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In the film First Blood (1982), Rambo is responsible for one human death: Deputy Art Galt. However, this death is accidental; Rambo throws a rock at a helicopter in self-defense, causing the pilot to swerve and Galt—who had unbuckled his seatbelt to snipe at Rambo—to fall to his death. Rambo also kills several Doberman dogs in self-defense. He injures many other deputies and Sheriff Teasle, but they all survive. This contrasts with the novel, where Rambo kills many police officers.
Yes, John Rambo kills one person in the film First Blood (1982), but the death is presented as a consequence of self-defense and an accident, which distinguishes it from the intentional, high-volume kills of the later sequels.
The person killed is Deputy Art Galt.
Rambo otherwise severely injures many other pursuers using non-lethal traps and combat techniques, including critically injuring Sheriff Teasle, but Galt is the only confirmed human fatality Rambo causes in the film.
The user asked if Rambo kills 'anyone'. While 'anyone' usually implies humans, Rambo does kill several Dobermans in the film. The AI summary correctly specifies 'human fatality', but mentioning the dogs would be more comprehensive.