What should be done with casualties in burning vehicles or buildings?

In the context of Tactical Combat Casualty Care (TCCC), the correct course of action with casualties in burning vehicles or buildings is to extricate them and move to safety. This response prioritizes the immediate safety of both the casualty and the responders. In a fire, the risks of smoke inhalation, heat exposure, and potential explosions increase significantly, and remaining in the dangerous environment can exacerbate injuries or lead to fatal outcomes.

Extricating casualties not only removes them from immediate harm but also allows for subsequent medical assessment and treatment in a safer environment. After moving to safety, appropriate medical interventions can be initiated, and the casualty can be stabilized more effectively.

Other options, such as leaving casualties until help arrives, may result in worsening conditions or death due to the hazards present. Attempting to treat them on site without first moving them to safety can also increase risk and limit the effectiveness of medical care due to adverse environmental conditions. Calling for a medical evacuation team is essential but should be preceded by the action of ensuring the casualty is no longer in immediate danger, which underscores the importance of extrication.