The M.A.R.C.H medical protocol is a systematic, evidence-based mnemonic developed by Tactical Combat Casualty Care (TCCC) and Tactical Emergency Casualty Care (TECC) to prioritize life-saving interventions for trauma patients. It guides responders to treat the most critical, preventable causes of death first: Massive Hemorrhage, Airway, Respiration, Circulation, and Head Injury/Hypothermia/Heat Stroke.
M.A.R.C.H Checklist
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- Order of Operations: The sequence is designed to address injuries that kill fastest first.
- Constant Reassessment: MARCH is not a one-time checklist; it is a cycle to be repeated as the patient's condition changes.
- Application: Used in both tactical and civilian, high-threat, or austere environments to manage trauma
