Evaluate the casualty following the correct sequence. Identify all life-threatening conditions and other serious wounds
Conditions: You have a casualty who has signs/symptoms of an injury. Your unit may be under fire.
Standards: Evaluate the casualty following the correct sequence. Identify all life-threatening conditions and other serious wounds.
Performance Steps:
Note: Tactical combat casualty care (TCCC) can be divided into three phases. The first is care under fire; the second is tactical field care; the third is combat casualty evacuation care. In the first, you are under hostile fire and are very limited as to the care you can provide. In the second, you and the casualty are relatively safe and no longer under effective hostile fire, and you are free to provide casualty care to the best of your ability. In the third, the care is rendered during casualty evacuation (CASEVAC).
Warning: If a broken neck or back is suspected, do not move the casualty unless to save his/her life.
1. Perform care under fire.
a. Return fire as directed or required before providing medical treatment.
b. Determine if the casualty is alive or dead.
Note: In combat, the most likely threat to the casualty 's life is from bleeding. 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.
Note: In a combat situation, if you find a casualty with no signs of life-no pulse, no breathing-do NOT attempt to restore the airway. Do NOT continue first aid measures.
c. Provide tactical care to the live casualty.
Note: Reducing or eliminating enemy fire may be more important to the casualty 's survival than the treatment you can provide.
(1) Suppress enemy fire.
(2) Use cover or concealment (smoke).
(3) Direct the casualty to return fire, move to cover, and administer self-aid (stop bleeding), if possible.
References: Required Related FM 4-25.11