Originally Posted by
Sunshine
Bracers of swift death are quite good -- best bracers in ToC-era, at least. They're also pretty cheap these days, from what I hear...
Spec suggestions have been good so far (take Thick Hide, drop points in KotJ if necessary). Ferocity isn't required; you should have rage without it. Imp mangle is nice to have, but it and MSS are kind of either/or -- either will give you enough threat, but taking both will usually gimp your spec in other ways. You can drop to 3/5 furor, and please, please take Infected Wounds!
Gear-wise, I'd suggest replacing that pvp trinket first, since it's completely useless. T9 and T10 bonuses are both nice to have (both 2- and 4-piece), and as mentioned earlier, the Sack of Wonder is fantastic, and the 245 crafted chest is also quite nice if you can't get your hands on the sack.
Beyond that, Mongoose on your weapon would be a nice change (for both tank and dps). Gemming-wise, use a mix of stam and agi/stam to achieve "enough" hp and then maximize avoidance. (And yes, nightmare tear and stam/def are both viable options for yellow slots where the stat bonus is worthwhile; e.g., T9 helm.)