Combat Medic Essentials │ Part 1: Care Under Fire

Tactical combat casualty
care for all combatants. This short lecture is
not intended for medics. You guys have and
need more knowledge. But the principles of TCCC are
the same for everyone involved. Treat the casualty,
prevent additional casualties, and complete the mission. This is just a rough guideline. Every situation
requires adaptation. Don’t only go by the checklist. This way you will
kill somebody one day or really, really
piss somebody off. Nothing is written in stone and
if a guy is shot in the hand and you start cutting of his UF
PRO pants, which he bought himself, as the way you were
taught in medic school…

Well, get ready for a
slap with the good hand. So, Care Under Fire. This is a phase were we
are still being shot at. Like right now. Good medicine is bad tactics and the best medicine during a
fire fight is fire superiority. So, that means there will
be no bandaging going on, as we need the rifle down range. So, we take cover and return fire. You should not be hasty
and run to the casualty like a dumb medic in a
Steven Spielberg movie. We need to find out if we
have any more casualties, how many casualties we have and then establish a plan on how to evacuate
the casualties from point X.

There are many ways around that. If you can get to him
safely, you grab and go. A quick tourniquet application
is better to do in cover, because it is not as
simple as it sounds. But, if you can’t do that,
at least apply direct pressure to the artery
or do a stop-gap to the wound. If we can’t get to our guy we try to
scream, tell, radio him to move to cover. Get to cover! Apply self-aid. And expect our teammates to
remain in the fight, if able to.

If we are not able to move our casualty
to a safe place, roll him on his stomach. Let’s say we are
going into a building. First man goes down and the last man has
time to roll the casualty on his stomach. Like this we do a sloppy “A“ from the
M.A.R.C.H. algorithm, air-way management, which we will cover
in the next video. We generally don’t do
this in Care Under Fire, but this is a simple way to make
sure our casualty is not suffocating on his own tongue or blood.

Sounds matter of fact, but we are buying some extra time
while staying in an active situation. So we can eliminate the threat and come back for our guy when we can. Oh, and also, if our guy has a support
weapon or mission sensitive items, switch his weapon
with yours and get his backpack. That sums up Care Under Fire, since we eliminated
a hostile threat. Now we are going into tactical field
care, but that in the next video..

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