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In case some of you are unaware, MARCH stands for:
Massive hemorrhage,
Airway,
Respiration,
Circulation,
Head injury/hypothermia.
Compare this to the more common First Aid acronym ABCDE…Airway,
Breathing,
Circulation,
Disability,
Exposure…and you begin to see the reason that MARCH is making inroads in traumatic injury care, for instance the TCCC and TECC protocols.
The major problem in this, is where such specialised and technical trauma care training can be given to licenced persons only, due to the medical care laws in some countries (including the UK), and you begin to realise why MARCH / TCCC / TECC are not making better inroads in First Aid training; example: Needle decompression/reinflation, intubation, etc.
Forgot I’m the C there is the BIFT acronym
B- bleeding control( other than what was done in M)
I- IV Access
F- Fluid resuscitation
T- Tourniquet assessmentThanks @maillet282 , really appreciating your detailed reply. It’s never to late to contribute 🙂
Sounds like this is an established practice at an medical emergency service/paramedic?
Our regional fire brigade first responders have now been trained with 4S-C-ABC(R)DE
Scene: assess scene, number of patients
Safety: risk for first responders, patients and by-standers
Situation: injury mechanisms
Support: call for other services/assistance (para medics, police, fire brigade, heli, etc.)
C: Critica Bleeding
A: Airway
B: Breathing
C: Circulation
Rapid trauma assessment
D: Disability
E: ExposureWe don’t do triage, but handing over to the paramedics – usually at “D”.
FiaOlleDog said: ↑
@maillet282 Would be great if you could share some of those acronyms – never stop learning! 😎
Click to expand…
@FiaOlleDog I apologize for taking so long to answer your questionM
A
R
STOP
C
H+H
E: MPHAATDthe MAR is as per normal,S- Situational awareness, T- Triage, O- Ongoing Documentation, P- pass on information ( 9 liner/Mist), C is normal, H+H- head and Hypothermia prevention, E in the everything else is M-Monitoring, P-Pain management, H-Head to to exam, A-Address all wounds, A-Antibiotics, T-Tactical scab prep, D- Documentation
ABCDE is an acronym used in emergency medicine to help recall necessary steps of evaluating and managing a patient in the ED
Airway: can the patient physically get air in the lungs? If not, may need to place a tube
Breathing: is the patient spontaneously breathing? Mechanical assistance may be required.
Consultation: who can I get involved in this mess? A person with deeper knowledge of medicine is needed
Disposition: how can I get this person out of the ED? Once the patient has left, it’s someone else’s problem
Elation: celebrate passing the buck to a person who can actually see this through. Acknowledge that you are ten minutes closer to going home
:hug:;) shared with me by a retiring ED physician
ABCDE is an acronym used in emergency medicine to help recall necessary steps of evaluating and managing a patient in the ED
Airway: can the patient physically get air in the lungs? If not, may need to place a tube
Breathing: is the patient spontaneously breathing? Mechanical assistance may be required.
Consultation: who can I get involved in this mess? A person with deeper knowledge of medicine is needed
Disposition: how can I get this person out of the ED? Once the patient has left, it’s someone else’s problem
Elation: celebrate passing the buck to a person who can actually see this through. Acknowledge that you are ten minutes closer to going home
:hug:;) shared with me by a retiring ED physician
maillet282 said: ↑
couple more acronyms added
Click to expand…
@maillet282 Would be great if you could share some of those acronyms – never stop learning! 😎Military medic with 1 combat deployment in Afghanistan.
originally ( before my deployments I was taught ABCDE(CABCDE).
Now i use MARCHE with a couple more acronyms added in there. And have been using it since 2010.Wow….first: your making this way to complicated….second: Russ is correct up-top there in his post….depends on the scenario your in…
How do you like the phone? I’ve used the Sony Ericsson walkman phones. One of the best sounding phones I’ve used. Plus they came with some sweet ear buds at the time.
Click to expand…
Well I finally relented and upgraded from my trusty Sony w200i, and I’m liking it very much. I have no personal experience of other smart phones, so can’t make comparisons. The only criticism I have, really, is the battery life which I imagine is an issue with most/all smart phones, especially when using wifi etc. After only having to charge the w200i every few days, needing to charge once a day seemed a bit of a hassle. However, you can buy cells with double the capacity, or what I’ve done is buy a spare cell (which fits nicely in the pocket of my Gen phone bag) for about £3 from Amazon. I also bought a cradle charger for the spare cell for only a few £’s.So basically, though not much of a phone-person, I’m very happy with it. I can try to answer any specific questions if you have any.
PS The earphones that came with my w200 were pretty good, but after losing them I bought some Soundmagic PL11 IEM earphones which I’d recommend for under £20
HTC EVO 4G LTE, love the phone HATE Sprints network in the Tulsa metro
Had a 4s for work and was not a fan, much prefer Android
Sent from my EVO 4G LTE using Tapatalk 2As I’m volunteering for a local emergency service I’ve been (“converted” from MARCH) trained on the 3S-F-C-ABCDE schema:
Scene
Safety
Situation
First impression
Control catastrophic bleeding
Airway
Breathing
Circulation
Disability
ExposureEspecially the 3S are very important to personal protection and provide a valid report to 911 about what & how many other emergency services are required on scene.
