Combat medic: M.A.r.c.h Algorithm

The algorithm “M.A.R.CH.” is synonymous with TCCC (Tactical Combat Casualty Care) and it is believed the components were derived from either the UK Military or American Special Operations Military Forces and inspired by lessons learned on the battlefield to save lives.  The initial reference was obscurely mentioned in the Prehospital Trauma Life Support textbook, which was eventually adopted by the NAEMT (National Association of Emergency Medical Technicians) in the USA.  Pinpointing the exact year of development has been a challenge and attempts to obtain direct answers have been treated as if the MARCH algorithm was some sort of a top secret program since the 1990’s.

MARCH is a crucial tool which has structurally simplified emergency care for lay-people as well as seasoned rescuers.  It begins with basic assessments of a casualty (victim), which can be contributed to falls, car wrecks, lacerations, GSW’s (Gun Shot Wounds) and every other imaginable injury.  There are handy MARCH Cards which can be placed in an IFAK (Individual First Aid Kit)/Blow-Out Bag, a compact First Aid Kit designed/built for a person’s belt, car, home, etc. and anyone can learn the skills necessary to assist a trauma casualty. 

M= Massive Bleeding

A= Airway Management

R= Respiration

C= Circulation

H= Hypothermia

The application of the MARCH algorithm is an effective reference tool credited with saving thousands of lives around the World, used by hospitals, Paramedics/EMT’s, Military and lay-people alike. The straightforward approach is the standard “go-to” method of emergency/TCCC training across the USA. The “less is more” denominator is effective with simplicity, making it easy to recall and apply. Regardless of the origin of MARCH, it has been pivotal in providing rescuers vital direction to save countless lives.

About The Author:

Rowdy has been in the medical field for over forty years, working in ER, ICU, Burn and Trauma Units and specializes in wounds as well as being Board Certified as an NA-EMT-TCCC-MP. Rowdy is also the developer of the Range Medic Certification Course for lay-people and proudly earned Flight Nursing Wings.