Apply the MARCH sequence on a tactical casualty

Reinforce the TCCC/TECC MARCH order from combat- or tactical-medic training. Airway is not addressed before massive hemorrhage is controlled. Card and evacuation are last.

1. Control massive hemorrhage first with a tourniquet or wound packing.
2. Open and maintain the airway.
3. Treat respiratory compromise.
4. Decompress a suspected tension pneumothorax if trained.
5. Address circulation and shock.
6. Prevent hypothermia.
7. Complete the casualty card.
8. Prepare for evacuation.