In the MARCH acronym, which element comes after airways?

The MARCH acronym is a systematic approach used in tactical combat casualty care to prioritize the treatment of life-threatening injuries in a specific order. The elements of MARCH represent the following:

• M: Massive hemorrhage

• A: Airway

• R: Respiration

• C: Circulation

• H: Hypothermia

Following the airway management, the next critical component is respiration. This focuses on ensuring that the casualty can adequately breathe and that any thoracic injuries, like tension pneumothorax, are addressed. Prioritizing respiration after airways is crucial because even with a clear airway, if the casualty cannot breathe effectively, it can lead to hypoxia and potential fatality.

Understanding the sequence of the MARCH acronym is vital for anyone in tactical care situations, as it guides immediate actions that can save lives. The correct order emphasizes addressing the most life-threatening conditions first, thus ensuring a comprehensive and effective response to trauma.