Page 18 - 2022 Ranger Medic Handbook

Senior Enlisted Medical Advisor (SEMA) Duties & Responsibilities
SECTION 1 The SEMA is customarily known as a company senior medic and traditionally functions in the capacity of a squad leader.
However, in the context of the Ranger Medic Handbook, the senior medic duty description will be used to define the
responsibilities of the highest ranking and most experienced medic present at any given location and time. This medic
is designated as the “senior medic” at that specific location and thus is responsible for the duties and responsibilities
as listed below.
■ Principal medical advisor to the commander and senior enlisted advisor
■ Provide and supervise advanced trauma management within protocols and sick call within scope-of-practice
■ Lead, supervise, and train junior medics
➣ Individual training
➣ Health and welfare
➣ Development and counseling
➣ Troop leading procedures and precombat inspections (PCIs)
■ Plan, supervise, and conduct casualty response training for Rangers and leaders
➣ Ranger first responder (RFR)
➣ Casualty Response Training for Ranger Leaders (CRTRL)
➣ Opportunity training/spot-checking
■ Maintain company/platoon-level medical equipment and supplies
➣ Accountability/inventory
➣ Maintenance/serviceability
➣ PCI of individual Ranger bleeding control kits
➣ PCI of squad casualty response kits
➣ Requisition and receive Class VIII from appropriate source
■ Plan, coordinate, and execute medical planning for company-level operations
➣ Task organization of company medics
➣ On-target casualty response plan
➣ CASEVAC from target to next higher medical capability
■ Conduct after action reviews and report and archive medical lessons learned
■ Monitor the status of health in the unit/element
➣ Physically limiting profiles
➣ Command health reporting and tracking
➣ MEDPROS data entry and information review

4 SECTION 1 THE RANGER MEDIC & CASUALTY RESPONSE SYSTEMS