What is the 1st step in "Patient/Provider Safety" for P-MARCH-P?

The first step in "Patient/Provider Safety" for P-MARCH-P involves determining if the scene is safe. This is crucial because the safety of both the casualty and the healthcare provider is paramount in any emergency situation. If the scene is unsafe—due to factors such as ongoing violence, environmental hazards, or potential exposure to harmful agents—attempting to provide care could put the provider at risk, which could compromise both their ability to help the casualty and the overall response efforts.

By assessing the scene first, providers can ensure they are in a position to deliver care effectively and safely. This foundational step allows for the continuation of care without exposing oneself to unnecessary danger. After safety is established, other critical actions can follow, such as assessing the casualty's condition, calling for help, and administering first aid, all of which can only be done effectively if the environment is secure.