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Today we’re going to talk about MARCH and Phases of Care.

Direct Threat / Care Under Fire

Presence of an immediate direct threat

Indirect Threat / Tactical Field Care

Treatment

Evacuation / Tactical Evacuation

CCP

Help EMS get patients close to the exit

Massive Bleeding

What is a massive hemorrhage?

• Clothes covered in blood
• Large pool getting larger
• Unable to control with GOOD direct pressure
• May not be spraying because of low B/P

Tourniquets

Commercial

Improvised

Wound Packing if no TQ available

Wound Packing

Clothes

Gauze

Hemostatic Agents

Pressure Bandages

Airway –

Position
Airway Adjunct

You CAN use an NPA

Suction

Recovery Position

Respiratory

Chest Seals

BVM

Hole must be .75 size of the trachea for a “sucking chest wound”

Circulation

Do a detail exam so you don’t miss another injury

Head Injury / Heat Loss

Cheap mylar blanket

Evaporation Cooling

Product

Gen 7 CAT

After Action

Leopard at the Zoo

Civilianmedical for a 10% at medical gear outfitters