CMP 002 - MARCH

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