All hemorrhage control is ultimately direct pressure. ๐ Reading Time, 3 minutes A tourniquet puts direct pressure on an artery. Wound packing puts direct pressure at the point of bleeding. As long as the pressure is higher than systolic blood …
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.ย 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.
Recon Medical tourniquets look like a CAT and cost less. There is no human efficacy data behind them, and a jury found the patents infringed.
๐ Reading Time, 3 minutes A doppler ultrasound is a non-invasive device that uses high-frequency sound waves to estimate the amount of blood flow through your arteries and veins, usually those that supply blood to your arms and legs. A …
๐ Reading Time, 3 minutes A few months ago I was shown a new technique for an improvised tourniquet. Unlike the traditional military cravat improvised tourniquet that requires two cravats, this new technique only requires one. However, we have some …
๐ Reading Time, 2 minutes Sometimes when the ninjas invade, they capture family members. You need to be prepared to perform your own hostage rescue and TCCC/TECC medical care. https://vimeo.com/413563954/ca64de8efc?ts=0&share=copy Bear down! Bear is shot at the top of the …
Researched and written by Mike Shertz, MD/18D, not AI ๐ Reading Time, 2 minutes Why the first step feels backwards for this improvised tourniquet I was shown a new technique for an improvised tourniquet. Unlike the traditional military cravat improvised …