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

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

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-http://www.cs.amedd.army.mil/clsp

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 one DA Form 145 enrolling the primary instructor in IS0826 (http://www.usapa.army.mil/forms/).

(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.

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

The following students are to be enrolled in the Combat Lifesaver Course



Component Code




Ames, Adam A





Baker, Bruce B





Clay, Charles C





Dough, David D





Edwards, Earnest E





Frost, Frank F





Gains, Gary G





Haines, Harold H





Kelly, Keith K





Locke, Larry L





Manne, Morris M





Nay, Ned N





Peach, Paul P





Ray, Ralph R





Smith, Stanley S




(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




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


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


Splint, basewood


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:  http://www.armymedicine.army.mil/usamma

(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




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)




Manikin suitable for administering modified abdominal thrusts, finger sweeps, and mouth-to-mouth resuscitation

6910 01 206 0312


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



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