Management of Hemorrhagic Shock for pre-hospital providers

Trauma Assessment

US Special Operations Forces (namely the Army and Navy components) coined the popular MARCH mnemonic for tactical combat casualty care: (See Table 3.)
 

Table 3: MARCH Mnemonic for Tactical Combat Casualty Care

Massive hemorrhage

A

Airway

R

Respiratory

C

Circulation

H

Head injuries


Note: Methods for identification of vascular trauma will be discussed in depth later.