What does "M" signify in the P-MARCH-P protocol?

In the P-MARCH-P protocol, "M" stands for "Massive Hemorrhage." This aspect of the protocol emphasizes the critical importance of controlling life-threatening bleeding in trauma situations. Identifying and addressing massive hemorrhage early is crucial for improving survival outcomes, as uncontrolled bleeding can lead to shock and death within minutes.

The P-MARCH-P protocol is a systematic approach used by medical personnel to assess and treat combat casualties. It stands for:

• P: Personal protective equipment

• M: Massive hemorrhage

• A: Airway

• R: Respirations

• C: Circulation

• H: Head injuries

• P: Pain management

By recognizing "M" as massive hemorrhage, responders can prioritize interventions such as applying pressure, using tourniquets, or additional hemostatic measures to stop severe blood loss. This immediate response is essential in the chaotic environment of tactical care, where timely actions can be the difference between life and death.