Combat Lifesaver Program Links and Information

Ensure Unit Combat Lifesaver Requirements Are Met 081-831-1055(SL4)

Soldiers Manual of Common Tasks Skill Levels 2 - 4 STP 21-24-SMCT August 2003
Notes. No updates available

Conditions: You are an NCO appointed as the combat lifesaver program coordinator. The combat lifesaver correspondence course is going to be used for the unit training.
Note. The combat lifesaver program coordinator will be the medical NCO, if one is assigned.

Standards: Conducted the combat lifesaver program in accordance with AR 350-1, paragraph 4-12 and subcourse IS0826.

Performance Steps

1. Research information on the combat lifesaver program.

a. Read AR 350-1, paragraph 4-12. The address to access the AR is—

b. Read AMEDDC&S information about the combat lifesaver program and course options. The program is downloadable from the following address—

c. Read DA Pam 350-59, Combat Lifesaver Section, section VIII. The address to access the Pam is—

2. Determine the number of personnel who need to be trained. Check local unit personnel training records to determine the number of qualified combat lifesavers and distribution of the CLs by squad. (See step 9, Ensure combat lifesavers maintain proficiency.)

Note. There should be at least one combat lifesaver per squad, crew, or equivalent-size unit.

Note. If there are too few soldiers to be trained, check other units in the area about combining students for the course. There is the possibility you may have too many students requiring more frequent classes until the required number are trained.

Note. Recommend that all qualified combat lifesavers notify the combat lifesaver coordinator as soon as a new assignment notification is received. This will allow the coordinator to schedule training of replacement combat lifesavers. A list could be generated by S-1 PAC that shows personnel PCS/ETS and CL status.

3. Contact the appropriate staff surgeon combat lifesaver program supervisor at corps/division/brigades and separate brigade-size units. The coordination should be accomplished prior to the start of training.

Note. A phone call, e-mail, or memorandum giving notification of intent to conduct a course is normally sufficient. In real life the PAs at the Bn level are aware of the training for local units and the Bn senior medical NCO will probably run the course.

4. Identify and appoint a qualified Instructor and assistants as applicable.

a. Estimate the number of instructors/assistants required.

Note. The surgeon combat lifesaver supervisor or an experienced CL instructor should be able to give you an idea of the student to teacher ratio. Also, if you can obtain a copy of the lesson plans in IS0826, you can determine the number of instructors and assistants required for each lesson.

b. If a qualified instructor is not available from the unit being trained, request training instructor support from the next higher command surgeon or local medical treatment facility.

Note. The primary instructor will be at least a senior medical NCO and either hold primary 91W, 18D or be a licensed paramedic (state or national), registered nurse, physician assistant, or physician. The instructor for the intravenous infusion lesson must be an expert in administering IVs and qualified to handle emergencies that could arise when students practice initiating IVs. (This can be a senior 91W, 18D, LPN, EMT-1 or P, RN, PA or MD.) For the IV portion, the student/instructor ratio needs to be two students per instructor.

5. Enroll selected unit personnel in the combat lifesaver training course at least eight weeks before group instruction begins.

Note. Tell the soldiers they can receive eight promotion points for successful completion of the combat lifesaver course.

a. Cover letter signed by battalion commander or a lieutenant colonel or higher (see example).





MEMORANDUM FOR Commander, U.S. Army Training Support Center, ATTN: ATIC-DLS, Fort Eustis, Virginia 23628-001.

SUBJECT: Enrollment of Students and Instructor in Combat Lifesaver Course

1. Request enrollment of the instructor and students as indicated in the Combat Lifesaver Course.

2. Please code student enrollment applications as indicated on the student roster.

3. Send all printed materials in care of Group Leader SFC Robert B. James, 1st Battalion, 509th Infantry, APO NY 09168.

For the commander

Lieutenant Colonel, Infantry

2 Encl

1. DA Form 145

2. Student roster

b. Complete
Army Correspondence Course Program (ACCP) Enrollment Application enrolling the primary instructor in IS0826.

(1) Include a list of assistant instructors, if any.

(2) Provide the instructor and assistant instructors retirement year ending date (RYE) if applicable Army National Guard (ARNG) and U.S. Army Reserve (USAR).

(3) The "student" address on DA Form 145 is the primary instructor's address. All subcourse materials will be sent to the primary instructor.

(4) Attach a student roster (see table 081-831-1055-1) with the DA Form 145. List the name, rank, social security number, and unit of each student. For ARNG or USAR, include the retirement year ending (RYE) date.

Combat Lifesaver Correspondence Course General Information

Table 081-831-1055-1. Example of a Student Roster

The following students are to be enrolled in the Combat Lifesaver Course
Component Code
111-11-1111 Ames, Adam A 10   SGT
222-22-2222 Baker, Bruce B 9   CPL
333-33-3333 Clay, Charles C 3   CPL
444-44-4444 Dough, David D 3   SGT
555-55-5555 Edwards, Earnest E 3   CPL
666-66-6666 Frost, Frank F 3   PFC
777-77-7777 Gains, Gary G 3   CPL
888-88-8888 Haines, Harold H 3   CPL
999-99-9999 Kelly, Keith K 3   CPL
111-22-3333 Locke, Larry L 3   CPL
444-55-6666 Manne, Morris M 3   SGT
777-88-9999 Nay, Ned N 3   SGT
111-00-1111 Peach, Paul P 3   CPL
222-23-4444 Ray, Ralph R 3   SSG
999-88-7777 Smith, Stanley S 2 QM 1LT

(5) Have the DA Form 145 signed by a responsible official who has the authority to requisition or acquire the necessary medical equipment and supplies in support of the training.

6. Obtain equipment and supplies.

a. Course equipment and supplies (see table 081-831-1055-2). Items such as intravenous infusion (IV) trainers may need to be purchased. (Check with local medical treatment facilities first.) You can also check with your local Training/Visual Information Support Center (T/VISC) concerning these items.

Table 081-831-1055-2. Combat Lifesaver Program
Proposed List of Course Supplies for Six Students

The following items and quantities are required to train six combat lifesaver students

#2 Lead pencils 1 box for written test and notes
Dressing, field 12
Cravat 12
Gloves, latex surgical/exam 12 pair, assorted sizes 7-8 ½
Chucks, or equivalent 12 (to absorb fluids and protect table surfaces)
Catheter, Intravenous 18 (21) 20 or 22 gauge; 18 gauge for practice
Container, sharps 1 (for needles)
Plastic trash bags 3 for non-medical waste
Bag, plastic, red HAZMAT 1 for bio waste
IV Moulage, arm strap-on 3 for IV practice
IV administration set 8
Band, elastic 6 (constricting band for IV administration)
Fluid, IV 8 normal saline, Ringer’s, or D5W
(500 or 1000 ml)
Tape, ½ inch 1 roll
Tape, 1 inch 1 roll
Bandage, adhesive 1 box (Band-Aids)
Capsule, ammonia inhalant 5 (1 box)
Sponge, gauze, 2” x 2” 1 box (24s)
Sponge, gauze, 4” x 4” 1 box (24s)
Pad, povidone-iodine 1 box (24s)
Pad, alcohol 1 box (24s)
Oropharygeal Airway 3 (different sizes)
Splint, SAM 3
Splint, basewood 4
Training MARK I antidote kit and CANA 1 (obtained through Training and Audiovisual Support Center (TASC); unit should request)
Combat lifesaver aid bag 1 complete for demonstration
Blanket, OD, wool 1 (for improvised litter task; a poncho may be used)
Poles, tent 2 (the poles are for the improvised litter)
Litter, folding; 3 straps 1 (a litter is desirable for a hands-on exercise)
Note. Include equipment for the buddy-aid tasks, IS0824, even though it may not be taught in a group. The equipment will be used for the performance evaluation.

Note. Plan on enough materials to allow for practice and retests. Your instructor, the staff surgeon combat lifesaver supervisor, or previous instructors of the CL course may be able to give you an idea of how much extra to have on hand.

Note. The combat lifesaver program is a continuous ongoing program and requires continuous equipment and material support for the already qualified CLs. Be sure to maintain contact with your supply source to ensure your CL supplies are programmed into the system.

b. Resupply of Class VIII supplies for combat lifesaver bags during garrison operations:

(1) Request Class VIII resupply through assigned medical personnel.

(2) Request Class VIII supplies through the appropriate division, brigade or regimental medical supply office (MSO) when medical personnel are not assigned. For the latest CL bag content list go to:

(3) Request Class VIII support from the installation medical supply activity (IMSA), normally the MSO of the medical department activity (MEDDAC) or U.S. Army Medical Center (MEDCEN) if a nondivisional unit.

c. Resupply, during field operations, is accomplished in the same manner as during garrison operations with two exceptions.

(1) Nondivisional units obtain resupply support from the nearest medical unit available.

(2) Emergency resupply is provided to all units by the nearest medical unit capable of doing so.

Note. Field medical units maintain stocks of medical material with which to effect resupply of combat lifesaver aid bags during field operations.

7. Reserve facilities. The facilities should allow the students to clearly see the demonstrations and provide plenty of room for student practice. Make sure there are enough tables and chairs available for the number of students participating.

8. Inform instructor, assistant instructors, and students:

a. Instructor and assistant instructors.

Note. If you are not the medical instructor, the arrangements and documentation should be provided to the primary instructor.

(1) Provide a copy of CL memorandum with all attachments.

(2) Remind instructor and assistant instructors of target start date for the class and location (such as building, room).

(3) Inform the instructor that administrative information, suggested course schedule, and lesson plans are in IS0826, Combat Lifesaver Instructor Manual.

(4) Inform the primary instructor that all student and instructor materials shipped from the Army Institute for Professional Development (AIPD) will be sent to the instructor's address. The instructor is responsible to verify the shipment is complete and to distribute the subcourses to the students.

(a) Distribute IS0824 at least two weeks before written and performance examinations.

(b) Distribute IS0825 at least two weeks before attending class.

Note. If classes on IS0825 immediately follow testing on IS0824, then distribute both subcourses at the same time. If possible, provide soldiers a field dressing and two muslin bandages at the time of distribution for practice. Do not give the examination booklets or response sheets to the soldiers.

(5) Inform the course coordinator that the day-to-day administration and conducting of the class is his responsibility once the course materials have been received. (The course coordinator may or may not be the primary instructor.)

b. Inform the soldiers of their selection, start date and location.

9. Ensure combat lifesavers maintain proficiency.

a. Conduct annual (12 month) recertification.

(1) Determine the number of CLs requiring recertification by reviewing local unit training records.

(2) Designate instructor(s). Unit instructors accomplish CL recertification. If no instructors are in the unit, recommend coordinating recertification with the primary instructor for the Combat Lifesaver Course.

(a) Obtain evaluations and lessons. Combat lifesaver recertification tasks are designated in the IS0826 under "Recertification Testing." Use designated CL performance tests and specified lessons available in IS0826; they may be reproduced as needed. Only the most critical, life-saving tasks are designated for recertification requirements.

(b) Obtain equipment needed for recertification (see table 081-831-1055-3.)

Table 081-831-1055-3. Combat Lifesaver Recertification Performance Examination
Equipment and Supplies

Equipment NSN Quantity
IV fluid bag (500 ml) 6505 01 372 3425 2 bags
IV Injection set 6515 01 472 1863 2 sets
Catheter and needle IV unit (18 ga) 6515 01 315 6227 2 units
Tube drain 1 x 18” can be used as constricting band 6515 01 188 5316  
Povidine-iodine impregnated cotton pads 6510 01 010 0307  
Pad isopropyl alcohol 6510 00 786 3736  
Timepiece with second hand. (*If the time can be seen by both CL and evaluator)   1
Manikin suitable for administering modified abdominal thrusts, finger sweeps, and mouth-to-mouth resuscitation 6910 01 206 0312 2
Field dressing    
Materials for pressure dressing wad, pressure dressing bandage, tourniquet band and securing materials (4 muslin bandages, for example).    
Rigid object (stick) for tourniquet    
Padding for tourniquet    
Pack, log, or other object to elevate a leg.    

(c) Reserve a training facility (classroom) or area.
(d) Schedule CLs for the recertification.
(e) Make an entry on the combat lifesaver's local training record indicating the date he passed the recertification examination.

b. Ensure combat lifesavers are allowed to practice their skills to maintain proficiency during home station training activities (to include FTXs) and during deployment for training.

Evaluation Preparation:

Setup: None.

Brief Soldier: Tell the soldier that he will be asked to state the steps of ensuring the unit combat lifesaver requirements are met.

Performance Measures GO NO GO
1. Researched information on the Combat Lifesaver Program. ____ ____
2. Determined the number of personnel who need to be trained. ____ ____
3. Contacted the appropriate staff surgeon combat lifesaver program supervisor at corps/division/brigade and separate brigade-size units. ____ ____
4. Identified and appointed a qualified instructor and assistants as applicable. ____ ____
5. Enrolled selected unit personnel in the Combat Lifesaver Training Course at least eight weeks before group instruction began. ____ ____
6. Obtained equipment and supplies. ____ ____
7. Reserved facilities. ____ ____
8. Informed instructor, assistant instructors, and students. ____ ____
9. Ensured combat lifesavers maintained proficiency. ____ ____

Evaluation Guidance: Score the soldier GO if all performance measures are passed. Score the soldier NO GO if any performance measure is failed. If the soldier scores NO GO, show what was done wrong and how to do it correctly.


AR 350-1
DA Pam 350-59


FM 4-02.4 Medical Platoon Leaders Handbook - Tactics, Techniques, and Procedures

FM 4-02.4 - Appendix C - Combat Lifesaver

Combat Lifesaver Medical Tasks IS0825, Edition D

Combat Lifesaver Lessons

Combat Lifesaver Recertification Performance Examination

Department of the Army Pamphlet 350–59 Army Correspondence Course Program Catalog

Subcourse: IS0821 (Proponent: U.S. Army Medical Department)
Title: Self-Aid/Buddy Aid.
Description: Instructions for performing the 16 self-aid/buddy-aid (first aid) tasks that all soldiers are required to know. Includes restoring breathing, stopping bleeding, splinting fractures, treating wounds and shock, treating nerve agent poisoning, treating heat and cold injuries, transporting casualties, and protecting self from disease. Crd hrs: 15.


Subcourse: IS0824 (Proponent: U.S. Army Medical Department)
Title: Buddy Aid Tasks.
Description: Gives instruction for performing the Buddy-Aid tasks of the Combat Lifesaver Course. Subjects include restoring respiration, stopping bleeding, controlling shock, and splinting fractures. (Available only through the Combat Lifesaver Correspondence Course.)

Subcourse: IS0825 (Proponent: U.S. Army Medical Department)
Title: Medical Tasks.
Description: Gives instruction for performing the medical tasks of the Combat Lifesaver Course. Subjects include intravenous infusions, chemical agents, and combat stress. (Available only through the Combat Lifesaver Correspondence Course.)

Subcourse: IS0826 (Proponent: U.S. Army Medical Department)
Title: Combat Lifesaver Instructors Manual.
Description: Contains lesson plans and solutions to examinations for subcourses IS0824 and IS0825. (Available only to an instructor of the Combat Lifesaver Correspondence Course.)

The Army Correspondence Course Program

Army Correspondence Course Enrollment Application

Points of Contact

If you have any questions about the subcourse, call or e-mail one of these points of contact:

For questions about subcourse content, contact:
Academy of Health Sciences
Multimedia Development Branch
2250 Stanley Road, Room 0404
Fort Sam Houston, TX 78234-6130
COM: (210) 221-7330
DSN: 471-7330

For questions about subcourse administration, contact:

Section A
DSN: 826-2127/3322
COM: (757) 878-2127/3322

5th Brigade (Health Services), 84th Division - Army School System (TASS) Brigades - Region E - Minnesota, Wisconsin, Illinois, Indiana, Ohio and Michigan
5th Brigade (Health Services), 84th Division - Army School System (TASS) Brigades - Region E - Minnesota, Wisconsin, Illinois, Indiana, Ohio and Michigan

Army National Guard Medical Company Training Site (MCTS), Camp Shelby, Mississippi

enter to learn
209th Regiment (RTI) Camp Ashland, Nebraska

Regional Training Institute
HQ 195th Regiment and NH Regional Training Institute

Medical Company training Site-PA
Medical Company Training Site- PA - Fort Indiantown Gap, PA