Excellent quality and top notch
"Excellent quality and top notch customer service."
Have an account? Log in to check out faster.
Special Operations Medicine In Extremis Guide
Built for operators, medics, and responders in the harshest environments, the SOM In Extremis Guide is a rugged, pocket-sized reference packed with life-saving protocols. Developed for U.S. Special Operations Forces, this guide distills Tactical Combat Casualty Care (TCCC) and Prolonged Field Care into clear, actionable steps you can access under stress.
Waterproof, durable, and designed for quick reference, it covers massive bleeding, airway management, chest trauma, shock, burns, hypothermia, head injuries, and more. Whether you’re downrange, on duty, or training, this guide puts proven medical algorithms in your pocket when seconds count.
Key Features:
Pocket-sized, waterproof, and field-ready
TCCC-based interventions for trauma and emergencies
Covers bleeding control, airway, breathing, circulation, and hypothermia
Includes prolonged field care references
Designed for Military, Law Enforcement, and tactical medics
We have a 30-day return policy, which means you have 30 days after receiving your item to request a return.
To be eligible for a return, your item must be in the same condition that you received it, unworn or unused, with tags, and in its original packaging. You’ll also need the receipt or proof of purchase.
To start a return, you can contact us at Admin@refugemedical.com. Please note that returns will need to be sent to the following address: 807 W Broadway St, Spiro, OK 74959
If your return is accepted, we’ll send you a return shipping label, as well as instructions on how and where to send your package. Items sent back to us without first requesting a return will not be accepted.
You can always contact us for any return question at Admin@refugemedical.com.
Overall rating: 5.0 / 5 from 6 reviews.
Review topics: [].
"Excellent quality and top notch customer service."
"This is a really handy guide. I would keep one of these in every kit that's woren daily and have on wherever you read. Great breakdown of SMarch-E algorithm. This isn't to replace training but a great reminder and enhancement to post training"
"It's good pocket lint. As a former Army medic with multiple tours in combat and actions other than war. The best part is the medivac page having a focus point to get it right when it falls apart is a helpful thing."
"There are great!! Get the training, and practice how to apply TQ's, wound packing and applying dressings. But buy this In Extremis Guide!! I put one in my Adventure bag, one in my Travel Faq, and one in my Bear Faq. They are laminated, so will resist water, blood and other wet stuff. They are compact, fits right in a pocket easily. And they are written in bullet points. Do this first. Then do this next. They are great as a quick reference for a civilian first responder who doesn't do these things all day, every day. But, when, not if, something bad happens to good people, the In Extremes Guide is there to help walk you through saving a life step by step. Buy one. Buy three. Read them. Put them where you can find them easily to have to refer to when needed. You Will be very glad you did."
"Very handy quick guide to have in kits!"
"Excellent quick guide"