Find products using the MARCH Algorithm

Massive Hemorrhage Control

Airway Management

Respiratory Support

Circulatory Support

Head Injury & Hypothermia Treatment

Massive Hemorrhage Control

Our comprehensive selection of massive hemorrhage control devices, products, and supplies are designed to effectively manage severe bleeding emergencies.

Our range includes life-saving tools such as tourniquets, hemostatic agents, and trauma dressings that are essential for rapid hemorrhage control in critical situations. Ideal for first responders, medical professionals, and emergency preparedness, these bleeding control products provide the necessary equipment to handle massive bleeding incidents with confidence and efficiency.

Explore our collection of hemorrhage management supplies, emergency bleeding control devices, and advanced trauma care products to enhance your readiness in any emergency scenario.

We offer a Hemostatic Agent Comparison Guide below to help with purchasing decisions.

Understanding the MARCH Protocol in TCCC

In Tactical Combat Casualty Care (TCCC), the MARCH protocol is a step-by-step sequence for managing trauma in high-threat or austere environments. It prioritizes life-threatening conditions in the order most likely to kill a casualty. Following MARCH ensures nothing critical is missed under stress.

While dedicated primarily to military personnel, it can be modified for civilian public safety use, hence the C-TECC standards.

M – Massive Hemorrhage

Uncontrolled bleeding is the leading preventable cause of combat death.

Apply a tourniquet high and tight on the limb. Yes, we know about the other landmarks too, but this is meant for a broader audience.
Use hemostatic gauze and pressure dressings for junctional wounds.
Reassess for hidden bleeding during patient movement.

A - Airway

Ensure the casualty can breathe effectively.

Use manual maneuvers (chin lift/jaw thrust) if needed.
Insert a nasopharyngeal airway (NPA) for semi-conscious patients.
Surgical airway (cricothyrotomy) may be necessary if obstruction persists. A VERY advanced technique.

R – Respiration

Address penetrating chest trauma and prevent tension pneumothorax.

Apply vented chest seals to all open chest wounds.
Monitor for signs of respiratory distress.
Perform needle decompression if indicated and trained. Another advanced technique.

C – Circulation

Control shock and maintain blood flow to vital organs.

Initiate IV/IO access if needed for fluid resuscitation.
Use blood products when available; avoid excessive crystalloids.
Keep the casualty warm to prevent hypothermia-induced coagulopathy.

H – Hypothermia / Head Injury

Even in hot climates, trauma patients can become dangerously cold.

Use hypothermia prevention wraps or blankets.
Protect the brain—avoid hypotension and hypoxia in head injuries.
Reassess neurological status regularly.

Why It Matters:

The MARCH protocol is designed for rapid, repeatable decision-making in chaotic environments. Whether you’re carrying a basic IFAK or a full advanced trauma kit, organizing your interventions according to MARCH dramatically improves survivability when every second counts.

At MED-TAC International, our kits are built with MARCH in mind—ensuring you have the right tools, in the right order, to execute life-saving care under fire.

Find products using the MARCH Algorithm

Find products using the MARCH Algorithm

FiltersFilter & Sort

Massive Hemorrhage Control

Understanding the MARCH Protocol in TCCC

M – Massive Hemorrhage

A - Airway

R – Respiration

C – Circulation

H – Hypothermia / Head Injury

Example 1 - APO Address

Example 2 - FPO Address

Example 3 - DPO Address

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