Global Surgical and Medical Support Group, GSMSG PO Box 32174, Washington D.C., DC (2026)

10/15/2026

The tourniquet defined battlefield medicine for 20 years. The next war may prove it is not enough.

New paper out in Surgery: the TALON Protocol.

Here is the problem. Tourniquets work when the wounded reach surgery fast. In a near-peer war like Ukraine, evacuation can take 24 to 72 hours or more. A tourniquet left on that long costs the limb and can cost the life.

Our answer: train forward providers to do a simple, bounded set of vascular control skills, expose the wound, control the vessel, tie it off or shunt it, and close a survivability gap that current doctrine does not address. It is a return to what wartime surgeons did a century ago, built for the next fight.

Link in bio for the full paper.

10/11/2026

March 2022. One week after Russia launched its full-scale invasion of Ukraine. In this photograph, GSMSG trauma and burn surgeons are fighting to save a patient suffering from massive burns. This is the reality of war that politicians and diplomats rarely witness firsthand. We were there. We saw what Russian aggression does to human beings.

Now, more than four years later, the United States is easing sanctions on Russian diesel while Moscow continues its war against Ukraine.
This is not only morally indefensible. It is a direct threat to American national security.
Russia and Iran are not separate problems. They are strategic partners actively helping each other kill their enemies.

Iran supplied the Shahed drones Russia used to devastate Ukrainian cities. Russia has since provided Iran with upgraded drone technology, weapons assistance, and targeting intelligence against American military forces in the Middle East.

Iranian drones have even struck CIA facilities in the region. U.S. intelligence officials are investigating whether Russia helped enable those specific attacks.

Think about that. Russia is helping Iran target American military and intelligence personnel, while the United States is simultaneously relaxing economic pressure on Moscow.

Sanctions relief gives Russia additional revenue and economic breathing room to sustain its war machine and support the very adversaries threatening American lives.

Lower diesel prices do not justify strengthening a government that helps our enemies attack our own people.

This is not about Republicans or Democrats. It is about basic morality, strategic competence, and the security of American personnel serving overseas.

You cannot claim to stand with American warfighters while rewarding a government helping our enemies target them.

We have seen the human cost of Russian aggression firsthand. We have treated its victims.

Stop financing the machinery that creates them.

10/04/2026

72-HOUR CALL FOR RESUMES

GSMSG is recruiting a select group of experienced MARSOC medical training personnel for upcoming contract-contingent positions supporting the SOF community.

Qualified candidates have 72 hours to submit resumes for consideration.

We are particularly interested in:

• Senior medical training leaders with extensive MARSOC / MARFORSOC experience

• 18D, SOIDC, SOCM, SARC and other SOF medical personnel with recent MARSOC instructional and PFC experience

• Physicians and PAs with direct experience training MARSOC personnel in prolonged field care, austere medicine, trauma and advanced procedural skills

• Personnel experienced in designing, leading or instructing PFC exercises, medical lanes, full-mission-profile training and advanced SOF medical programs

Recent, directly verifiable MARSOC / MARFORSOC training experience is particularly valuable.

These are competitive, paid positions with strong compensation based on experience, qualifications and role, contingent upon contract award.

We are looking for people who have been there, taught it, and can help push special operations medicine forward.

72-HOUR APPLICATION WINDOW

Send your resume/CV to:

[email protected]

Please include “MARSOC Medical Training” in the subject line.

09/30/2026

Russia will not come out of this war intact.
Kyiv, September 30, 2026.

Another night of Russian missiles and drones. Another night of Ukrainian medical teams running toward the destruction.

Russia wants the world to see these attacks and believe it is strong. ..but if you look closer….Russia is burning through men, money, equipment, reserves, and national wealth for painfully small gains.. if any.

UNCLASS estimates roughly 1.4 MILLION Russian battlefield casualties since February 2022, including as many as 500,000 dead by June 2026 and that doesn’t count the hundreds of thousands who’s bodies were never recovered to even be counted .

And what has Russia bought with that blood? In several major sectors, advances have been measured in tens of meters per day…or territory lost.

The economic pressure is getting harder to hide. Moscow suspended government bond auctions this summer after weak demand and bids at yields it would not accept. Taxes are dramatically rising. Liquid sovereign reserves have fallen sharply.

And if Moscow eventually needs Beijing to dig it out, China will not be doing it out of charity.

Russia depends heavily on China for trade, technology, industrial inputs and energy sales. China’s economy is roughly eight times larger. Russia conducts at least a third of its foreign trade with China, while Russia represents only a small share of China’s trade.
Ultimately that is another existential danger for Moscow: not China “saving” Russia, but a Russia so weakened that its strategic independence disappears and it becomes a vassal state to China.

Russia can fire more missiles. It cannot bring back the dead or erase the resources consumed by this war.

The hole keeps getting deeper.

And beneath the missiles over Kyiv, GSMSG trained Ukrainian medics are still there.

Still treating.
Still responding.
Still standing.

09/26/2026

The Golden Hour is not dead. It was never about reaching a building. It was about interrupting preventable death before physiology becomes irreversible. Shift the metric from time to a facility to time to effect, and the standard can be met even when evacuation cannot be assumed.

The casualty does not care what role of care he is supposed to reach. He cares whether the bleeding stops, whether blood reaches him in time, whether someone recognizes he needs an operation, and whether the provider is willing to come to him when he cannot come to us.

Lessons from partner-force surgical teams operating under drone threat and sustained bombardment confirm it: damage control resuscitation, damage control surgery, and critical care can be delivered forward, in structures and platforms of opportunity, when the team is trained, equipped, and rehearsed for it.

Technology will extend reach and capability. Drones, AI-assisted triage, and telemedicine will all play a role. None of it replaces the requirement for trained personnel willing to move forward, make the call, and put hands on the patient under fire. That is the standard GSMSG trains its providers to meet.

09/20/2026

🇺🇸 🇺🇦 The front does not wait. Neither do they. Ukrainian medics keep pushing forward, closer to the fight, deeper into danger, and far beyond where medicine was ever supposed to operate.Where the wounded fall, they go.

Фронт не чекає. Вони теж.

Українські медики продовжують рухатися вперед, ближче до бою, глибше в небезпеку і далеко за межі того, де медицина взагалі мала б працювати.

Де падають поранені, туди йдуть вони.

09/17/2026

Few things make us prouder than seeing the people we trained out there doing the work, and doing it well.

Months later. Real missions. Real impact.

Proud of this Ukrainian SOF medevac team. 🇺🇦

Мало що викликає у нас більшу гордість, ніж бачити, як ті, кого ми навчали, виконують свою роботу , і виконують її добре.

Місяці потому. Реальні завдання. Реальний результат.

Пишаємося цією командою медичної евакуації ССО України. 🇺🇦

09/16/2026

Proud to share our forthcoming landmark manuscript:

“The Next Evolution in Battlefield Hemorrhage Control: The TALON Protocol (Tactical Arterial Ligation in Operational Necessity) for the Prolonged Casualty Care Era.”

The modern battlefield is forcing trauma care to evolve. When evacuation is delayed, blood products are limited, and a casualty may need to survive for hours or longer, before reaching definitive surgical care, our approach to hemorrhage control must evolve with it.

The TALON Protocol examines the role of tactical arterial ligation as a deliberate, protocolized option for managing life-threatening extremity hemorrhage in the prolonged casualty care environment.

We are incredibly honored to have developed this work alongside an extraordinary group of military, vascular, and trauma surgeons and prehospital experts whose collective experience spans decades of combat casualty care:

Aaron J. Epstein, MD, MA
Charles Fox, MD, FACS, LTC (Ret), US Army
Matthew J. Martin, MD, FACS, COL (Ret), US Army
Robert W. Fincher, DO, LTC, US Army Reserve
Richard W. Thomas, MD, DDS, FACS, MG (Ret), US Army
Jason R. Pickett, MD, COL, US Army
Phu T. Nguyen, MD, LTC (Ret), US Army
Adam Cantrick, Registered Paramedic
Gary A. Vercruysse, MD, FACS, Maj (Ret), US Air Force

Special thanks to:
Martin Schreiber, MD FACS, COL, US Army Reserve
Peter Rhee , MD FACS, CPT (Ret), US Army
For their supplemental pieces to the TALON Protocol

Our goal is straightforward: give the next generation of battlefield clinicians additional options when evacuation is delayed, resources are constrained, and conventional assumptions about the timeline to surgery no longer apply.

More to come when the paper is published.

09/16/2026

Proud to share our forthcoming landmark manuscript:

“The Next Evolution in Battlefield Hemorrhage Control: The TALON Protocol (Tactical Arterial Ligation in Operational Necessity) for the Prolonged Casualty Care Era.”

The modern battlefield is forcing trauma care to evolve. When evacuation is delayed, blood products are limited, and a casualty may need to survive for hours or longer, before reaching definitive surgical care, our approach to hemorrhage control must evolve with it.

The TALON Protocol examines the role of tactical arterial ligation as a deliberate, protocolized option for managing life-threatening extremity hemorrhage in the prolonged casualty care environment.

We are incredibly honored to have developed this work alongside an extraordinary group of military, vascular, and trauma surgeons and prehospital experts whose collective experience spans decades of combat casualty care:

Aaron J. Epstein, MD, MA
Charles Fox, MD, FACS, LTC (Ret), US Army
Matthew J. Martin, MD, FACS, COL (Ret), US Army
Robert W. Fincher, DO, LTC, US Army Reserve
Richard W. Thomas, MD, DDS, FACS, MG (Ret), US Army
Jason R. Pickett, MD, COL, US Army
Phu T. Nguyen, MD, LTC (Ret), US Army
Adam Cantrick, Registered Paramedic
Gary A. Vercruysse, MD, FACS, Maj (Ret), US Air Force

Special thanks to:
Martin Schreiber, MD FACS, COL, US Army Reserve
Peter Rhee , MD FACS, CPT (Ret), US Army
For their supplemental pieces to the TALON Protocol

Our goal is straightforward: give the next generation of battlefield clinicians additional options when evacuation is delayed, resources are constrained, and conventional assumptions about the timeline to surgery no longer apply.

More to come when the paper is published.

09/14/2026

Courage is not the absence of fear. It is choosing to move toward the wounded when everyone else is moving away.
Ukraine’s Special Operations medics have spent years proving what that means.
They work in the hardest places, under conditions most people will never experience, carrying the responsibility of keeping someone alive when resources are limited, evacuation is uncertain, and failure has a human cost.
Skill matters. Training matters. But so do discipline, resilience, trust, and the willingness to keep going when everything around you is telling you to stop.
A GSMSG challenge coin is not something we hand out simply for showing up. It is earned.
It represents competence, character, shared hardship, and membership in a community of people willing to carry the responsibility of caring for others in the places where medicine is hardest.
To the Ukrainian Special Operations medics who have earned one: carry it with pride.

You earned it.

🇺🇦

Global Surgical and Medical Support Group

10/15/2026

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