1. CONFIRM SCENE SAFETY AND DON PPE: Verify the scene is stable before approaching any casualty. Confirm the vehicle is secure, check for fuel leaks or other hazards, and put on nitrile exam gloves before making patient contact.

2. CONDUCT INITIAL TRIAGE: Quickly assess all casualties to establish priority of care. Direct ambulatory patients to a safe location and instruct them to apply direct pressure to any bleeding wounds while you focus on the most critically injured patient.

3. ADDRESS MASSIVE HEMORRHAGE: Use bandage shears to cut away clothing and fully expose injuries. Pack or cover severe wounds with BleedStop hemostatic bandages or large trauma pads and apply firm, sustained pressure. Secure dressings with an elastic bandage as needed.

4. ASSESS AIRWAY AND CERVICAL SPINE: Confirm the patient has a patent airway. If the patient is conscious and speaking, the airway is open. Given any high-energy mechanism such as a vehicle rollover, verbally instruct the patient to keep their head and neck still until spinal injury is ruled out.

5. EVALUATE BREATHING AND CIRCULATION: Assess rate and quality of breathing. Obtain a pulse and use the blood pressure unit with the stethoscope to establish a baseline reading. Document findings and monitor trending values as an indicator of developing shock.

6. PERFORM HEAD-TO-TOE EXAMINATION AND TREAT SECONDARY INJURIES: Mold the padded flexible splint to immobilize any suspected fracture and secure it with the elastic bandage. Do not attempt fracture reduction in the field. Apply a cervical collar only if mechanism of injury indicates spinal involvement and you are trained to do so. Deploy an emergency blanket immediately to prevent or treat hypothermia.

7. TREAT AMBULATORY CASUALTIES: Once the priority patient is stabilized, address the remaining casualties. Clean lacerations with BZK antiseptic towelettes, close minor wounds with butterfly wound closures, and apply antibiotic ointment with appropriate dressing coverage.

8. DOCUMENT INTERVENTIONS AND MONITOR CONTINUOUSLY: Record the time of the incident, all treatments rendered, and all vital sign readings. Continuously reassess the critical patient's mental status and circulation until evacuation arrives, and prepare them for transport with a complete handoff report.