TCCC

Question 1

What does MARCH stand for?

Answer 1

M: Massive Hemorrhage/Bleeding
A: Airway
R: Respiration
C: Circulation
H: Hypothermia & Head Injury

Question 2

What does PAWS stand for?

Answer 2

P: Pain
A: Antibiotics
W: Non-Life-Threatening Wounds
S: Splinting

Question 3

Massive Hemorrhage/Bleeding

Answer 3

Tourniquet (2-4 inches above the injury AVOID JOINTS) + Time

Question 4

Airway

Answer 4

(Watching for CSF fluid)
Spinal Injury Suspected: Jaw Thrust
No Spinal Injury Suspected: Head Tilt Chin Lift

Question 5

Respiration

Answer 5

Look, Listen, Feel. Ear to mouth watching and feeling chest

Question 6

Circulation

Answer 6

Check Carotid Pulse: Below jawline
Check Distal Pulse: Below thumb on wrist

Question 7

Hypothermia & Head Injury

Answer 7

Keep layers on and raise from the ground if possible.
Raise head checking skull integrity and spine articulation (watching for CSF fluid)

Question 8

How often do you reassess with the MARCH process?

Answer 8

Every 5-10 minutes

Question 9

What are the two most important things to put on a DD 1380/MIST form?

Answer 9

Time of tourniquet application and time and type of medicine/pills given to the patient

Question 10

How do you correctly apply the MARCH & PAWS process in a combat situation?

Answer 10

CUF (Care Under Fire):
1. Gain Fire Superiority
2. Treat for Massive Hemorrhage
3. Remove from the X to cover or concealment

TFC (Tactical Field Care):
1. Assess Airway
2. Assess Respiration
3. Check Circulation
4. Prevent Hypothermia
5. Check for Head Injuries
6. Complete DD1380/MIST Form and leave with patient

Medevac:
1. 9 Line
2. Reassess every 5-10 min
3. Update arriving medics of situation verbally if possible