Phases of Tactical Medicine

The Care Under Fire Phase 

The Care Under Fire (CUF) phase of treatment requires a basic management plan.  The plan is comprised of basic steps.  Remember, it is the basics that save lives.   They are as follows:

1) Regain your situational awareness.

2) Return Fire and/or take cover.

3) Direct casualty, if applicable, to remain engaged in the fight. 

4) If patient is unable to continue to fight, direct him/her to move to cover and/or apply self-aid. 

5) Prevent patient from sustaining additional wounds (SEE 3 and 4).

6) Stop Catastrophic-Hemorrhage. (self-aid, buddy-aid, medic-aid)
    A) Use tourniquets where applicable.
    B) Hemostatic agents with pressure dressing if tactically feasible.

7) Airway mangement ought to be deferred until the Tactical Field Care phase.
                                                                                         
The above is a loose guide. Do not limit yourself to algorithmic medicine.

Next time we will examine each step more in-depth.

If you have any comments, please send them to alan@tacmedsolutions.com