For any medical questions, ask a medic!
Treating a Casualty — Full Slide Guide ACM Full Guide
M — Massive Haemorrhage
- Look for injuries causing the most amount of blood loss. More red = more injured.
- When multiple injuries are present on a limb, or the limb is broken, apply a tourniquet.
- Make sure every major injury is treated before moving on to the next step.
A — Airways
- Check if the patient is breathing.
- Perform the “Check Airway” action. If any collapse is present, perform “Head-Tilt Chin-Lift”
- If any obstruction is noted, perform head turning.
- If note “Medical suction required” use Suction bag or inform medic of blocked airway (URGENT).
R — Respiration
- Check that the patient is respiring (lung function).
- Inspect the chest for rise and fall:
- Normal — continue to Circulation.
- Uneven — apply chest seal; check for normal rise/fall.
- If still uneven, utilise NCD kit.
- Uneven with heavy bruising — patient is immediate. Apply chest seal and inform medical staff of “Hemothorax” (bleeding in pleural space).
C — Circulation
- Confirm the presence of a pulse.
- Check via “Check Pulse” action.
- Check the pulse on a non-tourniqueted limb.
- If a pulse is observed, put the patient into a recovery position.
- If no pulse is observed, perform CPR while a helper bandages all reopening wounds and keeps airways clear.
- After a recovery position is established, check for new bleeding every 1–2 minutes.
H — Hypothermia
- Check patient temperature - We are looking for “Warm” or “Mildly Cool”
- If cold, apply handwarmers/heating pads & administer fluids.
Aftercare
After MARCH is done, put the patient in the recovery position and repeat MARCH checks frequently until a medic arrives.