Which treatment priority is included in the MARCH/PAWS principles?

The MARCH/PAWS principles are designed to provide a systematic approach to managing casualties in tactical environments, prioritizing different aspects of care based on the immediate threats to life. The "M" in MARCH refers to "Massive hemorrhage," identifying bleeding control as the highest priority treatment.

Controlling severe bleeding is critical because it directly impacts survival. Uncontrolled hemorrhage can lead to shock and death within minutes, so addressing this issue effectively ensures that the casualty has the best chance for recovery. The emphasis on this component reflects the need to take immediate measures, such as applying direct pressure, using tourniquets, or performing hemostatic interventions.

While movement of casualties, assessment of vital signs, and stabilization of fractures are important components of trauma care, they are secondary to the immediate need to control life-threatening bleeding. Focusing on MARCH ensures that the most critical issues are addressed first, following a logical and effective order of operations when responding to traumatic injuries in tactical situations.