1. EVALUATE A CASUALTY
TACTICAL
COMBAT
CASUALTY
CARE 1

2. Perform Care Under Fire
Care under fire is rendered at the scene of the injury while you and the casualty are still under effective hostile fire. 1

3. Care Under Fire - 1 Return fire.
If possible, determine if the casualty is alive or
dead.
Attempts to check for airway and breathing will
expose the rescuer to enemy fire.
Do not attempt to provide first aid if your own
life is in imminent danger. 1

4. Care Under Fire - 2 Provide tactical care to the live casualty.
Keep the casualty from sustaining additional
wounds.
Direct the casualty to return fire, move to cover,
and perform self-aid (stop bleeding), if possible.
If the casualty is unresponsive, move the
casualty, his weapon, and mission-essential
equipment to cover, situation permitting. 1

5. Care Under Fire - 3 Administer life-saving hemorrhage control.
Determine relative threat of the situation versus
the risk of the casualty's bleeding to death.
If the casualty has severe bleeding from a limb
or has suffered amputation of a limb, apply a
tourniquet before moving the casualty.
Transport the casualty, weapon, and mission-
essential equipment to cover, if possible. 1

6. Perform Tactical Field Care
Tactical field care is rendered by the individual when no longer under hostile fire. Tactical field care also applies to situations in which an injury has occurred during the mission but there has been no hostile fire. 1

7. Sequence of Steps Check for-- 1. Responsiveness 2. Airway 3. Breathing
4. Bleeding
5. Shock
6. Fractures
7. Burns 1

8. Check for Responsiveness
“Are you Okay?”
Gently shake or tap casualty on the
shoulder.
Determine level of consciousness - AVPU.
A = Alert
V = Responds to verbal commands
P = Responds to pain
U = Unresponsive 1

9. Conscious Casualty Ask where his body feels different than usual,
or where it hurts. Continue evaluation by
checking for bleeding.
If the casualty is conscious but is choking and
cannot talk, stop the evaluation and begin
treatment to clear the airway. 1

10. Unconscious Casualty Position the casualty and open the airway.
Assess for breathing and chest injuries.
Look, listen, and feel for respiration.
Insert a nasopharyngeal airway, if applicable.
Check for open chest wound. Apply dressing and perform needle chest decompression, if needed. 1

11. Check for Bleeding Look for spurts of blood or blood-soaked clothes.
Look for entry and exit wounds.
Check back of casualty’s body and head.
If bleeding is present, stop evaluation and dress
all wounds. Treat for shock. 1

12. Check for Fractures
OPEN
FRACTURE
CLOSED
FRACTURE 1

13. Check for Burns Often cause extreme pain, scarring, or death.
Checking for burns involves:
Checking for singed clothes.
Looking carefully for reddened, blistered, or
charred skin. 1

14. Administer Medications
Administer pain medications and antibiotics (the casualty's combat pill pack) to any soldier wounded in combat. Each soldier will be issued a combat pill pack prior to deployment on tactical missions. 1

15. Transport Casualty Transport the casualty to the site where
evacuation is anticipated, if necessary.
Seek medical aid. 1

16. Casualty Evacuation (CASEVAC)
When nonmedical vehicles are used to transport
a casualty, it is called CASEVAC.
A soldier accompanying an unconscious casualty
should monitor the casualty's airway, breathing,
and bleeding. 1