When performing CPR in a tactical scenario, what must a medic consider first?

In a tactical scenario, the first consideration for a medic performing CPR is the safety of the environment. This is crucial because if the medic does not ensure their own safety and that of the casualty, they may become a victim themselves, which could exacerbate the situation. The tactical environment may present various hazards, such as ongoing combat, unstable structures, or exposure to hostile threats.

Before initiating any medical intervention, it’s imperative to assess the surroundings to mitigate risks and ensure that the medic can operate effectively without putting themselves or others in danger. Only after establishing a safe area can the medic focus on the appropriate medical actions, such as assessing the casualty's breathing pattern, consciousness, or the need for equipment.

In tactical medicine, the emphasis on safety helps maintain the effectiveness and readiness of the medic to provide care, emphasizing the importance of situational awareness in life-threatening scenarios.