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Cleared Hot - Powered By BRCC

From Ranger Battalion to the OR | Dr. Mike Simpson | Ep. 448

Cleared Hot - Powered By BRCC

Cleared Hot

Society & Culture

4.911.2K Ratings

🗓️ 18 May 2026

⏱️ 196 minutes

🧾️ Download transcript

Summary

"Crike him." That's the call a tactical medic makes when a guy can't breathe and the clock is at zero. Mike Simpson is the doctor on the other end of that radio. He's a former 1st Ranger Battalion anti-tank section leader, a Special Forces engineer turned 18 Delta medic with 7th Group, and a board-certified ER physician who spent his last six years on active duty attached to JMAU providing trauma support to tier one units. He retired in 2016 after 32 years and now runs medical direction for Central Texas Regional SWAT while practicing urgent care.

We got into the real mechanics of trauma care — what actually happens between the front door of an ER and the OR, why a hundred tourniquets on paper cuts beats one missed arterial bleed, and the brutal physics of wounds incompatible with life. He walked through his own prostate cancer diagnosis and what every man over 40 needs to know about PSA screening.

We also got into his path from corrections officer to medical school, why he's writing fantasy novels now, and the conversation every operator avoids until it's too late — documenting injuries before you're out the door.

Enjoy. 

 

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Transcript

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0:00.0

Okay, got the red smoke.

0:03.0

Gun runs.

0:05.1

North and south.

0:06.3

West of the smoke.

0:07.4

West of the smoke.

0:09.1

Okay, copy.

0:10.0

West of the smoke.

0:11.2

I'm looking at danger close now.

0:13.6

Come on winter, baby.

0:14.5

Give it to me.

0:15.0

I need it.

0:16.0

You're cleared hot.

0:17.2

Copy, cleared hot.

0:19.0

So it, uh, it's weird.

0:21.3

I'm not a sworn officer, but I do have a state numerical designation as if I were.

0:27.8

And so you're augmenting the SWAT team as essentially their real-time medical support.

0:32.1

I, well, so it's, it's an interesting animal.

0:35.9

Yeah, unpack it for me.

0:36.8

Yeah, so the way that it works is,

0:39.3

Central Texas Regional Squad is what's called a composite team.

0:44.3

So it's four different law enforcement agencies, two different EMS systems.

0:51.3

So they had been, they'd been rolling for, they'd, they've, originally they were

...

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