Whether working on a casualty with a small team of medics or as a single  medic with the help of other non-medic team members as helpers, someone  has to be in charge of the situation in order to maintain a global view  of priorities.  The minute you get sucked in to do a specific task you  are losing situational awareness of the complete patient and  environment.  If you are working on your own as a lone medic with no  helper you have to fill both the technician and team leader role.  Treat  life threats through your TCCC/MARCH sequence and then mentally step  back and take in the whole picture.  When the situation permits and as  you begin a more detailed secondary exam, start writing down each  problem as you encounter it and then prioritize what is going to kill or  cause permanent damage first with.  Making a plan and being proactive  is what separates the great medics from less experienced medics who are  constantly chasing their tails reactively.  If you are not taking care  of patients on a daily basis training with the small team can help  delineate roles and responsibilities.  This is why if you are doing  medical training you should have your team or platoon leadership  involved along with anyone else who will be helping.   

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