CLSs will continue treatment until handoff with medical personnel and should communicate with:

1. The casualty throughout assessment and treatment
2. Tactical leadership about casualty status and evacuation requirements
3. The evacuation system (TACEVAC), including 9-line MEDEVAC request/MIST
4. Medical providers about casualty assessment and treatment (DD Form 1380)

Communicate with the casualty throughout care. Being physically wounded may generate significant anxiety and fear above and beyond the psychological trauma of combat. Talking frankly with the casualty about their injuries and offering reassurance by describing the treatments being rendered and emphasizing that everything possible is being done on their behalf and that they will be well taken care of will help to counter their anxiety. Be honest about the injuries sustained but maintain a positive attitude about rescue and treatment. Talking with the casualty helps assess their mental status, while talking through procedures helps maintain your own confidence and the casualty’s confidence in you.

Communicate with tactical leadership ASAP and throughout casualty treatment. Tactical leadership needs to understand the impact on the mission. For example, tactical leadership may need to know:

- How many casualties were inflicted?
- Who is down as a casualty?
- Can the casualty still fight?
- Has the enemy threat been eliminated?
- Are weapons systems down or fields of fire not covered because the unit has taken casualties?
- Is it necessary to have others fill in the casualties fighting positions? Or do the casualties need to be moved?

Communicate with the evacuation coordination cell to arrange for TACEVAC. Communicate with medical providers about details of the casualty injuries. This includes 9-line communication and ongoing MIST reports.

Medical leadership may need to know:

- What injuries were sustained?
- What is the mental and physical status of each casualty?
- What treatments were needed and rendered?
- Does the medic need to triage multiple casualties?
- Should the medic move to a casualty, or should the casualty be moved to the medic?
- Are there enough Class VIII medical supplies?
- Does the unit need to break out litters or extraction equipment?