What does the second "P" stand for in P-MARCH-P?

In the P-MARCH-P acronym used in Tactical Combat Casualty Care (TCCC), the second "P" stands for Pain Management. This crucial component highlights the importance of addressing and managing a casualty's pain as part of the overall treatment strategy during a tactical scenario. Effective pain management can improve the casualty's experience and facilitate better cooperation during evacuation and further medical care.

Pain management encompasses various techniques, including administering pain-relieving medications, employing non-pharmacological methods, and ensuring the individual is in a comfortable position when possible. Proper pain control not only aids in preventing the exacerbation of stress and anxiety, but it can also minimize the risk of complications associated with severe pain, such as shock.

Understanding pain management is essential for those involved in casualty care, as it directly impacts the effectiveness of the treatment provided and the overall outcome for the injured person.