THULS - Standard Medical Operating Guidelines (SMOG)
Tactical Handbook, Unit Leader, Small
THULS have become ubiquitous within the military community ever since they were widely distributed for deployments and all that GWOT money flowed from the mythical golden goose. Those days might be over, but THULS dominates as the standard for all-weather reference books with an infinite write and rewrite capability. So, don't get helocast off some coastline with laminated paper that's going to leak and turn into mush.
Read more about the Battle Board and MIR collaboration here.
THULS are all Made in the USA by a few back-woods country boys up somewhere in the woods of New Hampshire or Vermont.
THULS stands for Tactical Handbook, Unit Leader, Small.
They are nearly indestructible plastic reference books full information and templates specific to your mission. Read more about them here.
- Battle Board Micro - THULS Enhancement Skin (aka a notebook cover… we just had to use a fancy name to satisfy the MIR boys)
- Lumocolor markers (use 90% alcohol to erase)
- Mechanical Pencils for writing on and erasing from THULS underwater
- Grease pencils for writing underwater on anything
- THULS Lined / Grid / Blank cards for expanding any THULS set
- Small form factor fits easily in your pocket
- Nearly indestructible plastic cards
- Textured surface makes writing simple
- Different colors of cards available for tactical environments
- Fillable, Erasable, Rewritable
- Manuals, references, and templates facilitate communication and information dissemination
- Keeps information and notes secure in any environment
- Write underwater with a pencil
- Permanent marker compatible (alcohol-based ink)
Dimensions: THULS Size: 5.5” x 4.25”, 6-Ring Size (NEW): 7" x 4.6"
Thickness: 12 mils (0.012”)
Material: Proprietary plastic blend
Works best with: Battle Board Micro
Each THULS-size notebook with more than one card comes with three (3) Binder Rings.
This does not apply to single cards such as the Individual Range Card, 6-hole size modules, or Z-Fold Cards.
(PREORDER FOR SHIPMENT TOWARD THE END OF NOVEMBER)
THULS Standard Medical Operating Guidelines (SMOG) Details
This five-book series covers a wide array of medical topics and most of the issues seen in the military and austere environments, including trauma, medicines, working dog care, and more.
Emergency medicine professionals, experienced flight paramedics, aeromedical physician assistants, critical care nurses, and flight surgeons across the Department of War provided input to create the source for this series. The goal is to ensure the highest quality en route care possible and to standardize care across all evacuation/emergency medical pre-hospital units.
LEGAL DISCLAIMER
This publication is for informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.
Always consult a qualified healthcare provider for medical concerns. Never disregard or delay seeking professional medical advice based on information in this guide.
The authors, editors, publisher, and distributors make no warranties as to the accuracy, completeness, or suitability of the information and disclaim all liability for any loss or injury arising from its use.
In a medical emergency, contact your doctor or emergency services immediately.
Volume Details |
||
|---|---|---|
Topic |
Cards |
Contents |
|
VOLUME 1: General, Trauma, Medical, & Environmental |
21 |
Universal Patient Care Allergic Reaction Tactical Evacuation Abdominal Pain Airway (Adult / Pediatric) Altered Mental Status Rapid Sequence Intubation Back/ Neck Pain Ventilator Management Hyperglycemia / Hypoglycemia Blood And Component Use Lower Respiratory Distress Blood Transfusion Reactions Upper Respiratory Distress Iv/10 Protocol Seizure Trauma Sepsis / Fever Abdominal Injury Toxic Ingestion Burns / Electrical Injury Vomitting & Diarrhea Burn Fluid Resuscitation Environmental Chest Trauma Altitude Illness Crush Syndrome Animal & Insect Bites/ Stings Extremity Trauma Decompression Sickness Eye Injury / Pain Hot / Cold Weather Injury Head Injury / Tbi Submersion Injury Traumatic Arrest Hypotension/Shock Pediatric Hypotension / Shock |
|
VOLUME 2: Important references, Cardiac flow charts, Special populations |
20 |
Mascal Triage Vital Functions Assessment Charts Glasgow Coma Scale Pediatric Als / Defib Settings Broslow Tape Chart Oxygen Saturation Musculoskeletal Injury Assess Vasopressor Priority Chart Quick Reference Drug Chart Y-Site Compatibility Chart Antibiotic Therapy Chart Common Laboratory Values Fluid Volume For Dilution Oxygen Cylinder Life Facility Transfer Pre-Flight Checklist Example Standing Order Ccp Useful Calculations Cardiac Bradycardia With Pulse Cardiac Arrest Chest Pain Post-Cardiac Arrest Care Suspected Stroke /Tia Tachycardia W/ Pulse Pediatric Bradycardia Pediatric Cardiac Arrest Pediatric Tachycardia Ap Pediatric Tachycardia Pp Special Populations Cbrn Marche Childbirth Newborn Care And Distress Obstetric Emergency Patient Refusal |
|
VOLUME 3: Military working dog |
6 |
Mwd Airway Management Mwd Analgesia & Sedation Mwd Cpr Mwd Gastric Dilation-Volvulus Mwd Heat Injury Mwd Normal Parameters Mwd Normal Parameters Illustrations Mwd Shock Fluid Therapy |
|
VOLUME 4: Medications Part A (A-H) |
20 |
Acetaminophen Epinephrine 1:1000 Acetazolamide Epinephrine 1:10,000 Acetylsalicylic Acid Ertapenem Activated Charcoal Etomidate Adenosine Albuterol Fentanyl Amiodarone Furosemide Atropine Sulfate Glucagon Calcium Chloride 10% Calcium Gluconate Heparin Cefazolin Hetastarch Hydromorphone Dexamethasone Hydroxocobalamin Dextrose 50% Diazepam Diltiazem Diphenhydramine Dobutamine Dopamine |
|
VOLUME 5: Medications Part B (K-V) |
23 |
Nitroglycerin Ketamine Norepinephrine Ketorolac 0.9% Sodium Chloride (Normal Saline) Hypertonic Saline 3% Sodium Chloride Labetalol Ringer's Lactate (Lactated Ringers) Ondansetron Dextrose 5% In Water (Dw) Oxygen Levetiracetam Lidocaine Plasmalyte A Lorazepam Phenylephrine Promethazine Magnesium Sulfate Propofol Mannitol 20% Methylprednisolone Rocuronium Metoclopramide Metoprolol Succinylcholine Midazolam Morphine Thiamine Moxifloxacin Tranexamic Acid (Txa) Naloxone Vasopressin Nifedipine Vecuronium |
IMPORTANT LEGAL DISCLAIMER
This series of THULS books ("the Guide") is for general informational and educational purposes only. It is not intended to be a substitute for professional medical advice, diagnosis, or treatment.
The information contained in this Guide is based on sources believed to be reliable at the time of publication, but medicine is an ever-changing science. New research, clinical experience, and updated guidelines may render some of the information outdated or incomplete after publication. The authors, editors, contributors, publisher, and any distributors make no representations or warranties that the information in this Guide is complete, accurate, or up to date for any specific individual or situation.
Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition or treatment. Never disregard professional medical advice or delay in seeking it because of something you have read in this Guide.
Reliance on any information provided in this Guide is solely at your own risk. The authors, editors, contributors, publisher, printer, and distributors expressly disclaim any liability or responsibility for any loss, injury, or damage (whether direct, indirect, consequential, or otherwise) allegedly arising from the use or application of any information, suggestions, or recommendations contained in this Guide.
If you think you may have a medical emergency, call your doctor or your local emergency number immediately.
No part of this Guide may be construed as the practice of medicine or the provision of medical services.
Copyright © 2025 Mission Information Resources. All rights reserved.
THULS + MICRO
We developed the Battle Board Micro specifically for the THULS and STāNOTE. All three work together as a complete pocket information system.
ALL WEATHER
THULS works equally well covered in mud as it does in a classroom. Don't let the rain threaten you with a good time.
REFERENCE BOOKS
Find the information you need, ready for the field, and with the capability to write on the sheets, erase, and rewrite.
ANOTHER JARHEAD STORY
HISTORY OF THULS
LEAVE PAPER IN THE HEAD, TAKE THULS & STāNOTES TO THE FIELD INSTEAD.
Paper manuals get destroyed in the environments where military, police, and fire fighters work. The Marine Corps infantry, knuckle-dragging geniuses over at MIR (another acronym... STOP!) decided in the “2000’s,” to take the giant leap forward and print on a plastic. It’s slightly textured, so you can write on the cards, but not textured enough to wipe yourself with. They also gave an entire industry the middle finger and decided to disregard all of the common paper and notebook sizes.
That’s where Battle Board comes in to the rescue. We took pity on the boys up in New Hampshire or Vermont or wherever they are and designed a case specifically for the THULS books that have become ubiquitous within the field-manual obsessed community.
So, leave the paper on the roll and get outside with THULS & STāNOTE sheets.
BATTLE BOARD
MICRO SYSTEM
THULS ENHANCEMENT SKIN
We designed the Micro system around THULS data books and worked with MIR to launch a full set of templates, reference cards, and the revolutionary STāNOTE polymer sheets. Everything works together to form a complete reference and communication system in your pocket.
