Ragged Edge Solutions

EDUCATION | RESEARCH | INTEGRATION

Ragged Edge Solutions

EDUCATION | RESEARCH | INTEGRATION

A course team moving a casualty by litter during a field exercise

Education · Research · Operational Readiness

Advancing the practice of operational medicine.

From individual clinicians to enterprise programs, Ragged Edge Solutions develops the people, knowledge, and systems required to deliver sophisticated care in complex environments.

01

Institution

We helped establish the field. Now we are building what comes next.

Before prolonged field care was a recognized discipline, the founders and faculty behind RES were developing the doctrine, educational models, and practical methods that helped define it. That work continues in prolonged evacuation casualty care, austere clinical education, applied research, and institutional capability development.

Our work connects operational experience with academic rigor. Lessons from difficult environments become teachable systems, measurable performance, and better decisions under pressure. The standard is the same whether the student is one medic or an entire program.

A casualty transfer from ground transport to a fixed-wing airframe during a course exercise
Transfer of careHandover between ground and air movement, run as a timed sequence rather than a demonstration.
A close view of a procedural skill being performed under instruction
Procedural skillClinical technique taught to a defined standard, then assessed under load in the field exercise.
Care continuing inside a rotary-wing airframe at night
Care in motionTreatment does not stop when movement begins. Neither does the assessment.

Selected organizations served

USSOCOM
Naval Special Warfare
MARSOC
JSOC
AFSOC
75th Ranger Regiment
USASOC
Navy EOD
Special Operations Command Australia
Special Air Service
Jægerkorpset
Interventie M-Squadron
USCG Maritime Security Response Team
Wyoming Army National Guard
A casualty being treated inside a derelict structure during a prolonged care exercise
02

Our work

Three lines of effort, one body of practice.

Education

Professional education

Curricula designed and taught by experienced practitioners, physicians, educators, and operational end users. Certificate courses, refreshers, and mobile training delivered on site or at RES facilities.

Research

Applied research

End-user evaluation, human performance research, and operationally relevant validation in high-fidelity environments. A device can work technically and still fail operationally. We test for the second case.

Development

Capability development

Advisory support, program design, and institutional solutions connecting doctrine, education, equipment, and execution.

  • SME instructor support
  • Consulting and program development
  • Roleplayer and simulation support
  • Mobile training teams
03

Education

Education shaped by the field. Built to change it.

PECC mark

Prolonged Evacuation Casualty Care

Operationalizes prolonged casualty care guidance into structured, scenario-driven instruction for military, government, and civilian prehospital professionals.

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DARK+WOODS mark

Special Operations Medicine

Team-based medical training for high-risk, austere environments. Builds individual and team readiness through adaptable instruction and mission-based exercises.

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SO+AMT mark

Special Operations Austere Medical Technician

Develops the medical capability of non-medical and non-SOCM personnel in Special Operations and conventional units, well beyond baseline first-response training.

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Grindstone mark

Advanced clinical series

Focused modules in airway management, ventilation, transfusion, ultrasound, and pharmacology. Taken individually or as a progression.

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ALSO DELIVERED  ·  TCCC-CMC  ·  TRANSFUSION FUNDAMENTALS AND WALKING BLOOD BANK  ·  MOBILE TRAINING TEAMS

A course team carrying a casualty on a litter along a woodland trail
MERCGreenville, North CarolinaCasualty movement
04

Announcements and field notes

What RES is working on.

Collaboration Ukraine

STORM-2 delivered with UNC and Global Response Medicine

RES instructors support surgical team training in Ukraine alongside UNC and GRM, with joint development of exportable prolonged field care curriculum for allied audiences.

Education Chapel Hill

PECC runs at UNC

Another iteration of Prolonged Evacuation Casualty Care delivered through the UNC partnership, the same relationship behind the Carolina Medic trauma rotation.

Simulation United States

RES is the authorized United States reseller for Battlefield Partners

Wound simulation procurement and training integration for US customers, from requirement through employment, handled domestically.

Manufacturer site →

Research Human factors

Ventway Sparrow evaluation at the MERC

A human factors evaluation of the Inovytec Ventway Sparrow ventilator run in an operational training environment, with instructor and end-user observation.

Education Grindstone

Advanced medic modules open as standalone labs

Mechanical ventilation, whole blood and transfusion, operational ultrasound and advanced pharmacology, each available as a one to two day intensive or as a full progression.

Origins

Prolonged field care did not begin as a course. It began as a problem nobody owned.

RES has a history with the Prolonged Field Care Working Group, now the Prolonged Field Care Collective, and with the Joint Trauma System PFC Clinical Practice Guidelines that came out of it. The work since has been translation: turning guidelines written for the problem into training that holds up where the problem actually occurs.

That runs both directions. Courses generate operational feedback, the feedback goes back to the community and to the people maintaining the guidelines, and curricula are updated against what practitioners encounter rather than against the last version of the curriculum.

Prolonged Field Care Podcast

The Collective's podcast

A running record of how austere care practice actually changes.

Running since 2021, past six hundred episodes, for clinicians who have to deliver high quality care in a very austere location. Recent subjects include hemorrhagic shock, triage, Arctic trauma care, withdrawing interventions, and training local forces. It is where a good deal of the thinking behind RES curricula gets argued in public before it reaches a syllabus.

05

Institutional inquiries

Begin with the requirement.

Ragged Edge Solutions

info@raggededgesolutions.com252-643-5333509 Evans St, Greenville, NC 27858

Australia and New Zealand

alex@raggededgesolutions.com+64 27 241 0666Australia, New Zealand, and the wider Pacific

What we are asked for

  • Education for a unit, agency, or civilian service
  • Research collaboration and end-user evaluation
  • Custom program design and capability development
  • Simulation equipment, procurement, and integration
  • Mobile training teams and host partnerships