What is the first step a provider should take in the Care Under Fire phase?

In the Care Under Fire phase of Tactical Combat Casualty Care (TCCC), the priority is to ensure the safety of both the provider and the casualty. The correct first step involves returning fire and seeking cover before assisting the casualty. This step is essential because in a combat situation, the threat to life is not just from the casualty’s injuries but also from ongoing enemy fire.

By returning fire and finding cover, the provider can secure a safe environment from which to assess and provide care. Once the area is secure, the provider can safely approach the casualty and perform necessary assessments and interventions. This approach emphasizes the importance of personal and situational safety in tactical care, ensuring that caregivers are not exposed to additional danger while attempting to render aid.