FM 4-25.11: Battlefield First Aid for Soldiers - Official Source

Official U.S. Army Field Manual

FM 4-25.11 (formerly FM 21-11) is the Battlefield First Aid manual used by the U.S. Army to train soldiers in lifesaving combat casualty care.

Key Contents

• Tactical Combat Casualty Care (TCCC) integration: Care Under Fire, Tactical Field Care, Tactical Evacuation Care phases.
• Life-saving interventions: Tourniquet application, airway management (nasopharyngeal airway, cricothyroidotomy), needle decompression for tension pneumothorax, hemorrhage control (hemostatic gauze, pressure dressings).
• Assessment: MARCH algorithm (Massive hemorrhage, Airway, Respiration, Circulation, Hypothermia/Head injury).
• Burns, fractures, eye injuries, environmental injuries.
• Medical evacuation (MEDEVAC) request procedures (9-line).
• Combat lifesaver (CLS) tasks vs. medic tasks.

Current Status

FM 4-25.11 has been largely superseded by TC 4-02.1 (Training Circular) and the Joint Trauma System Clinical Practice Guidelines (CPGs), which align with TCCC guidelines from the Committee on Tactical Combat Casualty Care (CoTCCC). However, FM 4-25.11 remains a foundational reference for basic soldier first aid skills.

Access

Public domain; available via Army Publishing Directorate (armypubs.army.mil) and multiple mirror sites.