However, ATLS has never used the MARCH algorithm, this has always been a TCCC/military term. However, when a senior retired medical NCO, who is extremely familiar with TCCC was asked, he mentioned it was first heard around 2008 out of the UK military.Īdvanced Trauma Life Support (ATLS) protocols were developed to standardize trauma resuscitation and provide a reliable method for the management of trauma patients. A thorough internet search failed to properly identify the origin. ”įrom what can be found, the MARCH acronym is most likely a UK invention. “MARCH is found in the tactical combat casualty care and advanced trauma l ife support courses. Here is where the article could improve its message. In other areas, it is vague and may leave the reader wondering why it’s done this way. However, there are a couple areas where information is incorrect or false. It seems the author was applying MARCH to current trauma knowledge used in EMS. There are many areas where the article is spot on. This article has a mix of concepts, assessments and treatments. While it is well known that civilian trauma and prehospital care advances greatly from military medicine during wars, at times, there is a failure of understanding about the meaning and reasoning behind the military’s rationale. Recently published an article about the concept of the MARCH algorithm. M-massive hemorrhage, A-airway, R-respiratory, C-circulation, and H-hypothermia. It is a simple acronym for remembering the necessary steps in priority for saving lives in combat. The MARCH algorithm is synonymous with Tactical Combat Casualty Care (TCCC). This article was first published in September 2017 in The Havok Journal The MARCH Algorithm in Tactical Combat Casualty Care
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