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(S) Security & Awareness

Home Articles MARCH (S) Security & Awareness
Showing 1-6 of 8 results

Being aware of security has a two-fold purpose: first to keep yourself safe and second to improve the casualty’s chances of survival. Getting injured helping the wounded is not combat effective. 

Traditional EMS practice is to “ensure scene safety,” before treating a patient. Casualty management in high-risk incidents like active shooter, bombings, and buildings on fire will never be safe. The TECC and TCCC guidelines recognize this and prioritize treatment of only life threatening injuries in these dangerous settings.

Although multiple versions of MARCH exist, we like S-MARCH because Security is a reminder that although we can’t “ensure scene safety,” we can mitigate risk by being aware of where the threats are. 

A white board showing the Range directions for calling 911 in the event of a training accident, including the address and phone number
Mike Shertz

Plan for a training accident

  • Posted by Mike Shertz
  • Categories (S) Security & Awareness, More
May 6, 2021

While helping teach a class with InSights Training Center at West Coast Armory Indoor Range, I was really impressed to see they posted emergency instructions in the event of a training accident if 911 must be activated. If you are …

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Photograph of the street in Nice where pedestrians were killed an injured by terrorists when they ran down innocent people, the photograph shows bodies scattered in the street covered with white sheets while first responders talk to bystanders & other wounded
Mike Shertz

Pedestrian versus Autos – expanding our thinking on injuries caused by terrorist attacks

  • Posted by Mike Shertz
  • Categories (S) Security & Awareness
March 4, 2021

With the increasing frequency of vehicles being used as weapons by violent extremists, and ISIS’s encouragement of its followers to rent SUVs and trucks for this purpose, it is worth reviewing the trauma literature of pedestrians injured by automobiles. (UPDATED …

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Mike Shertz

A hotel stay: reflections on the challenges managing casualties in a high-risk environment

  • Posted by Mike Shertz
  • Categories (S) Security & Awareness, More
March 1, 2021

There is nothing like a brief stay in recently war-torn Portland, Oregon, to force you to rethink your security and tactical medical support plan in a high-risk environment.  If you consider yourself a competent tactical medic, besides TECC / TCCC …

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A photo showing a residential room with helium balloons holding aloft paper ninja targets with a nerf gun, nerf ammunitions, two tourniquets, and a crisis medicine patch in the foreground
Mike Shertz

Bear Under Fire

  • Posted by Mike Shertz
  • Categories (S) Security & Awareness, MARCH
May 2, 2020

Sometimes when the ninjas invade, they capture family members. You need to be prepared to perform your own hostage rescue and medical care.  Would you perform Bear Under Fire care and tourniquet him at the point of injury, or would …

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Mike Shertz

International Travel’s Biggest Risks

  • Posted by Mike Shertz
  • Categories (S) Security & Awareness
February 12, 2019

After a recent trip to Thailand teaching with the College of Remote and Offshore Medicine, many students wanted recommendations on travel medicine, medications, and vaccinations.  While most travelers to the developing world and tropical destinations worry about exotic diseases like …

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Mike Shertz

Carrying a casualty with a long gun

  • Posted by Mike Shertz
  • Categories (S) Security & Awareness, Casualty Movement
September 25, 2018

Dragging a casualty with a slung weapon presents a safety problem. Learn what it is & how to deal with it.

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