Since massive hemorrhage control often represents the transition from Care Under Fire to Tactical Field Care (TFC); there are a few things to highlight prior to talking about the details of massive hemorrhage.

Remember to maintain security and tactical situational awareness during TFC. Casualties with altered mental status who can no longer fight effectively should have weapons, communications equipment, and sensitive items secured so they do not cause harm to themselves, teammates, or the mission.

As mentioned previously, it may be necessary to triage casualties and direct the actions of other responders before actually beginning individual casualty assessment while still ensuring that massive bleeding is the #1 treatment priority.