What does "MARCH" stand for in TCCC?

"MARCH" is an acronym used in Tactical Combat Casualty Care (TCCC) that helps responders prioritize and address the most critical elements of pre-hospital trauma care in a combat environment. Each letter of the acronym corresponds to a vital step that should be addressed in sequence to stabilize a casualty effectively.

The first element, "Massive hemorrhage," emphasizes the need to identify and control life-threatening bleeding, which is often the leading cause of preventable death in trauma situations. Next is "Airway," which involves ensuring that the casualty's airway is clear and that they are able to breathe. This step is crucial because an obstructed airway can quickly lead to respiratory failure. The third element, "Respirations," focuses on assessing and managing breathing adequacy and lung function. Maintaining proper respiration is essential for oxygenation.

Following this is "Circulation," which addresses the need to evaluate the casualty's circulatory status and perform interventions as necessary to maintain blood flow and prevent shock. Finally, "Head injury and hypothermia" highlights the importance of being vigilant for traumatic brain injuries and the preservation of body temperature, as both can significantly impact survival and recovery.

This structured approach provided by the MARCH acronym is vital for ensuring that the most life