooper’s 72-hour medical load which coincidentally matches the size required for Prolonged Field Care / Prolonged Casualty Care guidelines.

The Cobra Aid Bags are part of a deployment system that includes travel containers as well as reload sustainment pouches.  The Cobra comes with an optional MARCH belt that can function as a hip belt.  This is supported by the Cobra pack that can be mounted on a vehicle or shelter wall.  This in turn is supported by travel duffel (Medical Organizer Rescue Pack / MORP) which contains 10 reload sustainment pouches that will velcro into the Cobra.  The MORP is supported by the Modular Medical Container Insert System / MMCIS Pelican box organizer.  The MMCIS comes with a lid pouch organizer, and space for the Cobra, MORP and a tray of sustainment medical items.  The whole kit stores inside the Pelican 1660 box.  When deployment orders come, the box can be wheeled onto the fixed wing craft for travel.  Once in-country, the box can be left in the rear and the duffel can move to the forward AO via rotary wing.  Once there, the MORP can stay in the shelter while the Cobra is mounted to the vehicle and the belt mounted to the operator.

The US Patent and Trademark Office recognizes SOTech’s innovative and unique design through its recent award of a utility patent for the Cobra.  When we began work on this design, we wanted to combine SOTech’s well known RAMMP hanging panel designs (the large black medical wall hangers with gold labels have been a staple of the Army for decades) with our super comfortable backpacks.  Our motivation was the artillery targeting on modern battlefields of aid stations by drone reconnaissance meaning aid stations could come under fire if they are set up for more than two hours.

SOTech also worked with a group of soldiers assigned to a well-regarded academic institution to perform a study on the cognitive improvement for a medic identifying and accessing pouches when they are splayed open versus a top load pack. The Cobra design was markedly faster, and the soldier felt that they were better able to function in their medical task. Pictured is comparison testing between the Cobra and MOLLE 4000. Contact SOTech for additional information.

Pictured above top left to right: Cobra Go Pack, Modular Assault Aid Bag, Cobra Assault Aid Bag-Jumpable, Modular Prolonged Field Care Cobra, and Cobra Modular Aid Station Pack. Below: Cobra Micro Pack and Cobra Mini Pack.

SOTech’s patented Cobra design has evolved into a family of products. Beginning with an assault aid bag, we expanded to a larger prolonged field care bag for Special Forces customers, and an even larger field aid station bag for our Forward Resuscitation and Surgical Teams. Next the SEALS asked us for a smaller Cobra we called the Cobra Go Pack. And concurrently we developed a belt pouch and a fanny pack we call the micro cobra and the mini cobra. Stay tuned for our medical line to drone, communications and EOD carriage.

www.SOTechTactical.com

CTOMS Launches The FieldMate V1, V2, and EvacMate Syringe Organizers

Tuesday, September 9th, 2025

CTOMS™ is proud to introduce three exclusive syringe organizers—the FieldMate™ (V1 and V2) and EvacMate™—developed in partnership with The Flat Line Company and based on the proven MedicMate platform. Designed by first responders, for first responders, these organizers streamline medication access and delivery in tactical environments. With secure retention for multiple syringe sizes, they keep your injectable medications organized and ready when seconds matter.

FieldMate™ V1 (2×3cc + 3×10cc) & FieldMate™ V2(1×5cc + 3×10cc + 1×20cc)

Rapid-access layout with 5 syringe slots with optional color-coded ID tabs.

One-handed needle cap clamp, tip holders, and utility slot for IDs, swabs, or tools to expedite prep.

Flexible mounting options: MOLLE clip, bungee loops, IV drip clips, and optional multi-clip.

Built tough for frontline medics demanding maximum reliability.

EvacMate™ (2×20cc + 3×10cc + 1×5cc)

Optimized for casualty evacuation and high-volume medication scenarios.

Securely organizes and retains larger syringes while maintaining a quick-access design.

Shares the robust construction and modular attachment options of the FieldMate™ series.

Together, the FieldMate™ and EvacMate™exemplify the CTOMS™ commitment to developing high-functionality medical gear shaped by frontline experience and tailored for tactical performance. Engineered for speed, durability, and adaptability, these organizers raise the standard of field medicine preparedness.

The FieldMate™ V1 and V2 are available now in Black, FDE, and Ranger Green. The EvacMate™ is currently available in FDE. Exclusively at CTOMS™. For more details visit www.ctomsinc.com

Wilder Tactical Expands Tactical Gear Line with Women’s Tactical Belts and Med Pouch 3.0

Monday, August 25th, 2025

Gastonia, NC – August 25th, 2025 — Wilder Tactical, a leader in tactical and outdoor gear, announced the launch of two major innovations: the Women’s Hitman Gear™ TruForm Tactical Belt Line, the company’s first gear collection built exclusively for women, and the Med Pouch 3.0, the latest evolution of its industry-leading medical pouch series.

“These products represent our commitment to listening to the needs of real users in the field,” said Peter Minichino, General Manager at Wilder Tactical. “The Women’s Tactical Belt Line gives women the fit, strength, and style they deserve, while the Med Pouch 3.0 ensures faster access and smarter organization when seconds matter.”

Women’s Tactical Belt Line

Tailored Fit – Specifically contoured to the female form for comfort and performance.

One Size Fits Most – Adjustable design provides a secure fit across a wide range of body types.

Rugged Durability – High-strength webbing, reinforced stitching, and secure hardware.

Versatile Style – A sleek look designed to move from duty use to everyday wear.

Med Pouch 3.0

Rapid Deployment – Improved pull system for faster, smoother access to medical gear.

Ambidextrous Med Sled Roll – Allows fast, efficient access for both right- and left-handed users.

Smart Interior Layout – Optimized compartments for IFAK essentials and field readiness.

Compact & Tough – Streamlined, lightweight design with heavy-duty materials.

Raising the Bar in Tactical Innovation

Together, these launches mark a new chapter for Wilder Tactical. The Women’s Tactical Belt Line fills a long-overlooked gap in the market, providing women with equipment engineered specifically for them. Meanwhile, the Med Pouch 3.0 raises the bar for mission-critical medical gear with its ambidextrous med sled roll, giving professionals faster, more adaptable access to life-saving tools.

Wilder Tactical designs and delivers high-performance tactical and outdoor gear trusted by professionals, first responders, and adventurers worldwide. With a focus on durability, comfort, and real-world functionality, the company continues to push innovation in the tactical gear industry.

For more information, visit www.wildertactical.com or contact: info@wildertactical.com

See CTOMS at NTOA

Friday, August 22nd, 2025

Join CTOMS and AUFIRE at the 42nd Annual NTOA Law Enforcement Operations Conference and Trade Show!

CTOMS, a leader in tactical medical training and solutions, and AUFIRE, the cutting-edge tactical simulation tool, will be exhibiting at the NTOA Conference from August 24-25, 2025. Visit us at Booth 312!

CTOMS offers tactical medical training, rope access, and equipment solutions. Ask about CTOMS Academy, which provides tactical medicine training solutions for agencies of all sizes, to bring this vital capability to every frontline officer.

AUFIRE simulates debilitating wounds for tactical training scenarios. This unique and important training tool enhances officer decision-making and adaptability, training them to stay in the fight.

Discover how CTOMS and AUFIRE can enhance your readiness. See you at Booth 312!