Dismounted Reconnaissance Troop - Army Electronic Publications ...

CASUALTY RESPONSE PERSONNEL
Sustainment
8-81. Casualty response consists of a variety of tiered medical and leadership response personnel for
medical care and assistance.
First Response
8-82. First response is defined as the initial, essential, stabilizing medical care rendered to wounded,
injured, or ill Soldiers at the point of initial injury or illness. The first responder is the first individual to
reach a casualty and provide first aid, enhanced first aid, or emergency medical treatment. First aid can be
performed by the casualty (self-aid) or another individual (buddy-aid), while enhanced first aid is provided
by the CLS. The individual who has medical military occupational specialty training is the combat medic
(trauma specialist). He provides emergency medical treatment for life threatening trauma and stabilizes and
prioritizes (triages) wounded for evacuation to the SAS. At the SAS, wounded Soldiers receive advanced
trauma medicine by the treatment team composed of the surgeon, physician’s assistant, and a senior trauma
specialist.
Combat Lifesaver
8-83. The CLS is a nonmedical Soldier trained to provide advanced first aid/lifesaving procedures beyond
the level of self-aid or buddy-aid. The CLS is not intended to take the place of medical personnel, but to
slow deterioration of a wounded Soldier's condition until treatment by medical personnel is possible. Each
certified CLS is issued a CLS aid bag. Whenever possible, the troop commander ensures there is at least
one combat lifesaver in each fire team. An emerging “first responder” program expands CLS trauma
treatment with increased emphasis on combat and away from training injuries.
8-84. Combat lifesavers are section members trained in emergency medical techniques. They are the “911”
medical assets for the section until a medic or another more qualified medical person becomes available.
Because combat lifesaving is an organic capability, the platoon and troop should make it a training priority.
The combat lifesaver ensures the section CLS bag is packed, all IVs are present, and litters are properly
packed, and identifies Class VIII shortages to the platoon medic. He participates in all casualty treatment
and litter carry drills. The combat lifesaver must know the location of the CCP and the TACSOP for
establishing them. He has a laminated quick reference nine-line MEDEVAC card.
Senior Trauma Specialist
8-85. The senior trauma specialist (troop senior medic) is both the troop's primary medical treatment
practitioner and the supervisor of all battlefield medical operations. The latter role encompasses numerous
responsibilities. The senior trauma specialist works closely with the DRT commander to ensure all
members of the troop understand what to do to provide and obtain medical treatment in combat situations.
He oversees the training of combat lifesavers. Once combat begins, he manages the troop CCP, provides
medical treatment, and prepares patients for MEDEVAC. He helps the 1SG arrange CASEVAC. The senior
trauma specialist also monitors the paperwork that is part of the medical treatment and evacuation process,
including:
Ensuring that the casualty feeder report remains with each casualty until the Soldier reaches the
squadron main aid station or field aid station.
If a Soldier's remains cannot be recovered, completing DD Form 1380 (US Field Medical Card)
and giving it to the 1SG for processing as soon as possible.
Platoon Medic or Trauma Specialist
8-86. Because platoon members commonly address their trauma specialist as “doc” or “medic,” shows his
critical role in providing competent, life-saving care. During combat planning and preparation, he inspects
platoon CLS bags, verifies that IVs are placed in litters, and fills Class VIII shortages. He recommends the
location for the platoon CCPs and the TACSOP for establishing them. He rehearses casualty treatment and
litter carries with all platoon members, not only aid and litter teams; and conducts CLS refresher training.
Designated medical personnel collect the DA Form 1156 (Casualty Feeder Card) at the aid station. They
forward the form to the S1 section for further processing through administrative channels in the squadron
field trains.
16 November 2010 ATTP 3-20.97 8-15