This handbook was previously distributed as a supplement to the Journal of SpecialOperations Medicine. The realm of special operations forces (SOF) medicine is a uniqueand ever-changing one that demands specialized training for our joint SOF. Managingtrauma on today’s battlefield presents a dynamic array of challenges where limitedresources can be rapidly overwhelmed. An austere environment, hostile gunfire, and delaysin casualty evacuation (CASEVAC) are the norms for the special operations medic.The material in this handbook was gleaned from special operations medics operating in theGlobal War on Terrorism and other operational environments. It should not be viewed as asubstitute for the professional training and judgment of special operations medics; rather, itis designed to be a hip-pocket reference on the tactics, techniques, and procedures (TTP) ofSOF-relevant tactical combat casualty care.