🕖 Reading Time, 7 minutes In support of our daughter’s experience at a local Girl Scout camp, we agreed to help rewrite the curriculum for their “Rainbow Progression” program of outdoor skills to ensure kids can be prepared. The program …
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.
BLUF: The Dial-A-Flow IV regulating device is a cheap, lightweight, and easy option for administering IV infusions when traditional IV pumps aren’t available. Although it’s accuracy to deliver the exact volume of IV fluid desired can be + / – …
They may look like legitimate commercial versions but counterfeits are not made to the same quality standard. Know your gear. Researched and written by Mike Shertz, MD/18D, not AI 🕖 Reading/viewing Time, 7 minutes UPDATE: Fifty counterfeit CAT like tourniquets …
🕖 Reading Time, 4 minutes Manual inguinal compression of the vasculature can work to occlude distal arterial blood flow. It may not constantly occlude during the entire time the rescuer is applying pressure and might require “readjustment” of the rescuer’s …
No Emergency Department is fully prepared and stocked to manage 41 trauma casualties arriving in 45 minutes following a mass casualty incident (MCI) or active violent incident (AVI) as happened at Christchurch Hospital in New Zealand in 2019. 🕖 Reading …
🕖 Reading Time, 8 minutes UPDATE: Is trying to resuscitate trauma patients with prehospital cardiac arrest futile? Conventional wisdom was that it was futile because the expectation of survival was too low. Newer research shows survival rates may be higher …