Why deadly wounds aren’t treated first in combat

The rules are different when the bullets are flying.
combat wounds
(U.S. Marine Corps)

Being in combat is one of the craziest experiences a person can have. Bullets are zipping by your melon and impacting the wall behind you, eyes wide and on the alert as the incoming rounds blanket your position. Sounds crazy. Because it is. War is hell.

Well-trained military minds know, winning the battle is the most important aspect of winning the war. In combat, the rules are different than in any other situation you’ll probably find yourself. All available fingers need to be pulling triggers.

So if allied forces take a mass casualty, the guy who is hurt the worst isn’t necessarily the one who gets treated first. 

marines combat wounds
US Marines in Afghanistan returning fire (U.S. Marine Corps via YouTube)

In the civilian world, there are typically more assets and resources to treat just about everyone and every ailment or injury in the book.

By contrast, fighting an enemy in a developing-world country, Navy Corpsmen and medics carry only a small inventory of medical gear strapped to their persons.

combat wounds
HM2 Lamonte Hammond and HM3 Simon Trujillo treat a Marine who was wounded during a firefight in the Nawa district of Helmand province, Afghanistan. (U.S. Marine Corps/Cpl. Artur Shvartsberg)

During combat, the rules on who receives care first change in a matter of moments. If a squad is under heavy attack and a few trigger pullers get hurt, then the unit is down a few bodies.

After the field medic takes care of their wounds, let’s say subject “A” sustained a “GSW” or gunshot wound to the chest, they are now out of the fight. If subject “B” took a bullet to their leg, they’re still considered in the fight because it’s not life-threatening.

During wartime rules, subject “B” is supposed to be treated first, allowing them the chance to get back on their weapon system and return to the fight. Hopefully, subject “A” will be okay and pull through.

For more information on military triage, please visit here.

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Tim Kirkpatrick entered the Navy in 2007 as a Hospital Corpsman and deployed to Sangin, Afghanistan with 3rd Battalion 5th Marines in the fall of 2010. Tim now has degrees in both Film Production and Screenwriting. tim.kirkpatrick@wearethemighty.com


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