In Tactical Combat Casualty Care, MARCH stands for Massive hemorrhage, Airway, Respiration, Circulation, Hypothermia/Head injury. What is its practical implication in the field?

• A. It defines the priority order for initial casualty management in the field.
• B. It dictates the evacuation routes to be used.
• C. It prescribes exact medications to administer in the field.
• D. It outlines communications protocols with medical facilities.

Answer: (A)

Focusing on the priority order for life-saving interventions in the field is what MARCH is about. In practice, this means you act in a sequence that tackles the leaks of life first: control massive hemorrhage immediately, then secure and maintain the airway, ensure adequate breathing, manage circulation (including rapid bleeding control and appropriate fluid or catheter support as needed), and finally address hypothermia and head injury risks. This order isn’t about where to send the casualty or exactly which drugs to give; it’s about what you do first to keep someone alive when seconds count. The approach shapes how you assess a casualty, allocate your limited time and resources, and move the patient toward evacuation, all while staying mindful of the austere, potentially dangerous field environment. Other aspects like evacuation routes, specific medications, or communications plans are handled by separate protocols and SOPs.