National Guard careers
National Guard
68WMedical

Combat Medic Specialist

Provides emergency medical care in combat and peacetime, serving as first responder during disasters.

ASVAB / entry requirement

ASVAB ST: 101

Enlisted
Catalog rank range: E-1 to E-8Maximum rank: E-8Initial term: Varies by job, incentive, and signed contract; confirm the exact obligation with a recruiter

Catalog listing, not a contract offer. Confirm with a recruiter.

Inside the 68W Combat Medic Specialist job

What the job looks like

Combat medics are the soldiers everyone hopes never to need, and Guard medics train for battlefield trauma and hometown emergencies alike. Drill weekends cover trauma care, airway management, casualty evacuation, sick call support and the recurring skills testing this specialty demands. You spend serious time with a training manikin, a tourniquet and a stopwatch, because speed and sequence are what actually save people. Governor activations send medics to floods, wildfires, tornado damage and civil support missions where the patients are civilians and often neighbors. During the week most medics work as emergency medical technicians, firefighters, hospital technicians or students, which keeps the clinical skills warm.

Skills you learn

You are trained and certified as a nationally registered emergency medical technician, a recognized civilian credential you hold from the beginning. Tactical combat casualty care teaches bleeding control, airway management, chest injuries, shock treatment and evacuation decisions made in a couple of minutes. Clinical rotations add patient assessment, vital signs, medication administration and the charting that follows every single patient contact. You learn to run a small aid station, including supply, cold chain management and the records tracking every treatment given. Field work builds improvisation, because you carry what fits on your back and nothing else is coming.

What it builds in you

Trauma training builds the capacity to act while frightened, which is a different and better thing than not being frightened. Decisiveness develops quickly, since hesitation over a bleeding patient carries an immediate and visible cost. The work grows deep reliability, because your squad's confidence in you is the whole reason they will move forward. Treating neighbors during a state disaster teaches compassion that has to keep functioning while you are exhausted and filthy. Medics usually come away calm in emergencies, comfortable around blood, and unusually protective of the people near them.

How it pays off after service

The emergency medical technician certification makes you employable immediately, so the civilian career begins while your military record is still short. Ambulance services, fire departments, emergency departments and industrial safety teams all hire medics with documented trauma training. Paramedic school, nursing programs and physician assistant paths recognize the clinical hours, and veterans move through them in real numbers every year. Fire and law enforcement hiring applies veterans' preference in many jurisdictions, which adds leverage to an already strong application. State tuition programs paired with federal benefits make the degree that turns this into a licensed profession genuinely reachable.

A day in the life of a Combat Medic Specialist

Your day opens with an inventory of your aid bag, checking tourniquets, IV kits, and airway gear. You spend the shift running sick call, rehearsing casualty care under fire, and standing ready as the first responder when soldiers or disaster victims go down. Whether in the field or a shelter, you're assessing, treating, and stabilizing patients until they reach a higher level of care.

No suitable exact-MOS or related career-field video has been verified for this page yet. No unrelated video or search-results page is substituted.

Illustrative annual base pay

$43,902–$74,948

2026 basic pay only; the same grade and service time pay the same across jobs. Promotions are assumed, not promised. Excludes allowances, bonuses and special pays.

These annual examples assume full-time active duty, not part-time drill pay.

  • E-4 · over 4 years: $43,902
  • E-6 · over 10 years: $57,114
  • E-7 · over 20 years: $74,948

Training achievements and distinctions

Possibilities for serving Soldiers, including those in support roles—not guaranteed admission or awards. Individual eligibility, assignment, selection, available training or competition places and successful qualification apply.

National Guard participation also requires component/unit school-seat approval; confirm availability and requirements with your unit.

Sources reviewed . Confirm current course and badge requirements with official school guidance and your unit.

Possible higher ranks and career paths

Possible higher ranks and career paths

For National Guard 68W Combat Medic Specialist, official service-wide guidance and any exact feeder-list matches are distinguished below from unverified specialty-specific requirements. Ranks are not separate jobs, and these possibilities are not guaranteed promotions or available contracts.

Rank information for this listing

Rank Type
Enlisted
Catalog pay-grade range
Not independently verified for this specialty; no range asserted here.
Maximum Rank
Not independently verified for this specialty.

Examples of higher service ranks

E-5
Sergeant
E-6
Staff Sergeant
E-7
Sergeant First Class
E-8
Master Sergeant / First Sergeant
E-9
Sergeant Major / Command Sergeant Major

These are service-wide rank names, not a verified promotion ladder for this specialty. Examples are not exhaustive; appointments sharing a pay grade are not additional promotion steps.

Official military rank reference

The Army National Guard describes technical warrant specialties and a separate helicopter-pilot route. Technical options depend on the Soldier's MOS. This branch-level information does not establish eligibility, a state vacancy, or a promotion ceiling for this listing.

Army National Guard warrant career guidance

Higher career paths — not verified

Service-level application reference—not a verified next step for this listing

Guard applicants work with their State, Territory, or DC Warrant Officer Strength Manager on qualifications and a predetermination packet. Approval and required training are separate from promotion; an Army feeder match alone does not establish Guard eligibility or a state vacancy.

USAREC National Guard applicant process

Specialty-specific advancement, senior assignments, and eligibility for a different personnel category have not been verified for this listing. No feeder eligibility or automatic transition to another specialty is implied.

Advancement depends on current service rules, performance, required education, qualifications, selection, and authorized positions—not simply years served. Confirm current requirements with an official recruiter or career counselor.

Related military jobs below are for exploration, not promised progression or confirmed transfer paths.

Sources reviewed 2026-10-03. This is a partial evidence review, not verification of every advancement route for this specialty. Source retrieval dates do not replace policy effective dates.

Civilian careers related to Medical

Career-field mappings, not automatic qualifications. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (May 2024 national medians). O*NET links explain each occupation; military experience does not guarantee a job or salary.

Categories & Specializations

Medical
Emergency Response
Combat

68W questions, answered

What does National Guard 68W Combat Medic Specialist do?

Provides emergency medical care in combat and peacetime, serving as first responder during disasters.

What can day-to-day work in Combat Medic Specialist look like?

Combat medics are the soldiers everyone hopes never to need, and Guard medics train for battlefield trauma and hometown emergencies alike. Drill weekends cover trauma care, airway management, casualty evacuation, sick call support and the recurring skills testing this specialty demands. You spend serious time with a training manikin, a tourniquet and a stopwatch, because speed and sequence are what actually save people. Governor activations send medics to floods, wildfires, tornado damage and civil support missions where the patients are civilians and often neighbors. During the week most medics work as emergency medical technicians, firefighters, hospital technicians or students, which keeps the clinical skills warm.

What skills does National Guard 68W Combat Medic Specialist develop?

You are trained and certified as a nationally registered emergency medical technician, a recognized civilian credential you hold from the beginning. Tactical combat casualty care teaches bleeding control, airway management, chest injuries, shock treatment and evacuation decisions made in a couple of minutes. Clinical rotations add patient assessment, vital signs, medication administration and the charting that follows every single patient contact. You learn to run a small aid station, including supply, cold chain management and the records tracking every treatment given. Field work builds improvisation, because you carry what fits on your back and nothing else is coming.

How can Combat Medic Specialist experience translate after service?

The emergency medical technician certification makes you employable immediately, so the civilian career begins while your military record is still short. Ambulance services, fire departments, emergency departments and industrial safety teams all hire medics with documented trauma training. Paramedic school, nursing programs and physician assistant paths recognize the clinical hours, and veterans move through them in real numbers every year. Fire and law enforcement hiring applies veterans' preference in many jurisdictions, which adds leverage to an already strong application. State tuition programs paired with federal benefits make the degree that turns this into a licensed profession genuinely reachable.

What entry requirement is listed for National Guard 68W Combat Medic Specialist?

ASVAB ST: 101. This is the catalog's listed requirement, not an individual eligibility decision. Confirm the current standard and any exceptions with the service.

Can a civilian enter National Guard 68W Combat Medic Specialist directly?

This specialty can be pursued through an initial enlistment, subject to eligibility and available contracts. Confirm the current status of this specific classification with an official recruiter.

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Sources & Review

Catalog sources consulted: 2026-09-26. This is not an entry-by-entry verification date. No record-specific verification date is recorded. Occupation audit evidence reviewed: 2026-09-26; this does not re-verify every requirement.

Official branch occupation evidence

Occupation identified. This occupation was identified in the cited source. This does not verify requirements, benefits, or a current opening.

Official occupation evidence · reviewed 2026-09-26

Confirmed. Catalog evidence is not an inventory of open contracts.

No dated public inventory confirmed a currently open recruiting contract for this role. This does not mean there are no openings. Confirm current eligibility and offers with an official recruiter.

Advertised — National Guard, as of 2026-09-28
Signal detailsListed as a specialty on the National Guard careers site. Source: GoArmy careers browser (federal Army listing). This is not a statement that a contract is open for you.

Deployment likelihood: Moderate*

* Estimated. Rank progression and specialty-pay eligibility are illustrative assumptions. Deployment likelihood, when shown, is inferred from similar specialties in the branch and career field, not a published specialty deployment rate.

Descriptions may change. No military role is free from risk of injury or death, including non-combat work. Catalog review dates do not establish current openings or re-verification of every requirement.

Recruiting signals reflect what each branch published on the dates shown. They are not offers, and they do not mean a contract is open for you. Eligibility depends on your ASVAB scores, medical qualification, security clearance eligibility, and ship date. Confirm everything with an official recruiter. See our Disclaimer and Terms.

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