What is the first step in the Care Under Fire phase?

The first step in the Care Under Fire phase is to return fire as directed or required. This is essential because the safety of the medic and the casualty is paramount in a combat environment. When a medic or any soldier encounters a casualty under hostile conditions, the priority must first be to eliminate the threat to ensure that it is safe to approach and provide medical aid. Engaging the enemy allows the medic to secure the area and minimize further risk to themselves and the casualty.

In a situation where there may be ongoing threats, taking action to neutralize these threats enables the medic and other soldiers to focus on the care of the casualty without the immediate risk of further injury from hostile forces. The following steps, such as assessing the casualty or providing immediate medical treatment, come only after securing the scene and ensuring the safety of both the medic and the casualty. Thus, returning fire as required is the foundational action that allows for subsequent medical interventions to take place safely.