Tactical Field Care

Question 1

What does M.A.R.C.H.

Answer 1

Massive Hemorrhage 
Airway Management
Respiration
Circulation
Head Injury / Hypovolemia / Hypothermia

Question 2

Massive Hemorrhage

Answer 2

1. Place and/or double check Tourniquets
2. Feel whole body, looking for bleeding on gloves
3. Pack Wounds

Question 3

Airway Management

Answer 3

1. Talk to casualty (speaking indicates open patent airway; check LOC)
2. Not talking: open and clean airway
3. Look and listen for breathing
4. Unconscious: OPA/NPA (otherwise put in recovery position)

Question 4

Respiration

Answer 4

1. Check for holes in the box (nose to belly button; remove armor)
2. Bilateral rise and fall of chest (can feel both sides of chest)
3. Apply occlusive dressing
4. Difficulty breathing (Burp/NDC)

Question 5

Circulation

Answer 5

1. Check interventions (tourniquets/package)
2. More thorough check of bleeding
3. Expose
4. Check pulse (first radial then carotid)
5. Skin: color, temp
6. Role to check all posterior (have carry all ready if available)

Question 6

Head Injury / Hypovolemia / Hypothermia

Answer 6

1. Cover pt
2. check head/face for injuries (racoon eyes, leakage around nose and ears)
3. IV/IO
4. EPIC protocol (NRB, Normotensive, Airway control)