i. The need for immediate access to a tourniquet in such situations makes it
clear that all soldiers on combat missions have a suitable tourniquet, such as the
Combat Application Tourniquet (CAT) shown in figure 1-2, readily available at a
standard location on their battle gear and that soldiers be trained in its use.
Figure 1-2. The Combat Application Tourniquet (CAT).
j. Penetrating neck injuries do not require cervical spine (C-spine)
immobilization. Other neck injuries, such as falls over 15 feet, fast roping injuries, or
motor vehicle collisions (MVC), may require C-spine immobilization unless the danger of
hostile fire constitutes a greater threat in the judgment of the soldier medic. Studies
have shown that, with penetrating neck injuries being only 1.4 percent of the injured,
few would have benefited from C-spine immobilization. Adjustable rigid cervical colors
(C-collars) should be carried in the soldier medic's medical aid bag. If rigid C-collars are
not available, a SAM splint from the aid bag can be used as a field expedient C-collar.
k. Litters may not be available for movement of casualties.
(1) Consider alternate methods to move casualties, such as ponchos, pole-
less litters, SKEDCO or Talon II litters, discarded doors, dragging, or manual carries).
(2) Smoke, CS (2-chlorobenzalmalononitrile, a type of riot control gas), and
vehicles may act as screens to assist in casualty movement.
l. Do not attempt to salvage a casualty's rucksack unless it contains items
critical to the mission. Take the casualty's weapon and ammunition, if possible, to
prevent the enemy from using them against you.