Historically in warfare, the majority of all combat deaths have occurred prior to a
casualty ever receiving advanced trauma management. The execution of the Ranger
mission profile in the Global War on Terrorism and our legacy tasks undoubtedly will
increase the number of lethal wounds.
Ranger leaders can significantly reduce the number of Rangers who die of
wounds sustained in combat by simply targeting optimal medical capability in close
proximity to the point of wounding. Survivability of the traumatized Ranger who sustains
a wound in combat is in the hands of the first responding Ranger who puts a pressure
dressing or tourniquet and controls the bleeding of his fallen comrade. Directing
casualty response management and evacuation is a Ranger leader task; ensuring
technical medical competence is a Ranger Medic task.
A solid foundation has been built for Ranger leaders and medics to be successful
in managing casualties in a combat environment. An integrated team response from
non-medical personnel and medical providers must be in place to care for the wounded
Ranger. The Ranger First Responder, Squad EMT, Ranger Medic Advanced Tactical
Practitioner, and Ranger leaders, in essence all Rangers must unite to provide medical
care collectively, as a team, without sacrificing the flow and violence of the battle at
An integrated team approach to casualty response and care will directly translate
to the reduction of the died of wounds rate of combat casualties and minimize the
turbulence associated with these events in times of crisis. The true success of the
Ranger Medical Team will be defined by its ability to complete the mission and greatly
reduce preventable combat death. Rangers value honor and reputation more than their
lives, and as such will attempt to lay down their own lives in defense of their comrades. The Ranger Medic will do no less.