In P-MARCH-P, what should be done if a casualty is conscious and capable of self aid?

In the context of P-MARCH-P, which serves as a framework for managing traumatic injuries in tactical environments, providing instruction on self-care is crucial when a casualty is conscious and capable of helping themselves. When individuals are aware of their surroundings and able to follow directions, offering guidance allows them to participate in their own care, which can enhance their situation and contribute to better outcomes.

This approach empowers the casualty, fostering a sense of control during a stressful time. It can also relieve some of the burdens on the medic, enabling a more efficient use of resources. For example, instructing the casualty on how to apply a dressing or a tourniquet can increase their chances of survival and stabilize their condition until further medical assistance is available. Using verbal cues or demonstrations is typically the best strategy when the casualty is able to assist themselves, as it promotes active participation in their treatment.

The other approaches would either fail to leverage the casualty's capabilities or could potentially worsen their position. Ignoring them disregards their ability and need for guidance, moving them immediately to safety might expose them to additional risks, and applying interventions without consent could lead to complications or exacerbate their distress. Thus, facilitating self-care aligns with best practices in tactical casualty care.