🕖 Reading Time, 2 minutes When you learn a technique, there is more recorded in your brain than just how to do the task. Where you learned it and details about the source or instructor are also all there. You …
MARCH: Massive Hemorrhage, Airway, Respiration, Circulation, Hypothermia Prevention
The easy to remember mnemonic MARCH reminds us of the priorities in treating casualties during TECC and TCCC situations. MARCH provides a framework to address immediate life threats and gives an organized approach to begin a casualty evaluation. The MARCH mnemonic is preferable to the ABCDE model because it takes into consideration the reason you need an airway and to be breathing is to circulate blood to the casualty’s brain. Recognizing that, the first step in our casualty evaluation should be to look for massive hemorrhage.
Once past massive hemorrhage, A-R-C is loosely approximated by A-B-C. H- is a reminder that a large number of traumatic casualties arrive at the emergency department or medical treatment facility hypothermic which dramatically increases their death rate.
The MARCH mnemonic can be applied to any patient, as the initial casualty evaluation usually rules out massive hemorrhage.
Once upon a time, there was a Happy Little Dough Boy. He loved being in his bakery box. Until one day he was savagely attacked and severely wounded. A leg was traumatically amputated, he was bleeding jelly filling profusely from …
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🕖 Reading Time, 6 minutes Recently we posted a video outlining the challenges of using hemostatic granules as compared to gauze. In response, we were surprised by how many people advocated for tactical tampons to control massive hemorrhage in a …