Expert Soldier Badge

PL: Tactical Handheld Radio

. Performance steps: (1) Assemble the radio. (a) Battery. (b) Antenna. (c) Headset or external microphone/speaker (May be done after loading COMSEC). (2) Power on the radio. (3) Load the appropriate COMSEC keys into the radio with an SKL. (a) Select the correct COMSEC keys for the appropriate week. (b) Load the correct hop set. (4) Program one secure, operational frequency into the radio according to the SOI. CT; SINGARS; frequency hop. (5) Change the settings to allow the radio to communicate via headset or external microphone/speaker. (6) Set the time with a DAGR. (7) Radio check. It is a NO-GO if the Candidate is unable to communicate with the Grader on the specified frequency or the Candidate uses improper RTO pronunciation or procedures.

WL: M249 Part 1 (Maintain)

. Performance steps: (1) Clear the weapon: (a) Point weapon in a safe direction. Ensure safety is on FIRE before moving bolt/operating rod assembly. (b) Pull and hold cocking handle with right hand palm up to rear, ensuring bolt locks completely to rear. (c) While holding the cocking handle to the rear with right hand palm up (with no tension on the bolt), place the safety to SAFE. (d) Push the cocking handle assembly to the fully forward and locked position. (e) Push in feed cover latches, look in a safe direction, raise feed cover, and conduct a five-point safety check for brass/links/ammunition. Check feed pawl assembly under cover and feed tray. Lift feed tray and inspect chamber. Check between face of bolt and chamber as well as under bolt/operating rod assembly. Check magazine well. Lower the feed tray and close the feed cover, making sure it locks shut. (f) Pull and hold cocking handle with right hand palm up to rear. (g) While holding the cocking handle to the rear with right hand palm up with no tension on the bolt, place the safety to FIRE. (h) While fully depressing the trigger, ease the bolt forward with right hand palm up to close and lock. Release the trigger. (i) Attempt to place the safety to SAFE; safety must not be able to be moved to SAFE. (2) Disassemble weapon into the following groups, ensuring all parts are on the correct nomenclature labels: (a) Driving spring mechanism rod (b) Spring (c) Trigger mechanism (d) Bolt carrier (e) Bolt (f) Gas operating rod (g) Hand guard (h) Heat shield (i) Bipod legs (j) Barrel (k) Gas regulator (l) Gas regulator collar (m) Gas tube (n) Receiver with feed tray and feed tray cover assembly (3) Assemble the weapon. (4) Perform a functions check: Note: Ensure the safety is on FIRE before moving the bolt/operating rod assembly. (a) Pull and hold cocking handle with right hand palm up to rear, ensuring bolt locks completely to rear. (b) While holding to rear with right hand palm up, with no tension on bolt, place on SAFE and depress trigger. Weapon should not fire. (c) While holding the cocking handle to the rear with right hand palm up, with no tension on the bolt, place the safety to FIRE, and depress the trigger. Ease the bolt forward to close and lock. Release the trigger. (d) Attempt to place on SAFE; safety must not be able to be moved to SAFE. Close ejection port cover. Time will stop when the candidate returns to the standing position with the weapon on the flat surface.

WL: Claymore (Electronic)

. Performance steps: (1) Emplace and fire: (a) Inventory the components: M57 firing device, M4 electric blasting cap assembly, M40 test set, and M7 bandoleer. (b) Select a firing position that offers cover and unobstructed observation of site selected for emplacing the munition. (c) Prepare the munition for employment. (1) Place bandoleer on shoulder or around neck. (2) Ensure firing device is on SAFE and remove dust covers from it and the test set. (3) Check the connectors and dust covers of the firing device and test set for foreign material. Remove dirt/debris from connectors/dust covers by gently tapping devices against palm of hand. (4) Plug the test set into the firing device. Move the firing device bail to the FIRE position. (5) Depress handle of firing device with a firm, quick squeeze, and observing flash through window of test set. Candidate states, "I see the light". Operator holds window near eye and shades with other hand. (6) Move firing device bail to SAFE position. Place firing device with test set attached in bandoleer. (7) Remove electrical blasting cap assembly from bandoleer. Remove twist tie from spool. (8) Starting at dust cover end of the electrical wire, uncoil approximately one meter of wire. (9) Hold the shorting plug/dust cover against the center of the chest with the left hand. (10) Encircle firing wire at shorting plug/dust cover base with index finger/thumb of right hand. (11) While holding right hand to chest, extend left hand to arm's length, pulling firing wire through fingers of right hand. Lock the elbow and pull all slack from the firing wire. (12) Allow shorting plug/dust cover to lay on the ground while tying off the firing wire. (13) At one-meter mark, fold firing wire to create a loop large enough to go around a stake/fixed object at firing position. Twist wire loop over index and middle fingers of right hand. Push loop through the circle. (14) Secure firing wire from shorting plug/dust cover side of munition to a stake or a fixed object at firing position. Ensure no friendly personnel are near blasting cap during circuit test. (15) Uncoil enough wire to place the spool out of sight. Place the remaining spool of wire (with the blasting cap inside the spool) under a sandbag, behind a tree, or in a hole in the ground. (16) Remove the firing device with the test set attached from the bandoleer. (17) Remove shorting plug/dust cover from connector of firing wire and the end of the test set. (18) Plug connector of firing wire into test set and move firing device safety bail to FIRE position. (19) Depress handle of firing device with a firm, quick squeeze, and observing flash of light through window of test set. Candidate states, "I see the light". When squeezing handle, an indicator lamp in window of test set flashes. This flash indicates that blasting cap circuitry is satisfactory. (20) Place firing device on SAFE. Disconnect test set from firing wire; replace shorting plug/dust covers. (21) Disconnect test set from firing device and replace dust covers. Repack in bandoleer. (22) Remove spool/firing wire/blasting cap from barrier used during circuit testing and walk tactically while unrolling wire from firing position to site selected for munition. Lay spool (with the blasting cap inside) down within arm's reach. (23) Assume a prone position and remove munition from bandoleer. Open legs to a 45-degree facing front/rear. (24) Ensure face of munition marked 'FRONT TOWARD ENEMY' and arrows on top of munition point to enemy. (25) Push legs into ground with munition facing direction of fire. In windy areas or when legs cannot be pressed into ground, spread them as far as they will go so they are facing front/rear and mine will not tip. (d) Aim the munition: (1) Select an aiming point at ground level in front of the munition. (2) Position one eye about six inches to the rear of the sight. (3) On knife-edge sight, align two edges of sight with aiming point. On slit-type peep sight, align groove of sight in line with aiming point that is two and a half meters off ground. Aiming point should be in center of area of coverage, with bottom edge of peep sight parallel to ground that is to be covered with fragment spray. (4) Aim the munition by aligning the two edges of the sight with the aiming point. (e) Arm the munition: (1) Remove the blasting cap from the spool's cavity. Secure the firing wire approximately one meter from the blasting cap side of the munition to a stake, a stone, gravel, a sandbag, or another available means. (2) Hold the blasting cap against the center of the chest with the left hand. (3) Encircle firing wire at base of the blasting cap with the index finger and thumb of the right hand. (4) While holding right hand to chest, extend left hand to arm's length, pulling firing wire through fingers of right hand. Lock the elbow and pull all slack from the firing wire. (5) Place the blasting cap back into the spool's cavity until ready to fire. (6) At one-meter mark, fold firing wire to create a loop with a large enough circumference to go around stake. (7) Twist loop over index/middle fingers of right hand. Push loop through circle created during previous step. (8) Secure the firing wire from the blasting cap side of the munition to a stake or a fixed object at the munition emplacement site. This prevents the munition from being misaligned if the firing wire is disturbed. (9) Unscrew/invert shipping plug priming adapter nearest stake or anchor. Remove blasting cap from spool. (10) Slide slotted end of shipping plug adapter approximately one inch onto firing wire between crimped connections and blasting cap. Pull wire through slotted end of adapter until top of blasting cap is firmly seated in bottom portion of shipping plug adapter. Screw adapter, with blasting cap, into detonator well. (11) Recheck the aim of the munition to ensure that the point of aim has not changed. (f) Camouflage the munition and firing wire on the way back to the firing position. (g) Seek cover. Remove firing device and test set from bandoleer; remove dust covers. Plug test set into firing device. (h) Remove shorting plug/dust cover from connector of firing wire and from end of test set. (i) Plug connector of firing wire into test set. Move firing device safety bail to FIRE position. (j) Place the eye near the window of the test set and squeeze the handle of the firing device quickly to observe the indicator lamp flashing through the window of the test set. Candidate states, "I see the light". (k) Move the firing device bail from FIRE position to the SAFE position. (l) Disconnect test set from firing wire and replace the firing wire and the test set shorting plug/dust covers. (m) Disconnect test set from firing device and replace test set dust covers. Repack test set into bandoleer. (o) Fire the munition: (1) Remove shorting plug/dust cover from end of firing wire. Connect the firing device to the firing wire. (2) State, "CLAYMORE" twice. Move firing device safety to FIRE and quickly squeeze handle. (2) Recover an unfired mine: (a) Disarm the mine: (1) Ensure firing device safety bail is in SAFE position. Disconnect firing device from the firing wire. (2) Replace shorting plug on firing wire and dust cover on firing device. Place firing device in bandoleer. (3) Remove firing wire from stake or anchor at firing position and place the firing wire forward of the position. (b) Recover the mine: (1) Walk tactically to mine, assume a prone position, and check for booby traps and tampering. (2) Remove shipping plug from detonator well. Separate shipping plug priming adapter from blasting cap. (3) Pick up the spool and insert the blasting cap inside it. Place the spool back on the ground. (4) Invert the shipping plug priming adapter and screw the plug end of the adapter into the detonator well. (5) Lift mine from emplacement and secure legs. Repack mine and all accessories into bandoleer. (6) Remove the firing wire from the stake, anchor, or base of the emplaced munition. (7) Pick up the spool. Wrap the firing wire on the spool as you move back to the firing position and secure the shorting plug and dust cover inside the spool. Ensure all components are packed in the bandoleer.

PL: Resection and military maps

. Performance steps: (1) Resection: (a) Identify your location on a map by resection using the map and compass method. (1) Orient the map on a flat surface using a compass. (2) Identify at least two well-defined points on the ground. (3) Mark these well-defined points on the map. (4) Plot the back azimuths of these points on the map. (a) Determine the magnetic azimuth from your location to one of the defined points. (b) Convert the magnetic azimuth to a grid azimuth. (c) Convert this grid azimuth to a back-grid azimuth. (d) Place the index point of a protractor on the well-defined point. (e) Align the protractor's 0- to 180-degree line to the top of the map's north-South grid line. (f) Ensure the 0-degree mark is pointing to the north (or top of map). (g) Place a tick mark on the map beside the number on the protractor that corresponds to the computed back grid azimuth. (h) Draw a straight line from the well-defined point to the tick and beyond. (i) Repeat for each well-defined point. (5) Identify the point where the lines intersect as your location. (6) Determine the six-digit grid coordinates to this location. (b) Identify your location on a map by resection using the straightedge method. (1) Orient your map on a flat surface using terrain association. (2) Locate at least two known distant locations or prominent features on the ground. (3) Plot these distant locations or prominent features on the map. (4) Draw a resection line for each of these plotted points. (a) Lay a straightedge on one of the two known points on the map. (b) Rotate the straightedge on the map until straightedge lines up with both the known position on the map and the known position in the distance. (c) Draw a line along straightedge away from the known position on the ground toward your position. (d) Repeat for each plotted point. (5) Identify the point where the lines intersect as your location. (6) Determine the six-digit grid coordinates to this location (2) Identify terrain features and colors on a map: (a) Major terrain features: (1) Hill. (2) Saddle. (3) Valley. (4) Ridge. (5) Depression. (b) Minor terrain features: (1) Draw. (2) Spur. (3) Cliff. (c) Supplementary terrain features: (1) Cut. (2) Fill. (d) Colors: (1) Blue: Hydrography or water features such as lakes, swamps, rivers, and drainage. (2) Black: Cultural (manmade) features such as buildings and roads, surveyed spot elevations, and all labels. (3) Green: Vegetation with military significance such as woods, orchards, and vineyards. (4) Brown: All relief features and elevation such as contours on older edition maps and cultivated land on red light readable maps. (5) Red: Cultural features, such as populated areas, main roads, and boundaries, on older maps. (6) Red-brown: Cultural features, all relief features, non-surveyed spot elevations, and elevation such as contour lines on red light readable maps. (e) Contour lines. (1) Index. (2) Intermediate. (3) Supplementary. (3) Identify Topographic Symbols: (a) Identify the sheet name. (b) Identify the sheet number. (c) Identify the series name. (d) Identify the scale. (e) Identify the series number. (f) Identify the edition number. (g) Identify the index to boundaries. (h) Identify the adjoining sheets diagram. (i) Identify the elevation guide. (j) Identify the declination diagram. (k) Identify the bar scales. (l) Identify the contour interval note. (m) Identify the spheroid note. (n) Identify the grid note. (o) Identify the projection note. (p) Identify the vertical datum note. (q) Identify the horizontal datum note. (r) Identify the control note. (s) Identify the preparation note. (t) Identify the printing note. (u) Identify the grid reference box. (v) Identify the unit imprint and symbol.

Patrol Lane Tasks

1. Adjust Indirect Fire 2. Move Under Direct Fire 3. Tactical Handheld Radio 4. Defense Advanced Ops Receiver Operations 5. Camo and Visual Signaling Techniques 6. M18A1 Claymore Mine (Electric/Non-Electric Initiation) 7. Chemical and Biological Operations 8. Resection and Military Maps 9. Operate PVS-14 Monocular Night Vision Device 10. Transmit a spot report with a Tactical Sat Radio

Weapons Lane Tasks

1. Clear, Disassemble, and perform a functions check on an M17 pistol. 2. Clear, Load, fire until stoppage occurs, perform immediate action, expend remaining ammunition, unload, and clear an M4/M16 Light Grenade Launcher Opt. 1 3. M240 Machine Gun Part 1 and 2 4. M240 Machine Gun Part 1 and 2 5. Identify and Employ Hand Grenades (1,2,3) 6. Range Card 7. Javelin 8. M2 .50 CAL Machine Gun 9. Mk19 Heavy Grenade Launcher 10. AT4

Medical Lane Tasks

1. Request Medical Evacuation 2. Provide Care under Fire/ Move casualty 3. Perform First Aid/ Restore Breathing/ Pulse 4. Evaluate a Casualty/ Heat Casualty 5. Control Bleeding 6. Eval/ Treat Spinal Injury and Shock 7. Apply Occlusive dressing/ Perform Needle Decompression 8. Perform First aid for an open head wound/ CBRNE Environment 9. Treat open Abdominal would and Eye injuries 10. Treat a fracture and a burn

WL: M4

Candidate will start with the weapon in the low ready position. f. Performance steps: (1) Clear the weapon: (a) Keep the weapon pointed in a safe direction. Attempt to place the weapon on SAFE. (b) Lock the bolt to the rear. (c) Pull the charging handle rearward. Press and hold the bottom of the bolt catch. (d) Allow bolt to move forward until it engages the bolt catch. Release the bottom of the bolt catch. (e) Return the charging handle to the forward position. (f) Ensure the receiver and chamber are free of ammo. Place weapon on SAFE. (2) Load the weapon: (a) Insert the magazine. (b) Push the magazine upwards until the magazine catch engages. (c) Tap upward on the bottom of the magazine to ensure the magazine is seated. (d) Press the upper portion of the bolt catch allowing the bolt to go forward and chamber a round. The bolt will not be ridden forward. (e) Tap forward assist to ensure that bolt is fully forward and locked. The weapon is now loaded. (3) Place the weapon on SEMI and begin engaging your target. (4) Perform immediate action: (a) Tap the bottom of the magazine firmly. (b) Rapidly pull charging handle and release to extract/eject previous cartridge and feed/chamber/lock new round. (c) Reassess by continuing the shot process. Weapon should fire. If weapon does not fire, proceed to remedial action (for this task, move to clear the weapon). (5) Clear the weapon: (a) Point weapon in safe direction. Attempt to place weapon on SAFE. Remove magazine from weapon. (b) Lock the bolt open (if not already). (c) Pull the charging handle rearward. Press the bottom of the bolt catch. (d) Move bolt forward until it engages bolt catch. Return the charging handle to the forward position. (e) Ensure the receiver and chamber are free of ammo. (f) Place the weapon on SAFE (if not already). (g) Press the upper portion of the bolt catch to allow the bolt to go forward. Close the ejection port cover.

ML: Treat an Abdominal wound and eye injuries

Performance Steps: (1) Check for both entry and exit wounds (there should only be one) by sitting casualty up or rolling to the side. (2) Position the casualty on back, flex knees, and turn head to side, keeping airway clear in case of vomiting. (3) Expose the wound. Pick up organs that are on ground using a clean, dry dressing and gently place on abdomen without touching them. Do not probe/clean/try to remove foreign objects from or push organs back inside body. (4) Apply a moist, sterile abdominal dressing. If an object is extending from wound, do not remove it. Place as much of wrapper over wound as possible without dislodging or moving. Do not place wrapper over object. (a) Ensure dressing is large enough to cover entire mass of protruding organs or area of the wound. (b) If large enough to cover affected area, place sterile side of plastic wrapper directly over wound. (c) Place dressing directly on wound or plastic wrapper if used. Do not apply pressure or expose internal parts. (d) Tie dressing tails loosely at casualty's side or secure hooking ends of closure bar into bandage. (e) Repeat if two dressings are needed. Ensure that ties of additional dressings are not tied over each other. (f) Ensure dressing is secured firmly enough to prevent slipping, without applying pressure. (5) Treat for shock: (a) Loosen binding clothing and prevent the casualty from getting chilled or overheated. While performing this step, the Grader will state, "The casualty is making vomiting sounds". (b) Roll to side without causing further injuries. Grader will state, "Vomiting has stopped". (c) Return to supine position with knees flexed. Re-secure bandages and blanket if needed. (6) Treat lacerations and contusions of tissue surrounding the eye (Grader prompt if not simulated). (a) Close the lid of the affected eye. Do not exert pressure or manipulate the globe in any way. (b) Cover the injury with moist, sterile dressing to prevent drying. (c) Cover torn eyelids with a loose dressing. Place field dressing over eye pad or dressing. (7) Treat injury to the eyeball (Grader prompt if not simulated). Do not reposition the globe or replace it in the socket. (a) Cover injured eye with a sterile dressing soaked in saline to keep the wound from drying. (b) Place a field dressing over eye pad. Tell the casualty not to squeeze the eyelids together. (8) Treat extrusion (Grader prompt if not simulated): (a) Cut a hole in several layers of dressing material and then moisten it with saline. (b) Place dressing so globe protrudes through hole without touching it. Build up dressing higher than globe. (c) Apply Fox eye shield or improvised object such as a paper cup, structural aluminum malleable (SAM) splint, or intact set of eyewear secured in place. (1) Apply garter shield cover or tape to edges of Fox eye shield or object. (2) Place over the injured eye, resting on the bony support of the face and secure with tape. (9) Treat protruding object (Grader prompt if not simulated): Immobilize object and dress with moist, loose dressing.

PL: Defense Advanced GPS Receiver (DAGR)

Performance Steps: (1) Load current month's and next month's crypto keys into the DAGR. (2) Restrict DAGR to use only secure satellites. (3) Enter mission duration. (4) Mark present position as a waypoint. (5) Enter three waypoints given. (6) Create a route using all four waypoints in the correct order. (7) Place DAGR in "Average Mode".

Evaluate a Casualty for a heat injury

Performance steps (1) Identify signs, symptoms, and treatment: (a) Type: Heat cramps. (1) Signs and symptoms: (a) Muscle cramps of the arms, legs, and/or abdomen (2) Treatment: (a) Move to shaded area and rest. (b) Loosen clothing. (b) Oral rehydration. (b) Type: Heat exhaustion. (1) Signs and symptoms: (a) Profuse sweating and pale/gray/moist/cool skin. (b) Headache. (c) Weakness. (d) Dizziness. (e) Temperature as high as 104 degrees. (2) Treatment: (a) Move the casualty to a shaded area and provide oral rehydration unless nauseated. (b) Loosen and/or remove the casualty's clothing and boots. (c) Pour water on the casualty and fan him/her if possible. (d) Cover with ice sheet; elevate legs. (c) Type: Heat stroke. (1) Signs and symptoms: (a) Core temperature rising above 106 degrees within 15 minutes. (b) Hot, dry skin. (c) Headache. (d) Dizziness. (e) Nausea. (f) Confusion. (g) Weakness. (h) Pulse and respirations are weak and rapid. (2) Treatment: (a) Call for evacuation. Candidate verbalizes. (b) Cool the casualty with any means available, even before taking the clothes off (Unit SOP). (c) Remove the casualty's outer garments and/or protective clothing. (d) Lay the casualty down and elevate his/her legs. (e) Immerse the casualty in cold water if available. (f) Place ice sheets/packs in groin, armpits, and around neck. (g) Cover all but the face with a soaked ice sheet. (h) Evacuate the casualty. Candidate verbalizes.

WL: Employ Hand Grenades

Performance steps Note: There are five standard positions to throw grenades - standing, prone-to-standing, kneeling, prone-to-kneeling, and alternate prone. However, if you can achieve more distance and accuracy using your own personal style, do so as long as your body is facing sideways and toward the enemy's position, and you throw the grenade overhand while maintaining control of your weapon. (1) Select proper throwing position: (a) Ensure you have a proper covered position. (b) Determine the distance to the target. (c) Align your body with the target. (2) Grip the hand grenade: Note: Do not remove the safety clip or the safety pin until the grenade is about to be thrown. (a) Place the hand grenade in the palm of the throwing hand with the safety lever placed between the first and second joints of the thumb. Note: For left handed throwers the grenade is inverted with the top of the fuse facing downwards. (b) Keep the pull ring away from the palm of the throwing hand so that it can be easily removed by the index or middle finger of the free hand. (3) Prepare the hand grenade. (a) Tilt the grenade forward to observe the safety clip. (b) Remove the safety clip by sweeping it away from the grenade with the thumb of the opposite hand. (c) Insert the index or middle finger of the non-throwing hand in the pull ring until it reaches the knuckle. (d) Ensure that you are holding the safety lever down firmly. (e) Twist the pull ring toward the body (away from the body for left handed throwers) to release the pull ring from the confidence clip. (f) Remove the safety pin by pulling the pull ring from the grenade. (4) Throw the hand grenade so it is within the effective range of the target: (a) Observe the target to estimate the distance between the throwing position and the target area. Note: In observing the target, minimize exposure time to the enemy (no more than 3 seconds). (b) Ensure there are no obstacles that can alter or block the flight of the grenade when it is thrown. (c) Confirm body target alignment. Allow the motion of the throwing arm to continue naturally once the grenade is released. (d) Seek cover to avoid being hit by fragments or direct enemy fire. Note: If no cover is available, drop to the prone position with your protective head gear facing the direction of the grenade's detonation. (f) Prepare second grenade. Only pull the pin if needed. (g) Reengage if grenade did not explode within five meters of the target (Grader guidance). Note: Allow the clock to run on the first throw. If the first grenade is ineffective, the candidate has the remaining time to reengage the target. Time will stop when the second grenade leaves the candidate's hand.

ML: Apply occlusive dressing and perform a needle decompression

Performance steps: (1) Apply occlusive dressing: (a) Expose the injuries. (b) Apply an occlusive dressing to the entry wound. (1) Upon full expiration, cover the wound with large, occlusive material dressing, covering the first wound encountered. (2) Ensure the material extends 2 inches beyond the edge of the wound. (3) Tape all four sides of the dressing (If a non-adhesive dressing). (c) Log roll the casualty on unaffected side and examine the back for an exit wound. (d) Apply an occlusive dressing to the exit wound using the same standards as Step b. (2) Verify the presence of tension pneumothorax by checking for at least three of the indications below; verbalize as needed: (a) Question the casualty about difficulty in breathing, pain on the affected side, or coughing up blood, and observe for signs of progressive respiratory distress. Grader will state, "Casualty is gasping for air and has pain on the wound side". (b) Observe the casualty's bare chest for respiratory rate depth and abdomen for progressive distension. Grader will state, "Casualty has poor respiratory rate and depth, and the abdomen is mildly distended". (c) Look for mediastinal shift manifested as a tracheal deviation and/or jugular distension. Grader will state, "Casualty does not have tracheal deviation, but has mild jugular distension". (d) Look at and feel the patient's chest for signs of air in the chest wall (subcutaneous emphysema). Grader will state, "You feel a crackling sensation on the casualty's chest". (e) Check for unilateral distension and chest expansion (excursion). (1) Place one hand on the affected side. (2) Place the other hand on the unaffected side. (3) Observe the height of each hand as the chest rises and falls. (4) Determine if the height of the hand on the affected side is greater during expiration than the height of the hand on the unaffected side. Grader will state, "The hand on the unaffected side is higher than the other". (f) Look for bluish skin (cyanosis). Grader will state, "You observe mild cyanosis". (g) Look for signs and symptoms of shock. Grader will state, "You observe two signs of shock-(Grader choice)". (3) Locate the insertion site. Locate the second intercostal space (between the second and third ribs) at the midclavicular line (approximately in line with the nipple) on the affected side of the patient's chest. (4) Thoroughly cleanse a 3 to 4 inch area around the insertion site. Begin in the center and work outward using a circular motion. (5) Apply a commercial needle decompression kit according to manufacturer's instructions or improvise by inserting a large bore (10 to 14 gauge) needle with attached catheter (steps below). (a) Place the needle tip, bevel up, on the insertion site (2nd intercostal space, midclavicular line). (b) Lower the proximal end of the needle to permit the tip to enter the skin just above the third rib margin. (c) Firmly insert the needle into the skin over the third rib, until the pleura has been penetrated, as evidenced by feeling a "pop" as the needle enters the pleural space. (d) Remove the needle and discard per unit SOP. (6) Decompress the affected side by aspirating as much air as is necessary to relieve the patient's acute symptoms. (7) Apply a commercial one-way flutter valve according to instructions or improvise (one method below). (a) Cut a finger casing from a sterile glove. (b) Cut off the fingertip. (c) Tie or tape the finger casing to the needle hub. (d) Check the operation of the improvised flutter valve. (1) Ensure that air passes through the needle-valve assembly and improvised flutter valve on expiration. (2) Ensure that the flutter valve collapses against itself on inspiration. (e) Secure the catheter to the chest. (8) Measure pulse and O2 SAT. Candidate can perform this step on themselves or another soldier since the casualty must be a mannequin, or Grader may prep the device screen with degraded vitals. (a) Wipe the index, middle, or ring finger tip with alcohol to ensure it is clean and dry. (b) Apply the sensor. (c) Document the readings on the TCCC card. (9) Record all treatments on the TCCC card. (a) Front of card: (1) Evacuation (EVAC): Mark an "X" on the casualty's evacuation priority/precedence (Urgent; Priority; or Routine). (2) Date - Write date of injury in DD-MMM-YY format. For example, "29-JUN-13". (3) Time: Write 24 hour time of injury, indicating whether local (L) or Zulu (Z) time, such as "1300Z". (4) Mechanism of Injury: Mark an "X" on the mechanism or cause of injury (artillery, blunt, burn, fall, grenade, gunshot wound (GSW), IED, landmine, motor vehicle crash/collision (MVC), rocket propelled grenade (RPG), other (specify)). Mark all that apply. (5) Injury: Mark an "X" at the site of the injury/injuries on the body picture. For burn injuries, circle the burn percentage(s) on the figure. If multiple mechanisms of injury and multiple injuries, draw a line between the mechanism of injury and the anatomical site of the injury. (6) Time: Write time of vital signs taken. (7) Pulse (rate & location): Write casualty's pulse rate. (8) O2 Sat: Write casualty's O2 Saturation. (9) AVPU: Write casualty's level of consciousness (AVPU: Alert, responds to Verbal stimulus, responds to Pain stimulus, Unresponsive). (b) Back of card: (1) Evacuation (EVAC): Mark an "X" on the casualty's evacuation priority/precedence (Urgent; Priority; or Routine). (2) C: Mark an "X" for all Circulation hemorrhage control interventions. For tourniquets (TQ), mark category (Extremity, Junctional and/or Truncal) and write name of TQ(s) used. For dressings, mark category (Hemostatic, Pressure, and/or Other) and write type of dressing(s) used. (3) B: Mark an "X" for all Breathing interventions oxygen (O2), needle decompression (Needle-D), Chest-Tube, (Chest-Seal) and write type of device(s) used. (4) First responder name: Print the first responder's name (Last, First). (5) First responder last 4: Write last four numbers of first responder's SSN.

ML: Perform First Aid to restore breathing and/or pulse

Performance steps: (1) Approach the casualty and check for responsiveness. Grader will state, "Casualty is unresponsive." (a) Direct a specific bystander to call for medical personnel. (b) Direct another specific bystander to retrieve an Automated External Defibrillator (AED). (2) Roll the casualty onto his/her back: (a) Kneel beside the casualty. (b) Raise the near arm and straighten it out above the head. (c) Adjust the legs so they are together and straight or nearly straight. (d) Place one hand on the back of the casualty's head and neck. (e) Grasp the casualty under the arm with the free hand. (f) Pull steadily and evenly toward yourself, keeping the head and neck in line with the torso. Roll the casualty as a single unit. (g) Place the casualty's arms at his/her sides. Grader will state, "Casualty does not appear to be breathing". (3) Open the airway using the head-tilt/chin-lift method: (a) Expose casualty's bare chest. (b) Kneel at the level of the casualty's shoulders. (c) Place one hand on casualty's forehead and apply firm, backward pressure with palm to tilt head back. (d) Place fingertips of other hand under bony part of lower jaw and lift, bringing chin forward. Do not use thumb to lift. Do not completely close casualty's mouth. Do not press deeply into soft tissue under chin. (4) Check for breathing: (a) While maintaining the open airway position, place an ear over the casualty's mouth and nose, looking toward the chest and stomach. (b) Look for the chest to rise and fall. (c) Listen for air escaping during exhalation. (d) Feel for the flow of air on the side of your face. (e) Count the number of respirations for 15 seconds. Grader will state, "Casualty is not breathing". (5) Insert an NPA: (a) Keep the casualty in a face-up position. (b) Select the appropriate size of airway by measuring from the patient's nostril to the earlobe or from the patient's nostril to the angle of the jaw. (c) Lubricate the tube of the NPA: (d) Push the tip of the casualty's nose upward gently. (e) Position tube of the NPA so that the bevel (pointed end) of the NPA faces toward the septum (the partition inside the nose that separates the nostrils). Most NPAs are designed to be placed in the right nostril. (f) Insert NPA into the nostril and advance it until the flange rests against the nostril. Never force the airway into the patient's nostril. If resistance is met, pull the tube out and attempt to insert it in the other nostril. (g) Recheck breathing per step 4. Grader will state, "Casualty is still not breathing". (6) Give breaths to ensure an open airway: (a) Insert a face shield, if available, into the casualty's mouth, with the short airway portion over the top of the tongue, and flatten the plastic sheet around the mouth. (b) Maintain airway and gently pinch nose closed (covering the NPA), using the hand on the casualty's forehead. (c) Take a normal breath and place your mouth, in an airtight seal, around the casualty's mouth. (d) Give two breaths (1 second each), taking a breath between them, while watching for the chest to rise and fall and listening and/or feeling for air to escape during exhalation. Breaths should not be over exaggerated or forceful. Grader will state, "The chest did not rise". (e) Reposition the casualty's head slightly farther backward and repeat the breaths. Grader will state, "The chest did not rise". (7) Perform chest compressions to clear the airway: (a) Kneel close to the side of the casualty's body. (b) Locate the nipple line placing the heel of one hand on the lower half of the sternum (breastbone). (c) Place the heel of the other hand on top of the first hand on the lower half of the breastbone, extending or interlacing the fingers. (d) Straighten and lock the elbows with the shoulders directly above the hands. (e) Without bending the elbows, rocking, or allowing the shoulders to sag, apply enough pressure to depress the breastbone 1½ to 2 inches. Give compressions at a rate of 100 per minute (hard and fast at a ratio of 30 compressions to 2 breaths) with the intent of relieving the obstruction. (f) Look in the mouth for objects between compressions and breaths. After one round of compressions and breaths, the Grader will state, "You see an object in the casualty's mouth". (g) Remove the object. Candidate simulates using proper technique. (8) Reopen airway and repeat the breaths (Steps 3 & 4). Grader will state, "You see the chest rise and fall with your breaths, but the casualty is still not breathing". (9) Check for a pulse for five to 10 seconds: Place tips of index and middle fingers in groove in casualty's throat beside the Adam's apple on the side closest to you. Do NOT use the thumb. Grader states, "You do not feel a pulse". (10) Perform CPR: (a) Position your hands and body for chest compressions as in step 7. (b) Give 30 compressions: (1) Press straight down to depress the breastbone 1 ½ to 2 inches. (2) Come straight up and completely release pressure on breastbone to allow chest to return to its normal position. The time allowed for release should equal the time required for compression. (3) Give 30 compressions in about 23 seconds (at a rate of 100 per minute). Do NOT remove the heel of your hand from the casualty's chest or reposition your hand between compressions. However, all pressure must be released from the chest cavity to allow for full chest wall expansion. (c) Give two breaths: (1) Open the casualty's airway. (2) Give two breaths (1 second each). (d) Repeat steps 10a-c for five cycles or two minutes. After one PROPERLY performed cycle, the Grader will state, "Two minutes has elapsed". If the candidate does not perform the steps properly within two minutes, they will be a NO-GO. (e) Reassess the casualty: (1) Check for the return of the pulse for 3 to 5 seconds. Grader will state, "You feel a pulse". (2) Check breathing for 3 to 5 seconds. Grader will state, "Casualty is not breathing". (f) Give breaths at the rate of one every 5 to 6 seconds (10 to 12 breaths per minute). Note: Breaths should not be over exaggerated or forceful. After the candidate has demonstrated proper performance, grader will state, "Two minutes has elapsed". If the candidate does not perform the steps properly within two minutes, they will be a NO-GO. (g) Recheck for pulse and breathing. Grader will state, "The casualty is breathing and conscious". (11) Place the casualty in the recovery position (by rolling him/her as a single unit onto his/her side, placing the hand of his/her upper arm under his/her chin, and flexing his/her upper leg) until help arrives. Watch the casualty closely for life-threatening conditions, maintain an open airway, and check for other injuries. (12) Candidate will state that if the casualty's condition deteriorates, they will continue CPR until: (a) The breathing and pulse returns. (b) They are relieved or stopped by a qualified person. (c) They are physically unable to continue.

PL: Transmit a spot report with a tactical man pack radio

Performance steps: (1) Assemble, load, program, and radio check: (a) Assemble and power on radio. Battery/batteries/power supply, LOS antenna, and headset/external microphone/speaker. (b) Load the correct COMSEC keys for the appropriate week into the radio with an SKL. (c) Program one secure (SC; cypher text (CT)), operational frequency, into the radio according to the SOI. (d) Radio check: Note: NO-GO if candidate cannot communicate on this frequency/uses improper pronunciation/procedures so long as it is not an equipment failure. (2) Send SPOTREP: (a) Prepare SPOTREP. (1) LINE 1: Date time group (DTG) of report submission. (2) LINE 2: Reporting unit and method of observation: unaided, binoculars, infrared, thermal, night vision device, unmanned aircraft system, or other. Follow with narrative if needed. (3) LINE 3: Size of detected element: (a) Persons: Military, Civilian. (b) Vehicles: Military, Civilian. (c) Equipment: Military, Civilian. (4) LINE 4: Activity of detected element at DTG of report (sub-type if applicable). If needed add narrative. (a) Attacking (direction from). (1) Air defense artillery (ADA) (engaging). (2) Aircraft (engaging) (rotary wing [RW], fixed wing [FW]). (3) Ambush improvised explosive device (IED) [exploded], IED [unexploded], sniper, anti-armor, other). (4) Indirect fire (point of impact, point of origin). (5) Chemical, biological, radiological, or nuclear (CBRN). (b) Defending (direction from). (c) Moving (direction from). (d) Stationary. (e) Cache. (f) Civilian (criminal acts, unrest, infrastructure damage). (g) Personnel recovery (isolating event, observed signal). (h) Other (give name and description). (5) LINE 5: location (grid coordinate with military grid reference system (MGRS) grid zone designator of detected element activity or event observed). Must send correct six-digit grid. (a) Candidate plots their location on the map. (b) Candidate determines direction to target using compass. (c) Candidate estimates distance to target using mil-relation method based on known size. (d) Candidate plots the enemy location on the map. (6) LINE 6: Unit (detected element unit, organization, or facility). If it cannot be identified it should be described in detail to include; uniform, vehicle markings, or other identifying information. (a) Conventional. (b) Irregular. (c) Coalition. (d) Host nation. (e) Nongovernmental organization (NGO). (f) Civilian. (g) Facility. (7) LINE 7: Time (DTG of observation). (8) LINE 8: Equipment element observed (and amplifying sub-type, if applicable). Narrative can be added to clarify/describe/explain the equipment. Nomenclature/type/quantity of all equipment observed should be provided if known. If equipment cannot be identified, it should be described in as much detail as possible. (a) ADA (missile (man-portable air defense system [MANPADS]), missile (other), gun). (b) Artillery (gun (self-propelled [SP]), gun (towed), missile or rocket, mortar) (c) Armored track vehicle (tank-personnel carrier-command and control-engineer-transport-other). (d) Armored wheel vehicle (gun, APC, C2, engineer, transport, other). (e) Wheel vehicle (gun, C2, engineer, transport, other). (f) Infantry weapon (anti-armor, RPG, machine gun, grenade launcher, small arms, other). (g) Aircraft (RW-attack/utility/observation helicopter; FW-attack/transportation/UAS/other). (h) Mine/IED (buried, surface, vehicle-borne IED, person-borne IED, other). (i) CBRN. (j) Supplies (class III, class V, other). (k) Civilian. (l) Other. (9) LINE 9: Assessment (reason for/purpose of activity and threats to/opportunities for friendly forces). (10) LINE 10: Narrative (actions taken related to the activity: attack-withdraw-observe-other). Potential for subsequent reports: air support-BDA-call for fire-casualty report-EOD support-MEDEVAC-other. (11) LINE 11: Authentication (report authentication) per SOP. (3) Send SPOTREP to next higher element.

PL: Chemical and Biological Operations

Performance steps: (1) Assume MOPP level three: (a) Don mask assembly. (1) Stop breathing and close eyes. (2) Remove helmet, put helmet between legs above knees or hold rifle between legs and place helmet on the muzzle. If helmet falls continue to mask. (3) Take off glasses and place in helmet, if applicable. (4) Open the mask carrier with non-firing hand. Nine second time standard starts. (5) Grasp the mask assembly with firing hand and remove it from the carrier. (6) Place chin in the chin pocket and press the face piece tight against face. (7) Hold mask assembly tightly against face. (8) Grasp the harness tab, pull the harness over and down the head as far as possible. Ensure the head harness is centered on the crown of the head and the temple straps are approximately parallel to the ground. (9) Grasp the loose end of the cheek straps, one at a time, and pull until strap feels tight. Note: Both straps should be approximately equal length when complete. The temple and forehead straps have already been adjusted during fitting; do not tighten. (b) Clear mask assembly. (1) Seal the outlet disk valve by placing one hand over the outlet valve cover assembly. (2) Blow out hard to ensure that any contaminated air is forced out around the edges of the face piece. (c) Seal mask assembly. (1) Cover both filter inlet ports with the palms of your hands and breathe in. (2) Ensure mask assembly collapse against the face. (3) Resume breathing. Nine second time standard stops. (d) Give the alarm. (1) Shout, "Gas, Gas, Gas". (2) Give the appropriate hand-and-arm signal per unit SOP. (e) Close mask carrier. (f) Don the mask hood, if applicable. Note: If the Soldier is using the mask in conjunction with the joint-service, lightweight integrated suit technology (JSLIST), he/she skips this step (the mask lacks a hood because it is built in on the JSLIST). Be careful when pulling on the hood because it could snag and tear on the buckles of the head harness. Be careful not to break face piece seal when pulling protective hood over your head. (1) Place hands under protective hood, stretch elasticized portion and raise protective hood up and over filters. (2) Carefully pull excess protective hood material over head, neck, and shoulders. (3) Grasp underarm straps. (4) Bring the male end of each underarm strap and fasten to female end. (5) Leave underarm straps loose enough to allow decontamination. (2) Assume MOPP Level four: (a) Seek overhead cover or use a poncho for protection against further contamination; put helmet down. (b) Decontaminate your hands, face, and the inside of your mask. (1) Remove one RSDL packet from your carrying pouch. Safety: Avoid contact with eyes and wounds. If contact with eyes or wounds occurs, rinse with water as soon as possible. (2) Tear it open quickly at any notch. (3) Remove the applicator pad from the packet and save the packet as the remaining lotion can be added to the applicator pad, if required. (4) Thoroughly scrub the exposed skin of your hand, palm, and fingers with the applicator pad. Note: The applicator pad can be used from either side and may be gripped in any manner allowing the applicator pad to be applied to the skin. (5) Switch the applicator pad to the other hand and repeat the procedure. (6) Stop breathing, close eyes, grasp mask beneath chin and pull mask away from chin enough to allow one hand between the mask and your face. Hold the mask in this position. (7) Thoroughly scrub the exposed skin of your face with lotion from the applicator pad. (8) Thoroughly scrub across your forehead. (9) Beginning at one side, scrub up and down across your cheeks, nose, chin, and closed mouth. Avoid ingesting. (10) Scrub under the chin from the ear along the jawbone to the other ear to coat your skin with lotion. (11) Turn your hand over and scrub the inside surfaces of the mask that may touch your skin. Be sure to include the drinking tube. Note: Do not apply lotion to the lens of the protective mask. The RSDL may cause loss of transparency. (12) Keep the applicator. (13) Seal your mask immediately, clear it, and check it. (14) Use the applicator and any remaining lotion in the packet. Without breaking the mask seal, scrub the applicator pad across the forehead, exposed scalp, the skin of the neck, ears, and throat. (15) Secure and tighten the hood. (16) Thoroughly scrub your hands with lotion again as in the steps above. (17) Assume MOPP Level 4 by putting on protective gloves; fasten Velcro. (c) Decontaminate your equipment (M295 or M334). (1) Open the M334 at either end where the kit is notched. (2) Remove one M334 packet from the kit. (3) Open an M334 packet at a notch on the packet. (4) Remove the individual wipe from the packet and unfold completely. (5) Decontaminate all contaminated individual equipment by wiping the surface using sweeping motions away from the body. Take care not to spread contamination to any area that has been visually determined clean. Note: M334 individual wipe may leave behind a film on decontaminated surfaces. This film may alter how certain surfaces (i.e. optics, reflective surfaces) process light. Refer to the decontaminated equipment's TM for cleaning procedures, as some surfaces may require specific procedures to avoid damaging the surface. In the absence of cleaning procedures, a lens cloth has been found to be an effective means of removing any film left behind by the M334 individual wipe. Note: The wipe may be folded/refolded as necessary to maximize use of the clean areas of the wipe, to obtain the proper grip, and to ensure even contact pressure. When wiping, pay special attention to areas that are hard to reach, such as cracks, crevices, and absorbent materials. To avoid premature evaporation of the solvent, do not open a new M334 packet until needed. (6) Dispose of contaminated waste material in accordance with unit SOP.

PL: Camouflage and visual signaling techniques:

Performance steps: (1) Camouflage: (a) Subtly employ realistic camouflage that resembles the background without overdoing. (b) Use natural or artificial materials to breakup regular shapes, outlines, and equipment. (c) Reduce possible shine by covering or removing items that may reflect light. (d) Blend colors with the surroundings, ensuring that objects do not contrast with the background. (e) Camouflage your exposed skin. (1) Cover your skin oils, using paint sticks, even if you have very dark skin. Note: Do not use oils or insect repellant to soften paint sticks. This defeats the purpose of paint sticks by making the skin shiny. Do not use mud, paint containing motor oil, or other field expedient paints for ESB. (2) Use the color chart when applying paint on the face. (3) Paint high, shiny areas (forehead, cheekbones, nose, ears, and chin) with a dark color. (4) Paint low, shadow areas (around the eyes, under the nose and under the chin) with a light color. (5) Paint exposed skin on the back of the neck, arms, and hands with an irregular pattern. (f) Camouflage your uniform and helmet. (1) Roll your sleeves down and fasten all buttons/zippers/Velcro. (2) Attach leaves, grass, small branches, or other items to your uniform/helmet that will distort shapes and blend colors with the natural background. Soldiers must be aware of foliage hazards/poisonous leaves. (3) Wear unstarched uniforms. (4) Do not wear excessively faded or worn uniforms because camouflage effectiveness is lost. (g) Camouflage your personal equipment. (1) Cover or remove shiny items. (2) Secure items that rattle or make noise when moved and/or worn. (3) Breakup the shape of large and/or bulky equipment using natural or man-made items. (2) Visual Signaling Techniques: (a) Combat formations: (1) Disperse: Extend the arm horizontally. Wave the arm and hand to the front, left, right, and rear. Point toward the direction of each movement. (2) Assemble or rally: Raise arm vertically overhead. Turn palm to the front. Wave in large horizontal circles. Point to assembly or rally site. (3) Join me, follow me, or come forward: Point toward person(s) or unit. Beckon by holding the arm horizontally to the front with palm up. Motion toward the body. (4) Increase speed, double time, or rush: Raise the fist to the shoulder. Thrust the fist upward to the full extent of the arm and back to shoulder level. Continue rapidly several times. (5) Quick time: Extend the arm horizontally sideward. Turn palm to the front. Wave the arm slightly downward several times, keeping the arm straight. Keep arm at shoulder level. (6) Enemy in sight: Hold the rifle in the ready position at shoulder level. Point rifle in the direction of enemy. (7) Wedge: Extend the arms downward to the side. Turn the palms to the front. Place your arms at a 45degree angle below horizontal. (8) Vee: Raise the arms. Extend the arms 45-degrees above the horizontal. (9) Line: Extend the arms. Turn palms downward parallel to the ground. (10) Coil: Raise one arm above the head. Rotate it in a small circle. (11) Staggered column: Extend the arms so that upper arms are parallel to the ground. Make sure the forearms are perpendicular. Raise the arms so they are fully extended above the head. (b) Battle drills: (1) Contact left or right: (Grader choice). Extend the left/right arm parallel to the ground. Bend the arm until the forearm is perpendicular. Repeat. (2) Action left or right: (Grader choice). Extend both arms parallel to the ground. Raise the left/right arm until it is overhead. Repeat. (3) Air attack: Bend the arms with forearms at a 45-degree angle. The forearms should cross. Repeat. (4) Nuclear, biological, or chemical attack: Extend the arms and fists. Bend the arms to the shoulders. Repeat. (c) Patrolling: (1) Map check: Place one hand on top of other. Point at palm of one hand with index finger of other hand. (2) Pace count: Bend knee so that heel can be tapped on. Tap heel of boot repeatedly with the open hand. (3) Head count: Raise one arm behind the head. Tap the back of the helmet repeatedly with an open hand. (4) Danger area: Raise one hand up until it is level with the throat. Draw the hand, palm down in a throat cutting motion across the neck. (5) Freeze or halt: Make a fist with one hand. Raise the fist to head level. (d) Control drivers: (1) Start engine or prepare to move: Simulate cranking of the engine by moving the arm, with the fist, in a circular motion at waist level. (2) Halt or stop: Raise the hand upward to the full extent of the arm, with palm to the front. Hold that position until the signal is understood. (3) Left or right turn: Grader choice. Extend the opposite arm horizontally to the side. Turn palm toward vehicle with finger extended in the direction of travel. (4) Move forward: Face the vehicle. Raise the hands to shoulder level with palms facing the chest. Move the hands and forearms backward and forward. (5) Move in reverse: Face the vehicle. Raise the hands to shoulder level with palms facing the vehicle. Move the hands and forearms backward and forward. (6) Stop engine: Extend the arm parallel to the ground with hand open. Move the arm across the body in a throat-cutting motion.

ML: Perform first aid for an open head wound/ CBRNE environment

Performance steps: (1) Check the casualty's level of consciousness by asking, "What is your name, where you, and what is today's date?" Grader states, "The casualty replies appropriately". (2) Position the casualty. (a) Have the casualty sit up. (b) Turn head to the side (opposite the wound) to prevent bleeding into the mouth. (3) Expose the wound by removing the casualty's helmet, if necessary, but retaining all MOPP garments. Do NOT attempt to clean the wound, remove a protruding object, or apply a pressure dressing. Do NOT put unnecessary pressure on the wound or attempt to push any brain matter back into the head (skull). Do NOT touch white (sterile) side of dressing or allow it to come into contact with any surface other than wound. (4) The following procedures are for applying a field dressing. If you are applying an emergency bandage, follow the procedure for other bleeding wounds, while observing general guidelines and precautions. (a) Apply the casualty's dressing to a wound on the forehead or back of head. (1) Apply dressing, white side down, directly over wound with tails extending toward sides of head. (2) Wrap tails, one at a time, around head in opposite directions, making sure tails cover dressing but not eyes or ears. (3) Tie the tails at the side of the head using a nonslip knot. (b) Apply the casualty's dressing to a wound on the top of head. (1) Apply the dressing, white side down, directly over the wound. (2) Wrap 1st tail under chin and bring up in front of ear over dressing above and in front of other ear. Note: Ensure tails remain wide and close to the front of the chin to avoid choking the casualty. (3) Wrap 2nd tail under chin in opposite direction and up the side of head to meet 1st tail. (4) Cross the tails. (5) Wrap one tail across forehead above eyebrows to a point just above and in front of opposite ear. (6) Wrap other tail above ear, low over back of head, and above opposite ear to meet the other tail. (7) Tie the tails using a nonslip knot. (c) Apply the casualty's dressing to a wound on the side of the head or cheek. (1) Apply dressing, white side down, directly over the wound with the tails extending up and down. (2) Wrap the top tail over the top of the head, down in front of the ear, under the chin, and up over the dressing to a point just above the ear. (3) Wrap the other tail in the opposite direction to meet the first tail. (4) Cross the tails and complete the procedure as follows: (a) Wrap 1st tail across forehead above eyebrows to a point above and in front of opposite ear. (b) Wrap the 2nd tail above ear, low over back of head, and above opposite ear to meet 1st tail. (c) Tie the tails using a nonslip knot. (5) Watch the casualty for life-threatening conditions, check for other injuries, and treat for shock. Seek medical aid.

WL: M249 Part 2 (Operate)

Performance steps: (1) Clear the weapon: (a) Point weapon in a safe direction. Ensure safety is on FIRE before moving bolt/operating rod assembly. (b) Pull and hold cocking handle with right hand palm up to rear, ensuring bolt locks completely to rear. (c) While holding the cocking handle to the rear with right hand palm up with no tension on the bolt, place the safety to SAFE. (d) Push the cocking handle assembly to the fully forward and locked position. (e) Push in the feed cover latches, look in a safe direction, raise the feed cover, and conduct a five-point safety check for brass, links, or ammunition. Check the feed pawl assembly under the cover. Check the feed tray. Lift the feed tray and inspect the chamber. Check the space between the face of the bolt and the chamber as well as the space under the bolt/operating rod assembly. Check the magazine well. Lower the feed tray. (2) Load the weapon: (a) Place link belt on feed tray with the first round against the cartridge stop with the tips of the rounds pointing towards the barrel. Tilt the weapon to the right and/or hold the ammunition belt in place if necessary. (b) Close the feed cover. Ensure the latches lock into place. Make sure rounds do not move away from cartridge stop during closing and latching of cover. (3) Place the weapon on FIRE and engage your target. (4) Take immediate action to correct a malfunction: Note: Weapon remains on shoulder while performing immediate action. (a) Pull and hold cocking handle with right hand palm up to rear ensuring bolt locks completely to rear. (b) Observe ejection port to see if a cartridge case/belt link/round ejects. If not, place on SAFE while holding cocking handle to rear with right hand palm up with no tension on bolt. Return cocking handle to forward and locked position and proceed to clear weapon. If a cartridge/belt link/round ejects, push the cocking handle forward. (c) Squeeze the trigger and continue mission. Proceed to clear the weapon if it does not fire. (5) Unload and clear the weapon: (a) Point weapon in a safe direction. (b) If the bolt is forward, ensure the safety is on FIRE before moving the bolt/operating rod assembly. If the bolt is fully locked to the rear, ensure the safety is on SAFE and proceed to step (5) (f) below. (c) Pull and hold cocking handle with right hand palm up to rear, ensuring bolt locks completely to rear. (d) While holding the cocking handle to the rear with right hand palm up with no tension on the bolt, place the safety to SAFE. (e) Return the cocking handle assembly to the fully forward and locked position. (f) Push in feed cover latches, look in a safe direction, raise feed cover, and conduct a five-point safety check, per step (1)(e) above. Lower the feed tray and close the feed cover, making sure it locks shut. (g) Pull and hold cocking handle with right hand palm up to rear. (h) While holding the cocking handle to the rear with right hand palm up with no tension on the bolt, place the safety to FIRE. (i) While depressing trigger, ease bolt forward to close and lock. Release trigger. Close ejection port cover.

WL: M240 Part 1 (Maintain)

Performance steps: (1) Clear the weapon: (a) Point weapon in a safe direction. Ensure safety is on FIRE before moving the bolt/operating rod assembly. (b) Pull and hold cocking handle with right hand palm up to rear, ensuring bolt locks completely to rear. (c) While holding the cocking handle to the rear with right hand palm up with no tension on the bolt, place the safety to SAFE. (d) Release the cocking handle assembly to the fully forward and locked position. (e) Push in feed cover latches, look in a safe direction, raise feed cover, and conduct a four-point safety check for brass/links/ammunition. Check feed pawl assembly under cover. Check feed tray. Lift feed tray and inspect chamber. Check between face of bolt and chamber as well as under bolt/operating rod assembly. (f) Lower the feed tray and close the feed cover, making sure it locks shut. (g) Pull and hold cocking handle with right hand palm up to rear. (h) While holding the cocking handle to the rear with right hand palm up with no tension on the bolt, place the safety to FIRE. (i) While fully depressing the trigger, ease the bolt forward to close and lock. Release the trigger. (j) Attempt to place the safety to SAFE; safety must not be able to be moved to SAFE. (2) Disassemble the weapon into the following groups, ensuring all parts are on the correct nomenclature labels: (a) Buttstock and buffer assembly (b) Bolt and operating rod assembly (c) Driving spring rod assembly (d) Trigger housing assembly (e) Barrel assembly; removing heat shield (f) Cover assembly (g) Feed tray (h) Receiver assembly Note: Time will stop when the candidate returns to the standing position with all parts of the weapon on the flat surface. (3) Assemble the weapon. (4) Perform a functions check, ensuring the safety is on FIRE before moving the bolt/operating rod assembly. (a) Pull and hold cocking handle with right hand palm up to rear, ensuring bolt locks completely to rear. (b) While holding handle to rear with right hand palm up, with no tension on bolt, place on SAFE and depress trigger. Weapon should not fire. (c) While holding the cocking handle to the rear with right hand palm up, with no tension on the bolt, place the safety to FIRE, and depress the trigger. Ease the bolt forward to close and lock. Release the trigger. (d) Attempt to place on SAFE; safety must not be able to be moved to SAFE. Close ejection port cover. Note: Time will stop when the candidate returns to the standing position with the weapon on the flat surface.

WL: M320

Performance steps: (1) Clear, load, and fire: (a) Point the weapon in a safe direction. Ensure weapon is on SAFE. (b) Press barrel release and pivot barrel out from receiver. (c) Make sure bore and chamber is clear of round or spent cartridge. Insert a single round of ammunition into barrel. (d) Ensure cartridge is seated fully forward in rear of barrel. Pivot barrel into receiver until barrel locking lever engages barrel. There should be an audible click when the barrel locking lever engages barrel. (e) Place the weapon on fire. Engage your target. Note: Candidate will start from the last position in the previous task. (2) Unload and clear an unfired round: (a) Keep the weapon pointed in a safe direction, with trigger finger outside trigger guard. (b) Place the weapon on SAFE. Press upward on barrel release lever and pivot barrel out from receiver. (c) Grasp rim of round. Pull rearward to remove round or cartridge case from the barrel. (d) Secure the round back in the appropriate pouch. Pivot barrel into receiver until barrel release lever engages barrel. (e) Ensure weapon is still on SAFE.

WL: Claymore (Non-electronic)

Performance steps: (1) Emplace and fire: (a) Inventory the component: The shock tube assembly with M81 pull initiator and the M7 bandoleer. (b) Select a firing position that offers cover and unobstructed observation of site selected for emplacing munition. (c) Prepare the munition for employment: (1) Place the bandoleer on the shoulder or around the neck. (2) Ensure that the munition and all accessories are in the bandoleer. (3) Walk tactically to the desired location where the munition will be setup. (4) Assume a prone position. Remove the munition from the bandoleer. (5) Open both pairs of legs to a 45-degree angle with two legs facing front and two legs facing rear. (6) Ensure face of munition marked 'FRONT TOWARD ENEMY' and arrows on top point toward enemy. (7) Push legs about one-third of the way into ground with the munition facing in the desired direction of fire. Note: In windy areas or when legs cannot be pressed into the ground, legs should be spread as far as they will go (about 180 degrees) so that legs are to the front and rear of the mine and the mine will not tip over. (d) Aim the munition: (1) Select an aiming point at ground level in front of the munition. (2) Position one eye about six inches to the rear of the sight. (a) On a knife-edge sight, align the two edges of the sight with the aiming point. (b) On slit-type peep sight, align groove of sight in line with aiming point that is two and a half meters off the ground. Aiming point should be in center of the desired area of coverage, with the bottom edge of the peep sight parallel to the ground that is to be covered with the fragment spray. (3) Aim the munition by aligning the two edges of the sight with the aiming point. (e) Arm the munition: (1) Remove the blasting cap from the shock tube assembly. (2) Secure the shock tube approximately one meter from the blasting cap side of the munition to a stake, a stone, gravel, a sandbag, or another available means. (3) Hold the blasting cap against the center of the chest with the left hand. (4) Encircle shock tube at base of the blasting cap with the index finger and thumb of the right hand. (5) While holding the right hand to the chest, extend the left hand to arm's length, allowing the shock tube to be pulled through the fingers of the right hand. (6) Lock the elbow and pull all slack from the shock tube. (7) Place the blasting cap back into the shock tube assembly until ready to arm. (8) At the one-meter mark, fold the shock tube to create a loop with a large enough circumference to go around the chosen stake. (9) Twist the loop over the index and middle fingers of the right hand. (10) Push the loop through the circle created during previous step. (11) Secure shock tube to stake/stone/sandbag/etc. (12) Unscrew and invert the shipping plug priming adapter nearest to the stake or anchor. (13) Slide the slotted end of the shipping plug priming adapter onto the shock tube of the blasting cap between the crimped connections and the blasting cap. (14) Pull the excess shock tube through the slotted end of the adapter until the top of the blasting cap is firmly seated in the bottom portion of the shipping plug priming adapter. (15) Screw the adapter, with the blasting cap, into the detonator well. (16) Recheck the aim of the munition to ensure that the point of aim has not changed. (17) Unwind and camouflage the remaining shock tube on the way back to the firing position. (f) Secure the shock tube to a stake or a fixed object at the firing position: (1) Remove the pull initiator from the shock tube assembly. (2) Secure the shock tube approximately one meter from the pull initiator side of the munition to a stake, a stone, gravel, a sandbag, or another available means. (a) Hold the pull initiator against the center of the chest with the left hand. (b) Encircle shock tube at base of pull initiator with the index finger and thumb of the right hand. (c) While holding the right hand to the chest, extend the left hand to arm's length, allowing the shock tube to be pulled through the fingers of the right hand. (d) Lock the elbow and pull all slack from the shock tube. (e) Place the pull initiator back into the shock tube assembly until ready to fire. (f) At the one-meter mark, fold the shock tube to create a loop with a large enough circumference to go around the chosen stake. (g) Twist the loop over the index and middle fingers of the right hand. (h) Push the loop through the circle created during previous step. (i) Secure shock tube to stake/stone/sandbag/etc. (g) Fire the munition: (1) Seek cover. (2) Remove the initiator from the shock tube assembly. (3) Remove the safety pin (cotter pin) on the initiator and place it in the bandoleer for possible use later. Do not hold the shock tube while firing. This can cause minor burns as the flame burns through the tube. (4) Alert friendly personnel by announcing "CLAYMORE" twice. (5) While holding body of the initiator with one hand, insert the index finger of the other hand into the pull ring. (6) While holding the body of the initiator, turn the pull ring ¼ to the right or left. Then, pull the ring sharply. (2) Recover an unfired Mine: (a) Disarm the mine: (1) Check the initiator to ensure the safety pin is in place, if not: (a) Remove the initiator safety pin from the bandoleer. (b) Align the pull rod safety pin hole with the safety pin hole in the body of the initiator. While holding the body of the initiator, turn the pull ring until the safety pin hole in the pull rod aligns with the safety pin hole in the body of the initiator. (c) Insert the safety pin through the body of the initiator. (d) Gently spread the open ends of the safety pin, just enough to keep the safety pin from falling out. Secure the initiator to the shock tube assembly. (b) Recover the mine: (1) Remove the shock tube from the stake or anchor at the firing position. (2) Walk tactically, wrapping shock tube around shock tube assembly, while moving toward emplaced munition. (3) Assume a prone position. Lay the shock tube assembly down by the stake or anchor. (4) Observe the munition and surrounding area to check for booby traps and tampering. (5) Remove the shipping plug priming adapter from the detonator well. (6) Remove the blasting cap and shock tube from the shipping plug priming adapter. (7) Place the blasting cap inside the shock tube assembly. (8) Invert the shipping plug priming adapter and screw the plug end of the adapter into the detonator well. (9) Lift the munition from its emplacement and secure the folding legs. (10) Repack munition in bandoleer. Pick up shock tube assembly and remove shock tube from stake or anchor at munition emplacement site. Wrap the remaining shock tube around the shock tube assembly. (11) Repack the shock tube assembly with pull initiator in the bandoleer. (12) Move back to the firing position. Ensure that all items are packed in the bandoleer.

ML: Evaluate and treat a casualty

Performance steps: (1) Identify signs and symptoms of shock: (a) Sweaty but cool skin. (b) Pale skin. (c) Restlessness or nervousness. (d) Thirst. (e) Severe bleeding. (f) Confusion. (g) Rapid breathing. (h) Blotchy blue skin. (i) Nausea and/or vomiting. (j) Low blood pressure. (k) Absence of distal pulse. (l) Capillary refill delayed more than three seconds. (2) Apply cervical collar: (a) Have the other Soldier kneel at the casualty's head and manually apply in-line stabilization of the head and neck. If the assistant is notional, the Grader will state, "The other Soldier has the head and neck in-line and immobilized". (b) Reassure the casualty and explain the procedure to him/her. (c) Measure and determine the size of collar to apply. (d) The front height of the collar should fit between the chin and the chest at the suprasternal notch. (e) Once in place, the collar should rest on the shoulder girdle and provide firm support under both sides of the mandible without obstructing the airway or any ventilation efforts. (f) If the collar is too large, the casualty's neck may be placed in hyperextension. (g) If the collar is too small, the casualty's neck may be placed in hyperflexion. (h) Size the collar based on the manufacturer instructions. (i) Apply the collar to a supine casualty. (j) Ensure the other Soldier maintains in-line stabilization. (k) Set the collar in place around the neck. (l) Secure the Velcro strap in place. (m) Maintain manual stabilization of the head and neck until the casualty is immobilized on a long spine board. If the assistant is notional, the Grader will state, "The other Soldier has the head and neck immobilized". (n) Immobilize casualty to spine board using straps and head immobilization blocks (or improvise). (3) Assess for shock: (a) Assess casualty's level of consciousness. Grader will state, "Casualty does not answer, but reacts to pain". (b) Evaluate skin. Grader will state, "Skin is pale and moist; abdomen is distended". (c) Assess capillary refill on a finger. Grader will state, "Capillary refill takes four seconds". (d) Check for pedal pulse (skin to skin; no thumb). Grader will state, "You do not feel a pulse". (e) Check for femoral pulse (skin to skin; no thumb). Grader will state, "You do not feel a pulse". (f) Check for radial pulse (skin to skin; no thumb). Grader will state, "You do not feel a measurable pulse". (g) Check for carotid pulse (skin to skin; no thumb). Grader will state, "You feel a weak but rapid pulse". (h) Measure pulse for 30 seconds (skin to skin; no thumb). Grader prompt if using a mannequin. (i) Assess respirations. Grader will state, "Respirations are rapid but shallow". (j) Measure respirations for 30 seconds. Grader prompt if using a mannequin. (4) Treat for hemorrhagic shock. (a) Position the casualty. (1) Move the casualty under shelter to shade him/her from direct sunlight. Note: Secure casualty to the litter before moving. If no assistant is available, Candidate will verbalize, but still ensure to secure the casualty on the litter. (2) Maintain supine position and spinal immobilization. (b) Loosen clothing at the neck, waist, or anywhere it is binding. (c) Prevent the casualty from getting chilled or overheated. Using a blanket or clothing, cover the casualty to avoid loss of body heat by wrapping completely around the casualty, underneath the litter straps. Re-secure the patient on the litter. (d) Calm and reassure the casualty; watch the casualty closely for life-threatening conditions. (5) Correctly record all treatments on the front and back of the TCCC Card: (a) Evacuation (EVAC): -Mark an "X" on the casualty's evacuation priority/precedence (Urgent; Priority; Routine). (b) Date: Write date of injury in DD-MMM-YY format. For example, "29-JUN-13". (c) Time: Write 24 hour time of injury, and indicate whether local (L) or Zulu (Z) time. For example, "1300Z". (d) Mechanism of Injury: Mark an "X" on the mechanism or cause of injury (artillery, blunt, burn, fall, grenade, gunshot wound (GSW), IED, landmine, motor vehicle crash/collision (MVC), rocket propelled grenade (RPG), other (specify)). Mark all that apply. (e) Injury: Mark an "X" at the site of the injury/injuries on the body picture. If multiple mechanisms of injury and multiple injuries, draw a line between the mechanism of injury and the anatomical site of the injury. (Spinal injury and internal bleeding). (f) Time: Write time of vital signs taken. (g) Pulse (rate & location): Write casualty's pulse rate. (h) Respiratory Rate: Write casualty's respiratory rate. (i) AVPU: Write casualty's level of consciousness (AVPU: Alert, Verbal, Pain, Unresponsive). (j) Evacuation (EVAC): Mark an "X" on the casualty's evacuation priority/precedence (Urgent; Priority; Routine). (k) Other: Mark an "X" for other treatments administered (combat pill pack, eye shield (mark right (R) or left (L)), splint, hypothermia prevention) and type of device(s) used. (Cervical collar). (l) Notes - Use this space to record any other pertinent information and/or clarifications. (Patient exhibiting signs and symptoms of shock). (m) First responder name: Print the first responder's name (Last, First). (n) First responder last 4: Write last four numbers of first responder's SSN. (o) Secure the TCCC card to the casualty per unit SOP.

ML: Control Bleeding

Performance steps: (1) Perform a blood sweep of the extremities, neck, armpits, and groin areas. Expose wounds if bleeding is detected. If the second wound is not simulated, the grader will identify the location during the blood sweep. If the candidate fails to sweep that area or detect the wound, they are a NO-GO. (2) Apply a hemostatic dressing to the major non-arterial wound that is bleeding heavily: (a) Remove all clothing or equipment to obtain access to the wound. (b) Identify the point of bleeding within the wound. Remove any pooled blood from the wound cavity with your hand or a wad of cotton gauze. Locate the bleeding vessel(s). (c) Pack Combat Gauze directly over the source of bleeding; pack the wound with the entire dressing. (d) Apply direct pressure for 3 minutes; periodically check dressing to ensure placement and bleeding control. When performed correctly, grader will state, "Three minutes has elapsed, and wound is still bleeding". (e) Pack second Combat Gauze into wound. When performed correctly, grader will state, "Bleeding is under control". (f) Bandage wound to secure the dressing in place. (1) Apply cotton gauze (either wad or rolled) over the dressing. (2) Secure in place with an emergency bandage, elastic bandage, tape, or other type available. (3) Reassess any tourniquets placed during care under fire to ensure they are still effective. Grader will state, "The wound spurts blood when the limb is moved". (a) Attempt to further tighten the CAT until bleeding stops. Candidate will verbalize this and will ensure to not overtighten if using an actual Soldier as a casualty. Grader will state, "The CAT is still ineffective". (b) Place a second CAT, from the casualty's IFAK, side-by-side but above the other tourniquet: (1) Pull free end of self-adhering band through buckle and route through friction adapter buckle. On an arm wound, it is not necessary to route the strap through the friction adapter. (2) Pull self-adhering band tight around extremity and fasten it back on itself as tightly as possible. (3) Twist the windlass until the bleeding stops. Candidate will verbalize this and will ensure to not overtighten if using an actual Soldier as a casualty. (4) Lock the windlass in place within the windlass clip and secure the windlass with the windlass strap. (5) Assess for absence of a distal pulse. Candidate should perform and verbalize with proper technique. Pulse must be taken with skin to skin contact and not using their thumb. (6) Place a "T" and the time of the application on the casualty with a marker (provided in casualty's IFAK). This can be simulated and verbalized, or a piece of lamination can be applied to the casualty's forehead so each Candidate can perform the task. (7) Secure the CAT in place with tape (provided in casualty's IFAK). (8) Apply a pressure or hemostatic dressing.

ML: Request Medical Evacuation

Performance steps: (1) Prepare the MEDEVAC request: (a) Determine grid coordinates for pickup, providing complete six-digit grid with identifier, accurate within 200 meters. (b) Determine operational radio frequency, call sign, and suffix. Candidate uses SOI to determine necessary information. Candidate makes appropriate changes to radio and prepares for transmission on MEDEVAC frequency. (c) Determine number of patients and precedence. Candidate uses TCCC cards to determine necessary information. (d) Determine special equipment required based on the site location, patient injuries, and additional guidance. (e) Determine number and type of patients. Candidate uses TCCC cards to determine the necessary information. (f) Determine security of pickup site. Give this information to the candidate during the Condition brief. (g) Determine method of marking the pickup site. Candidate must choose based on the choices given. (h) Determine patient nationality and status. Candidate uses TCCC cards to determine the necessary information. The number of patients in each category need not be transmitted. (i) Determine terrain description based on site location/map/additional guidance. While only required in peacetime, it can be given. It is used when not in a CBRNE environment. (2) Transmit lines 1-5: (a) Candidate states, "I have a MEDEVAC request". Grader provides a response within three seconds. (b) Line 1: Six-digit grid, including grid zone identifier. (c) Line 2: Operational frequency, call sign, and suffix. Candidate will use this frequency later to transmit lines 6-9. (d) Line 3: A+#-Urgent, B+#-Urgent-Surgical, C+#-Priority, D+#-Routine, E+#-Convenience. States, "Break" between categories. (e) Line 4: A-None, B-Hoist, C-Extrication Equipment, D-Ventilator. (f) Line 5: L+#-Litter, A+#-Ambulatory. State, "Break" between categories. End transmission by stating, "Over" (3) Transmit lines 6-9: (a) Candidate switches radio to operational frequency and regains contact with evacuation platform for transmission of remaining lines. Grader initiates contact, requesting remaining lines when candidate switches radio frequency. (b) Line 6: N-No enemy in area, P-Possibly enemy in area, E-Enemy in area, X-Enemy in area (armed escort required). (c) Line 7: A-Panels, B-Pyrotechnic signal, C-Smoke, D-None, E-Other. (d) Line 8: A-U.S. military, B-U.S. citizen, C-Non-U.S. military, D-Non-U.S. citizen, E-Enemy prisoner of war. (e) Line 9: Provide description of pertinent terrain information. End transmission by stating, "Over".

ML: Treat a fracture and a burn

Performance steps: (1) Reassure casualty and explain the process of treating the fracture, loosen tight/binding clothing, and remove jewelry from limb, placing in casualty's pocket. (2) Check for signs of circulation problems below injury: Grader prompts the nature of the casualty's circulation. Check light-skinned persons for skin color (pale, white, or bluish gray). Check dark-skinned persons by depressing toenail or fingernail beds and seeing how fast the color returns. A slower return of color to the injured side indicates a circulation problem. Feel injured arm or leg to see if it is colder than the uninjured one. Ask about presence of numbness, tightness, or cold sensation. (3) Splint-improvised or SAM splint (Grader choice): SAM splints do not require padding (no femur fractures). Improvised splints are made from two rigid objects. Use improvised materials to secure the rigid objects/keep fracture immobilized. Use improvised materials to pad the splints. If splinting materials are not available, use the chest wall to immobilize a suspected fracture of the arm and the uninjured leg to immobilize the fractured leg. (a) As a rule, splint fracture in position found. If no circulation below fracture site or limb is grossly angulated, you cannot effectively splint it. You may need to gently realign it. Note: Grader will prompt the status of the fracture. With one hand supporting fracture site, use other to grasp part of limb farthest from fracture and gently pull traction. (b) Ensure ends of splints do not press against groin. Pressure could interfere with blood circulation. (c) Place one splint on each side of arm/leg and pad appropriately. Make sure splints reach beyond joints above and below fracture. A single SAM splint may be used for small fractures such as wrist. (d) Tie nonslip knots on splint with improvised or actual cravats. Do not tie cravats directly over the fracture. Gently place at least two cravats above and two cravats below the fracture if possible. (e) Check splint for tightness. Make sure cravats are tight enough to hold splinting materials securely in place. Recheck circulation below injury to make sure that circulation is not impaired. Make any adjustments to improve circulation without allowing splint to become ineffective. (4) Sling-actual or improvised (Grader choice): Make an improvised sling from non-stretching material. (a) Ensure supporting pressure is on uninjured side and hand of supported arm is slightly higher than elbow. (b) Recheck circulation below the injury to make sure that circulation is not impaired. (c) Make any adjustments to improve circulation without allowing the sling to become ineffective. (5) Swathe (Grader choice): Apply when there is a splinted fracture of elbow/leg or when fracture cannot be splinted. (a) Place swathes above and/or below the fracture, not over it. (b) Apply swathes to arm by wrapping over injured arm, around casualty's back, and under arm on uninjured side. Tie ends on uninjured side. (c) Apply swathes to injured leg by wrapping swathes around both legs and tying on uninjured side. (d) Recheck circulation below the injury to make sure that circulation is not impaired. (e) Make any adjustments to improve circulation without allowing the swathe to become ineffective. (6) Treat burn: (a) Cut casualty's clothing away from burns and remove potentially constricting items such as rings/bracelets. (b) Apply a dry sterile dressing securely but not overly tight. Cover extensive burns with a sterile sheet/linen.

PL: Move under direct fire

Performance steps: (1) Select a route that adheres to the instructions provided by your team leader. Note: Grader will brief the candidate the left and right limits of the station. (a) Search the terrain to your front for good firing positions. Large trees, rocks, stumps, fallen timber, rubble, vehicle hulls, man-made structures, and folds or creases on the ground may provide both cover and concealment. (b) Select the best route to the positions. A gully, ravine, ditch, or wall at a slight angle to your direction of travel may provide cover and concealment when using low/high crawl movement techniques. Hedge rows or a line of thick vegetation may provide concealment only when using the low or high crawl technique. Pick a route that minimizes your exposure to enemy and does not cross in front of team members. (2) Communicate your movement intent to your buddy/team leader, using voice or hand and arm signals. Candidate will return fire, move to cover, and yell the direction, distance and description. (3) Suppress the enemy as required throughout the movement. (4) Conduct movement using the appropriate techniques to reach each position. These three techniques do not need to be in sequence, but instead must be employed correctly based on the terrain and enemy situation. Using an incorrect technique for the circumstances or an incorrect sequence of subtasks will be a NO-GO. (a) Move using high crawl technique. This lets you move faster than the low crawl and still gives you a low silhouette. Use when there is good cover and concealment, but enemy fire prevents you from getting up. (1) Keep your body off of the ground, resting your weight on your forearms and lower legs. (2) Cradle your weapon in your arms and keep the muzzle of the weapon off the ground. (3) Keep your knees well behind your buttocks so it stays low. (4) Move forward by alternately advancing your right elbow/left knee, and left elbow/right knee. (b) Move using low crawl technique. The low crawl gives you the lowest silhouette. It is used to cross places where cover and/or concealment are very low and enemy fire or observation prevents you from getting up. (1) Keep your body as flat as possible to the ground. (2) Grasp the sling of the weapon at the upper sling swivel with your firing hand. (3) Let the hand guard rest on your forearm and keep the muzzle of the weapon off the ground. (4) Move forward. (a) Push both arms forward while pulling your firing side leg forward. (b) Pull on the ground with both arms while pushing with your firing side leg. (c) Repeat until you reach your next position. (c) Move using rush technique. The rush is the fastest way to move from one position to another. Use when you must cross an open area and time is critical. (1) Raise your head and select your next position. (2) Lower your head and draw your arms into your body. (3) Pull your firing side leg forward, raise your body, and get up quickly. (4) Run for 3-5 seconds to your next position. (5) Plant both feet just before hitting the ground; fall forward and drop to your knees. (6) Slide your firing hand down to the heel of the butt of your weapon, using it to break your fall. (5) Occupy your identified firing position within 100 meters of the enemy position and engage the enemy. Note: Grader will verbalize the destruction of the enemy. Time will stop.

ML: Provide Care Under Fire and Move a Casualty

Performance steps: (1) Suppress enemy fire: (a) Return fire and take cover until fire suppression is achieved. Note: Time starts when fire suppression has been achieved. (Grader states). (1) Candidate will return fire, move to cover, and yell direction, distance, and description. (2) Direct the casualty to return fire, move to cover, and administer self-aid to stop the bleeding. When the candidate has demonstrated the proper techniques, the grader will state "Fire suppression has been achieved", or the enemy fire will stop. (3) Candidate states, "Cover me". Grader will reply, "Got you covered". (2) Move the casualty, his/her weapon, and mission-essential equipment to cover using the Cradle-drop drag (below), or any appropriate technique, without causing further injuries or losing any equipment: (a) With the casualty lying on his/her back, kneel at the head. (b) Slide your hands, palms up, under the casualty's shoulders getting a firm hold under his/her armpits. (c) Partially rise, supporting the casualty's head on one of your forearms. You may bring your elbows together and let the casualty's head rest on both of your forearms. (d) With casualty in a semi-sitting position, rise and drag backwards to the nearest covered position. (3) Administer life-saving bleeding control by applying the CAT to the wounded extremity: (a) Expose the wound and remove the CAT from the casualty's IFAK. (b) Place CAT, 2-3 inches above the wound on the injured extremity. (c) Pull the free end of the self-adhering band through the buckle and route through the friction adapter buckle. (d) Pull the self-adhering band tight around the extremity and fasten it back on itself as tightly as possible. (e) Twist the windlass until the bleeding stops. Candidate will verbalize this and will ensure to not overtighten if using an actual Soldier as a casualty. (f) Lock the windlass in place within the windlass clip. (g) Secure the windlass with the windlass strap. (h) Assess for absence of a distal pulse. Candidate should perform and verbalize with proper technique. Pulse must be taken with skin to skin contact and not using their thumb. (i) Place a "T" and the time of the application on the casualty with a marker (provided in casualty's IFAK). This can be simulated and verbalized, or a piece of lamination can be applied to the casualty's forehead so each candidate can perform the task. (4) Transport and transfer a Casualty: (a) Move the casualty using a Sked litter. (1) Prepare the Sked litter for transport. (a) Remove the Sked litter from its pack and place it on the ground, unfasten the retainer strap. (b) Step on foot end of Sked litter and unroll completely, bending the Sked in half and back roll. (c) Repeat with the opposite end of the litter so that the Sked litter lays flat. (d) Pull out the handholds, straps for the casualty, and dragline at the head of the litter. (2) Place and secure a casualty to a Sked litter. (a) Place the Sked litter next to the casualty so that the head end of the litter is next to the casualty's head and place the cross straps under the Sked litter. (b) Log roll casualty onto his/her non-CAT side in a steady and even manner. (c) Slide the Sked litter as far under the casualty as possible. (d) Gently roll the casualty until he/she is again lying on his/her back with the litter beneath him/her. (e) Slide casualty to middle of the Sked litter, keeping his/her spinal column as straight as possible. (f) Pull out the straps from under the Sked litter and bring the straps across the casualty. (g) Lift sides of Sked litter and fasten the four cross straps to the buckles directly opposite the straps. (h) Lift the foot portion of the Sked litter feeding the foot straps over the casualty's lower extremities and through the unused grommets at the foot end of the Sked litter. (i) Fasten the straps to the buckles and check to make sure the casualty is secured to the Sked litter. (j) Reassess CAT. (3) Suppress the enemy. (a) Candidate will return fire. When the candidate has demonstrated the proper techniques, the Grader will state "Fire superiority has been achieved", or the enemy fire will stop. (b) Candidate states, "Cover me". Grader will reply, "Got you covered". (4) Drag the casualty 50 meters to the casualty collection point (CCP) and reassess CAT. (5) Document injuries and treatment given on casualty's TCCC Card (in IFAK) for transfer to medical personnel. (a) Remove TCCC Card. Administrative data will already be filled out. (b) Complete all pertinent entries as fully as possible. (1) Front of card: (a) Evacuation (EVAC): - Mark an "X" on the casualty's evacuation priority/precedence (Urgent; Priority; or Routine). (b) Date: Write date of injury in DD-MMM-YY format. For example, "29-JUN-13". (c) Time: Write 24 hour time of injury, and indicate whether local (L) or Zulu (Z) time. For example, "1300Z". (d) Mechanism of Injury: Mark "X" on mechanism or cause of injury (artillery, blunt, burn, fall, grenade, gunshot wound (GSW), IED, landmine, motor vehicle crash/collision (MVC), rocket propelled grenade (RPG), other (specify)). Mark all that apply. (e) Injury: Mark an "X" at the site of the injury/injuries on the body picture. (f) TQ: R Leg (tourniquet, right leg) - If a tourniquet is applied to the right leg, write type of tourniquet used and the time of tourniquet application. (g) TQ: L Leg (tourniquet, left leg) - If a tourniquet is applied to the left leg, write type of tourniquet used and the time of tourniquet application. (2) Back of card: (a) Evacuation (EVAC): Mark "X" on casualty's priority/precedence (Urgent; Priority; Routine). (b) C: Mark an "X" for all Circulation hemorrhage control interventions. For tourniquets (TQ), mark category (Extremity, Junctional and/or Truncal) and write name of TQ(s) used. (c) First Responder Name: Print the first responder's name (Last, First). (d) First Responder Last 4: Write last four numbers of first responder's Social Security number. (c) Attach completed card to casualty per unit SOP. Do not attach the card to casualty's body armor as this equipment may will be separated from the casualty once they arrive at the medical treatment facility (MTF).

WL : M17 Pistol

Performance steps: Note: Candidate will start from a standing position with the weapon resting on the flat surface. (1) Clear the weapon. (a) Point the pistol in a safe direction for the duration of the event. (b) Place the safety lever in the safe (down) position (c) Depress the magazine release and remove the magazine from the pistol. (d) Grasp the slide serrations and fully retract the slide. (e) Lock the slide to the rear using the slide stop. (f) Visually inspect the chamber, magazine well, and bolt face to ensure it is clear. Release the slide forward. (2) Disassemble the weapon into the following components, ensuring all parts are on the correct nomenclature labels: (a) Magazine. (b) Receiver. (c) Barrel. (d) Slide assembly. (e) Recoil spring guide assembly. Note: Time will stop when the candidate returns to the standing position with all parts of the weapon on the flat surface. (3) Assemble the pistol: Note: Candidate will start from the last position in the previous task. (a) Grasp the slide with the bottom facing up. (b) Grasp the barrel assembly with the locking block facing up with the other hand. (c) Insert the muzzle into the forward end of the slide and simultaneously, lower the rear of the barrel assembly by moving the barrel slightly. Note: The barrel will fall into place. (d) Insert the recoil spring guide into the recoil spring. (e) Insert the end of the recoil spring and the recoil spring guide into the recoil spring housing and simultaneously, compress the recoil spring and lower the spring guide until it is fully seated on the locking block cutaway. (f) Push the firing pin block lever down. (g) Grasp the slide and barrel assembly with the sights up and align the slide on the receiver assembly guide rails. (h) Push until the rear of the slide is a short distance beyond the rear of the receiver assembly and hold, simultaneously, rotate the disassembly latch lever upward. Note: A click indicates a positive lock. (4) Perform a functions check: Note: Candidate will start from the last position in the previous task. (a) Insert an empty magazine into magazine well. Ensure magazine catch engages and locks magazine in place. (b) Push up on manual safety lever to engage safety. (c) Grasp slide serrations and pull the slide to rear until it locks. The magazine follower should push up on slide stop, locking slide to rear. Press the magazine catch. The magazine will fall free from pistol. (d) Press the slide catch. This will release the slide to the forward position. Ensure the slide is fully forward on the pistol. (e) Press the trigger. The striker should not be released. (f) Depress manual safety lever. (g) Press trigger and hold to rear. Striker should be released. An audible click should be heard. (h) While still holding trigger to rear, fully retract and release slide. (i) Release trigger. A light audible click should be heard and felt as the striker resets. (j) Press trigger. The striker should release and you should hear and feel a loud audible click. Note: Time will stop when the candidate returns to the standing position with the weapon on the flat surface.

WL: M9 Pistol

Performance steps: Note: Candidate will start from a standing position with the weapon resting on the flat surface. (1) Clear the weapon: Note: Do not allow the hammer to fall with full force by pulling the trigger when the slide is removed, as damage to the receiver will occur. If necessary, the hammer should be manually lowered. (a) Point the pistol in a safe direction for the duration of the event. (b) Place on SAFE. Depress the magazine release and remove the magazine from the pistol. (c) Grasp the slide serrations and fully retract the slide. Lock the slide to the rear using the slide stop. (d) Visually inspect the chamber, magazine well, and bolt face to ensure it is clear. Release the slide forward. (2) Disassemble the weapon: Note: Place the components on the correct nomenclature labels. (a) Magazine (b) Receiver (c) Barrel (d) Slide assembly (e) Recoil spring guide (f) Recoil spring. Note: Time will stop when the candidate returns to the standing position with all parts of the weapon on the flat surface. (3) Assemble the pistol. (a) Grasp the slide with the bottom facing up. (b) Grasp the barrel assembly with the locking block facing up with the other hand. (c) Insert the muzzle into the forward end of the slide and simultaneously lower the rear of the barrel assembly by moving the barrel slightly. Note: The barrel will fall into place. (d) Insert the recoil spring guide into the recoil spring. (e) Insert the end of the recoil spring and the recoil spring guide into the recoil spring housing and simultaneously compress the recoil spring and lower the spring guide until it is fully seated on the locking block cutaway. (f) Push the firing pin block lever down. (g) Grasp the slide and barrel assembly with the sights up and align the slide on the receiver assembly guide rails. (h) Push until the rear of the slide is a short distance beyond the rear of the receiver assembly and hold, simultaneously, rotate the disassembly latch lever upward. Note: A click indicates a positive lock. Note. Candidate will start from the last position in the previous task. (4) Perform a functions check: (a) Depress the slide stop. Insert the empty magazine into the pistol. (b) Ensure that the magazine catch locks the magazine in place. (c) Retract the slide fully and release. The slide should lock to the rear. (d) Depress the magazine release button allowing the magazine to fall freely into the hand. (e) Depress the slide stop and allow slide to return fully forward. The hammer should fall to full forward position. (f) Squeeze and release trigger. The firing pin block should move up and down. The hammer should not move. (g) Place the safety lever in the FIRE position. (h) Squeeze the trigger to check the double action. The hammer should cock and fall. (i) Squeeze the trigger again and hold it to the rear. (j) Manually retract and release the slide. (k) Release the trigger. You should hear a click, but the hammer should not fall. (l) Squeeze the trigger to check the single action. The hammer should fall. Note: Time will stop when the candidate returns to the standing position with the weapon on the flat surface.

WL: M240 Part 2 (Operate)

Performance steps: Note: Candidate will start in the prone position not touching the weapon. (1) Clear the weapon: (a) Point weapon in a safe direction. Ensure safety is on FIRE before moving the bolt/operating rod assembly. (b) Pull and hold cocking handle with right hand palm up to rear, ensuring bolt locks completely to rear. (c) While holding the cocking handle to the rear, with right hand palm up, with no tension on the bolt, place the safety to SAFE. (d) Push the cocking handle assembly to the fully forward and locked position. (e) Push in feed cover latches, look in a safe direction, raise feed cover, and conduct a four-point safety check for brass, links, or ammunition. Check feed pawl assembly under cover. Check feed tray. Lift feed tray and inspect chamber. Check between face of bolt and chamber as well as under bolt/operating rod assembly. (f) Lower the feed tray. (2) Load the weapon: (a) Place link belt on feed tray with the first round against the cartridge stop with the tips of the rounds pointing towards the barrel. Tilt the weapon to the right and/or hold the ammunition belt in place if necessary. (b) Close feed cover, ensuring latches lock. Ensure rounds do not move from cartridge stop during closing. (3) Place the weapon on FIRE and engage your target. (4) Take immediate action to correct a malfunction: Note: Weapon remains on shoulder while performing immediate action. (a) Pull and hold, with palm up, cocking handle with right hand to rear, ensuring bolt locks completely to rear. (b) Observe ejection port to see if a cartridge case/belt link/round ejects. If not, place on SAFE while holding cocking handle to rear (with no tension on the bolt). Return cocking handle assembly to forward and locked position and proceed to clear weapon. If something ejects, push the cocking handle forward. (c) Squeeze the trigger and continue mission. Proceed to clear the weapon if it does not fire. (5) Unload and clear the weapon: (a) Point weapon in a safe direction. If bolt is forward, ensure safety is on FIRE before moving bolt/operating rod assembly. If the bolt is fully locked to the rear, ensure the safety is on SAFE and proceed to step e. (b) Pull and hold, with palm up, cocking handle with right hand to rear, ensuring bolt locks completely to rear. (c) While holding the cocking handle to the rear (with no tension on the bolt), place the safety to SAFE. (d) Return the cocking handle assembly to the fully forward and locked position. (e) Push in the feed cover latches, look in a safe direction, raise the feed cover, and conduct a four-point safety check (per step 1e above); lower the feed tray and close the feed cover, making sure it locks shut. (f) Pull and hold, with palm up, the cocking handle assembly with the right hand to the rear. (g) While holding the cocking handle to the rear (with no tension on the bolt), place the safety to FIRE. (h) While depressing trigger, ease bolt forward to close and lock. Release trigger. Close ejection port cover.

WL: MK19

Performance steps: Note: Candidate will start in the seated (if on tripod) or standing (if vehicle-mounted) position not touching the weapon. (1) Clear the weapon: (a) Place the safety switch to SAFE and remove the case catch bag, if applicable. (b) Charge the weapon. Pull both charger handles to the rear ensuring the bolt locks to the rear. Return both charger handles to the forward position and rotate only one charger handle up. (c) Open the top cover assembly and check for rounds on the bolt, on/below feed tray, and feeder pawls. (d) Return the bolt to the forward position. Place the safety switch on FIRE. Hold one charger handle to the rear. Ride the bolt forward by squeezing the trigger and easing the bolt forward. Ensure both charger handles are forward and in up position and place the safety switch on SAFE. (2) Load the weapon: (a) Attach feed throat to feeder. Squeeze spring-loaded pins on feed throat; insert into slots on sides of feeder. (b) Insert round through feed throat (female first) into feeder. Push across first set of feeder pawls, ensuring it is straight and firmly seated against bolt. Push secondary drive lever to right and close to cover assembly. (c) Load the first round to the fully loaded position. Pull both charger handles to the rear ensuring the bolt locks to the rear. Return both charger handles to the forward and up position. Place safety switch in FIRE position. Squeeze the trigger allowing the bolt to slam forward. Pull both charging handles to rear. Return both charger handles to the forward and up position. (3) Attempt to fire the weapon until a stoppage occurs. (4) Take immediate action: (a) Hold weapon on target and pull the bolt to the rear. Observe or attempt to catch live round as it ejects. (b) Push both charger handles forward to up position. Attempt to reengage target; expend remaining ammunition. (5) Unload and clear the weapon: (a) Place the safety switch to SAFE and remove the case catch bag, if applicable. (b) Charge the weapon. Pull both charger handles to the rear ensuring the bolt locks to the rear. Return both charger handles to the forward position and rotate only one charger handle up. (c) Remove live round or spent case from the bolt, if present. Insert the tip of a cleaning rod or tool through the receiver rail, as close to the bolt face as possible, with tip of rod or tool on top of round or case. Position one hand beneath the weapon to catch the round as it falls out. Force round off the bolt face and out the bottom of the gun by pushing down on the cleaning rod or tool. Attempt to catch round as it falls out. (d) Open top cover assembly. Remove linked rounds from feeder. Reach beneath feed tray with one hand. Press and hold primary and secondary positioning pawls. Slide linked rounds out of feeder and feed throat. (e) Return the bolt to the forward position. Place the weapon on FIRE. Hold one charger handle to the rear. Ride the bolt forward by squeezing the trigger and easing the bolt forward. Ensure both charger handles are forward and up position. Place the weapon on SAFE.

WL: M2 Machine Gun

Performance steps: Note: Candidate will start in the seated (if on tripod) or standing (if vehicle-mounted) position not touching the weapon. (1) Clear the weapon: (a) Place the trigger block on SAFE and unlock the bolt latch release. (b) Raise the cover and lift the cartridge extractor. (c) Remove the ammunition belt from the feed way. (d) Place cartridge extractor down and close the cover. (e) Pull and lock the bolt to the rear, leaving the retracting slide handle to the rear. (f) Open the cover and inspect the chamber and T-slot for rounds. Press the bolt latch release and ease the bolt forward with retracting slide handle. Close the cover. (2) Load the weapon: (a) Ensure the bolt is forward and bolt latch release is locked. (b) Insert double-loop end of ammunition belt into feed way until first round is engaged by belt-holding pawl. (c) Pull the retracting slide handle rearward, retracting the bolt all the way to the rear. (d) Release handle. The machine gun is now half-loaded. A round is not in the chamber. (e) Pull the retracting slide handle to the rear for a second time to fully load the gun. (f) Release handle. A round is now in the chamber and the machine gun is ready to fire. (3) Place the trigger block on FIRE and engage your target. (4) Take immediate action to correct a malfunction for a cool weapon (has fired less than 200 rounds in two minutes): (a) Hold the weapon on target. (b) Wait 10 seconds in case the weapon has a hang fire. (Candidate verbalizes this step). (c) Pull the retracting handle to the rear. (d) Observe that round or case ejects. If yes, continue to next step; if not, proceed to unload weapon (5) below. (e) Return the retracting slide handle to its forward position. (f) If the bolt locks to the rear, depress the bolt latch to return the bolt to the forward position. (g) Attempt to reengage the target; expend remaining ammunition. (5) Unload and clear the weapon, removing all rounds and links: (a) Place trigger block on SAFE and unlock the bolt latch release. (b) Raise the cover and lift the cartridge extractor. (c) Remove the ammunition belt from the feed way. (d) Place cartridge extractor down and close the cover. (e) Pull and lock the bolt to the rear, leaving the retracting slide handle to the rear. (f) Open the cover and inspect the chamber and T-slot for rounds. (g) Press the bolt latch release and ease the bolt forward with retracting slide handle. Close the cover.

WL: Hand Grenades

Performance steps: Identify the following hand grenades: (1) M67 Fragmentation: (a) Use to disable or kill personnel. (2) MK3A2 Offensive grenade: (a) Use for concussion effect in enclosed areas. (b) Use against enemy in bunkers, buildings and fortified areas. (c) Use for blasting. (d) Use for demolition tasks. (3) M84 Diversionary/Flash-bang Stun hand grenades: (a) Use for disorientation, confusion, and loss of hearing. (b) Use as a non-lethal diversionary device. (c) Use to damage eyesight and night vision during limited visibility. (4) M18 Colored smoke: (a) Use for screening. (b) Use for signaling. (5) AN-M14 TH3 Incendiary hand grenade: (a) Use to destroy equipment. (b) Use to start fires. (6) ABC-M7A2 AND ABC-M7A3 Riot control hand grenades: (a) Use to control riots or disable without serious injury.