(3) If the casualty does not have a radial pulse, ensure that the bleeding has
been controlled (direct pressure, pressure dressings, hemostatic bandage, or tourniquet
as needed). Initiate a saline lock and begin administering fluids (500 ml of Hextend) as
rapidly as possible. Recheck the casualty's pulse in 30 minutes.
(a) If the radial pulse has returned, do not give any additional fluids.
Monitor the casualty's pulse as frequently as possible.
(b) If the radial pulse does not return, give an additional 500 ml of
Hextend and evacuate the casualty as soon as possible.
If the second IV pack has been administered and there is no radial pulse,
use your remaining supplies to treat other casualties.
h. Other Wounds. Identify and treat other wounds. Dress all wounds, including
exit wounds. Remember to remove only the minimum of clothing required to expose
and treat injuries. Protect the casualty against the environment (hot and cold
temperatures, and so forth).
i. Fractures. Splint any obvious long bone fractures.
j. Combat Pill Pack. Administer pain medications and antibiotics (combat pill
pack) to any soldier wounded in combat. Do not administer your own pack since you
may need them yourself and you have no extra combat pill packs in your aid bag.
Each soldier will be issued a combat pill pack prior to deployment on tactical
k. Field Medical Card. Initiate a DD Form 1380, U.S. Field Medical Card
(FMC) to document the casualty's injuries and the treatment given (Lesson 7).
PERFORMING COMBAT CASUALTY EVACUATION CARE
Prepare the casualty for evacuation, if needed.
a. If the casualty is to be evacuated by medical transport, you may need to
prepare a MEDEVAC request (Lesson 8).
b. If medical evacuation is not available, prepare the casualty for evacuation
using non-medical means (CASEVAC). If the casualty is unable to walk, transport the
casualty using a SKED or improvised litter (see Lesson 9).
c. If an unconscious casualty is being evacuated on a non-medical vehicle
(CASEVAC), the combat lifesaver may need to accompany the casualty. If so, the
combat lifesaver must monitor the casualty's airway, breathing, bleeding, and IV
infusion. Also, check his dressings to see if they need to be reinforced.