What does "MARCH" stand for in TCCC?

The acronym "MARCH" in TCCC stands for Massive hemorrhage, Airway, Respiratory, Circulation, and Head injury/Hypothermia. This framework is designed to provide a systematic approach to managing trauma in a combat setting.

Starting with "Massive hemorrhage," it highlights the urgency of controlling life-threatening bleeding, which is critical for survival. Following this is "Airway," emphasizing the importance of ensuring that the airway is clear and unobstructed; maintaining an effective airway is essential for adequate oxygenation. Next is "Respiratory," which addresses the need to assess and manage breathing, followed by "Circulation," focusing on the evaluation and support of blood flow and cardiac function in the injured patient. Lastly, "Head injury/Hypothermia" represents the need to identify and manage potential head injuries and prevent hypothermia, which can significantly worsen a patient's condition.

This structured approach not only aids providers in prioritizing their interventions but also enhances the chances of survival and positive outcomes for injured personnel in a combat environment. Each component builds on the others to ensure comprehensive care during critical moments.