What does managing massive hemorrhage in TCCC primarily focus on?

Managing massive hemorrhage in TCCC primarily focuses on stopping the bleeding because it is critical to assess and control any life-threatening hemorrhage to prevent shock and death. In a tactical environment, rapid control of bleeding must take precedence, as severe blood loss can lead to rapid deterioration of the casualty's condition. Tactics such as applying direct pressure, utilizing tourniquets, and implementing hemostatic agents are techniques emphasized in this setting to effectively address significant bleeding.

While reducing pain and improving airway management are also important aspects of trauma care, they become secondary when dealing with massive hemorrhage. Restoring circulation is crucial but is part of a broader approach that includes stopping the bleeding first. Only after hemorrhage control has been achieved can other supportive measures be effectively implemented to stabilize and treat the casualty.