march
What does the M in MARCH stand for?
Massive hemorrhage
What is the first priority when you encounter a casualty with life-threatening extremity bleeding
Stop the bleeding
What is the primary goal of airway management
Maintain a patent airway and adequate oxygenation/ventilation
What does the R in MARCH represent
Respirations
What is a major cause of preventable death on the battlefield
Hemorrhage
What does the A stand for?
Airway
What device is commonly used to control life-threatening extremity bleeding
A tourniquet
What basic maneuver can help open the airway in an unconscious casualty when appropriate
A head-tilt/chin-lift maneuver; use trauma-appropriate techniques based on the situation and training
A casualty has a penetrating chest wound. What type of dressing may be indicated
occlusive chest seal/dressing
What does hypothermia contribute to in a severely injured casualty
It can worsen trauma-induced coagulopathy and contribute to poor outcomes
Cold body is a dead body
What does R in MARCH stand for?
respiration
What should you do if a properly applied tourniquet is still not controlling massive extremity hemorrhage
Reassess tourniquet. Control bleeding
What is one sign that a casualty may have an airway problem
Noisy or obstructed breathing, inability to speak normally, or decreased level of consciousness with airway obstruction
Name 3 signs that may suggest a life-threatening chest injury
Uneven chest expansion
Blue face/lips
Respiratory distress/hyper/hypoventilation
What is the purpose of preventing heat loss in a trauma casualty
: To prevent or minimize hypothermia and its adverse effects on coagulation and survival
What does the C in MARCH stand for
Circulation
Name two methods of controlling junctional hemorrhage
Apply direct pressure
Wound packing with hemostatic gauze
Why should airway management not distract from controlling massive hemorrhage
Uncontrolled massive hemorrhage can cause death very rapidly
What immediately life-threatening condition should be considered when a casualty develops severe respiratory distress after chest trauma
Tension pneumothorax
What is the purpose of documenting care on the TCCC Casualty Card
To communicate important casualty information and treatments to subsequent medical providers.
What does the H in MARCH stand for?
Hypothermia/ head injury
Time is…
Tissue
What should you continuously reassess after performing an airway intervention
Airway patency, breathing/ventilation, oxygenation, mental status, and whether the intervention remains effective.
Always reassess
A casualty with a chest wound initially improves after treatment but then deteriorates with increasing respiratory distress. What should you suspect
Developing or recurrent tension pneumothorax
What are the three broad phases of TCCC
Care Under Fire/Threat (CUF/CUT), Tactical Field Care (TFC), and Tactical Evacuation Care (TACEVAC