What is the main focus of care during a "care under fire" situation?

In a "care under fire" situation, the primary focus is on controlling life-threatening bleeding from limbs. This is crucial because significant blood loss can lead to rapid deterioration of the casualty's condition and potentially result in death if not addressed immediately. The ability to stabilize a casualty's situation amidst ongoing threats is paramount, and controlling severe hemorrhage can significantly enhance the chances of survival until further medical assistance can be provided.

While assessing airway and breathing is essential in a broader context of patient care, the unique circumstances of care under fire require prioritizing interventions that can be life-saving in the most critical way. Applying splints for fractures and evacuating the casualty are also important aspects of trauma care, but they take a secondary role when immediate life-threatening conditions, such as severe bleeding, are present. The overarching aim in these scenarios is to maintain the casualty's life through decisive and prioritized medical actions, emphasizing the control of bleeding as a top priority.