Tactical Trauma Assessment

Question 1

MARCH PAWS

Answer 1

Massive Hemorrhage
Airway
Respirations
Circulation
Hypothermia / Head
Pain
Antibiotics
Wounds
Splints

Question 2

Massive Hemorrhage

Answer 2

Assessed effectiveness of TQ from CUF
Applied TQ 2-3 inches in not done already
Packed wounds not amendable to TQ
Blood sweep
Junctional TQs
Shock assessment

Question 3

Airway

Answer 3

Head tilt / jaw thrust as indicated
NPA - semi/unconscious
Extraglotic airway if indicated
Cleared secretions
Cric if indicated
Asses patency with SpO2

Question 4

Respirations

Answer 4

Remove body armor - inspect font/back
Assess of Pneumothorax
Apply chest seal as indicated
Ventilate with BVM if indicated

Question 5

Circulation

Answer 5

Pelvic compression device if indicated
TQ conversion/replacement
Mark TQs with Time - expose
Pack significant bleeding
Assess for shock
I’V/IO access as needed
2gm TXA
Blood with fluid warmer
Calcium after blood

Question 6

Hypothermia / Head Injuries

Answer 6

Minimize exposure
Actively Warm
Asses mental status & Vision change
Asses eye trauma - rigid eye shield
Reassess MARCH

Question 7

Lines 3, 4, 5 of 9-line

Answer 7

Precedence
Equipment
Liter v. Ambulatory