What is a Good Samaritan? 🕖 Reading Time, 9 minutes If I have first-aid training, am I covered by Good Samaritan laws and protection? Generally speaking, a Good Samaritan rendering first aid should reasonably avoid lawsuits and litigation if they …
MARCH: Massive Hemorrhage, Airway, Respiration, Circulation, Hypothermia Prevention
The easy to remember mnemonic MARCH reminds us of the priorities in treating casualties during TECC and TCCC situations. MARCH provides a framework to address immediate life threats and gives an organized approach to begin a casualty evaluation. The MARCH mnemonic is preferable to the ABCDE model because it takes into consideration the reason you need an airway and to be breathing is to circulate blood to the casualty’s brain. Recognizing that, the first step in our casualty evaluation should be to look for massive hemorrhage.
Once past massive hemorrhage, A-R-C is loosely approximated by A-B-C. H- is a reminder that a large number of traumatic casualties arrive at the emergency department or medical treatment facility hypothermic which dramatically increases their death rate.
The MARCH mnemonic can be applied to any patient, as the initial casualty evaluation usually rules out massive hemorrhage.
The North American Rescue tracheostomy airway with bougie introducer is demonstrated in a surgical airway. This an excerpt from our Complete Tactical Casualty Care course skills station ….
🕖 Reading Time, 1 minutes Used the X-Stat trainers in class today on a hog thigh with a simulated femoral artery laceration. This narrow wound track is a challenge to pack with Kerlix Gauze, the X-Stat 12 applicator worked awesomely.
🕖 Reading Time, 2 minutes Moving casualties is always hard. Use a tool whenever possible. Even a folding chair makes it easier to carry casualties quickly and over distance. In A Book of Five Rings, Miyamoto Musashi says, “Make your …
Though we can’t replicate the pandemonium of a live class, we can teach you all the same skills online, at home, in your bunny slippers….
🕖 Reading Time, 1 minutes In our race to use tourniquets for controlling hemorrhage, we often lose sight of the value of good direct pressure as a hemorrhage control technique. Proven commercially available tourniquets are almost always going to be …