What does MARCH PAWS stand for in TCCC?

MARCH PAWS is an acronym in Tactical Combat Casualty Care that serves as a framework to prioritize the management of trauma in a tactical environment. The correct interpretation of MARCH PAWS includes critical elements of immediate care needed for casualties.

The first component, Massive bleeding, emphasizes the need to control severe hemorrhage as the first priority in caring for trauma victims. Airway management is the next critical step to ensure the casualty can breathe adequately. The focus on Respirations indicates the importance of assessing and managing the airway and breathing. Circulation follows, highlighting the need to assess and support blood circulation, particularly in trauma cases where shock may occur.

The terms Head injury, Pain, Antibiotics, Wounds, and Splints encompass additional considerations for comprehensive care. Addressing head injury is crucial due to the potential for life-threatening complications. Pain management is important for the well-being of the casualty and can improve their overall outcome. Antibiotics are highlighted due to the risk of infection in traumatic injuries. Finally, the inclusion of Wounds and Splints refers to the importance of managing and stabilizing injuries to prevent further complications.

This comprehensive approach encapsulated by MARCH PAWS ensures that the responder is focused on the most critical aspects of field trauma management, potentially