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Circulation

Circulation

Circulation supplies for hemorrhage control and vascular access. This collection covers the 'C' in MARCH with CoTCCC-recommended tourniquets, hemostatic agents, pressure dressings, IV/IO access devices, and control wraps. Products from North American Rescue, SAM Medical, Celox, and Tactical Medical Solutions.

MARCH Protocol: Circulation & Hemorrhage Control

Exsanguination from extremity hemorrhage is the #1 cause of preventable trauma death. The circulation phase of MARCH prioritizes tourniquet application, wound packing with hemostatic gauze, and pressure dressings. This collection brings together every component needed to stop life-threatening bleeding. Browse Massive Hemorrhage Control and Tourniquets & Pouches for expanded selections.

Circulation & Hemorrhage Control Selection Guide

The C in MARCH addresses circulation and hemorrhage control -- exsanguination is the #1 cause of preventable trauma death. Shop by intervention type: vascular access & IO (IV, IO, saline locks), blood & fluid resuscitation (whole blood, transfusion sets, warming), or AED & cardiac monitoring (defibrillators, chest compression, vitals).

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Circulation supplies for hemorrhage control and vascular access. This collection covers the 'C' in MARCH with CoTCCC-recommended tourniquets, hemostatic agents, pressure dressings, IV/IO access devices, and control wraps. Products from North American Rescue, SAM Medical, Celox, and Tactical Medical Solutions.

MARCH Protocol: Circulation & Hemorrhage Control

Exsanguination from extremity hemorrhage is the #1 cause of preventable trauma death. The circulation phase of MARCH prioritizes tourniquet application, wound packing with hemostatic gauze, and pressure dressings. This collection brings together every component needed to stop life-threatening bleeding. Browse Massive Hemorrhage Control and Tourniquets & Pouches for expanded selections.

Circulation: Three Pillars of Hemorrhage & Cardiac Care

The C in MARCH extends beyond bleeding control. Once massive hemorrhage is addressed, circulation management encompasses vascular access for fluid and medication delivery, blood and fluid resuscitation to restore circulating volume, and cardiac intervention for sudden cardiac arrest. Aligned with CoTCCC and C-TECC guidelines.

Vascular Access & IO Access

When peripheral IV access is impossible due to hemorrhagic shock, vascular injury, or tactical conditions, intraosseous (IO) access provides a rapid, reliable route to the central circulation. IO devices penetrate the bone marrow cavity of the humerus, tibia, or sternum, delivering fluids and medications as fast as a central line. Saline lock kits and IV infusion sets support conventional access when conditions allow.

  • IO devices: SAM IO, NIO, FAST1, T.A.L.O.N., Go IO
  • Pediatric and infant-specific IO options available
  • Saline lock kits for IV maintenance and medication ports
  • BOA constricting bands for IV site visualization
Blood & Fluid Resuscitation Resus

Restoring circulating volume is critical after hemorrhage control. Low Titer O Whole Blood (LTOWB) is the gold-standard resuscitation fluid in prolonged field care -- collection, administration, and transfusion sets enable far-forward blood operations. Fluid warmers (QUANTUM system) prevent hypothermia-induced coagulopathy during rapid infusion. LIFEFLOW PLUS enables manual rapid infuser delivery when gravity flow is insufficient.

  • LTOWB collection, administration, and transfusion sets
  • Fresh whole blood donor and recipient sets for field collection
  • QUANTUM blood/fluid warming system with accessories
  • LIFEFLOW PLUS manual rapid fluid infuser
AED & Cardiac Cardiac

Sudden cardiac arrest can follow severe trauma, electrical injury, or medical events in the field. Automated External Defibrillators (AEDs) from Defibtech, ZOLL, Philips, and Cardiac Science provide voice-prompted cardiac analysis and shock delivery for lay and professional responders. Chest compression devices deliver consistent CPR during transport. Vitals monitoring (pulse oximetry, BP, capnography) completes the cardiac assessment circuit.

  • AEDs: Defibtech, ZOLL, Philips, Cardiac Science, corpuls
  • Automatic chest compression device (Lifeline ARM XR)
  • Vitals: pulse oximeters, BP cuffs, stethoscopes
  • Capnospot pneumothorax decompression indicator
Circulation Decision Framework: Control, Access, Resuscitate
1

Control hemorrhage first. The C in MARCH begins where M (Massive Hemorrhage) leaves off. Ensure all life-threatening bleeding is controlled with tourniquets and hemostatic agents before addressing circulation access and volume.

2

Establish vascular access. If peripheral IVs are not achievable, escalate to IO access. The humeral head is preferred for rapid fluid delivery; the tibial plateau for ease of access. Secure with saline lock for medication administration.

3

Resuscitate and monitor. Deliver warmed fluids or whole blood through the established access. Monitor vitals with pulse oximetry and BP. If cardiac arrest occurs, deploy an AED immediately and begin high-quality CPR.

Circulation Product Comparison

Compare vascular access devices, blood and fluid resuscitation equipment, AEDs, and patient monitoring tools by type and key features to find the right circulation solution for your operational needs.

Product Type Format Key Feature
SAM IO Driver for Intraosseous Access IO Device Manual IO driver Multi-use manually powered IO driver, no batteries, cleanable, hundreds of actuations
SAM IO Driver NEEDLES IO Device IO needles, 3 sizes Replacement IO needles for SAM IO Driver in adult, pediatric, and infant sizes
SAM IO Driver Stabilizer IO Accessory IO stabilizer, 2 variants Stabilizer for securing IO needle post-insertion to prevent dislodgement
SAM IO Driver Adaptor IO Accessory IO adaptor Adaptor for connecting IV tubing to SAM IO needle hub
NIO Intraosseous Device -- Ruggerized IO Device Automatic IO, adult Ruggedized automatic IO device with fixation dressing for tactical environments
NIO Intraosseous Device -- Pediatric IO Device Automatic IO, pediatric Pediatric-specific automatic IO device with fixation dressing
NIO Intraosseous Device -- Infant IO Device Automatic IO, infant Infant-specific automatic IO device with fixation dressing
T.A.L.O.N. 7-Site IO Starter Set IO Device IO starter set, 7 sites Comprehensive IO starter set covering 7 anatomical insertion sites
Go IO Intraosseous Start Kit IO Device IO start kit Compact IO start kit for rapid vascular access in the field
FAST1 Intraosseous Infusion System IO Device Sternal IO system Adult sternal IO infusion system for rapid intraosseous access via manubrium
TacMed Vascular Access Kit IV/IO Kit Vascular access kit Complete vascular access kit with IV components for field use
TacMed Saline Lock Kit IV Access Saline lock kit Saline lock kit for IV site maintenance and medication delivery
Saline Lock Kit IV Access Saline lock kit Standard saline lock kit for establishing IV saline lock access
Needleless Saline Lock Kit IV Access Needleless saline lock Needle-free saline lock system reducing needlestick exposure risk
BOA I.V. Constricting Band IV Access Constricting band, 2 variants Reusable IV constricting band for vein visualization and IV site preparation
IV Infusion Starter Set IV Access IV infusion set Complete IV infusion starter set with catheter, tubing, and drip chamber
JACK Infusion Hook V2 IV Accessory Infusion hook Tactical infusion hook for hanging IV bags in field and transport settings
QUANTUM Blood & Fluid Warming System Warming Blood/fluid warmer Portable blood and fluid warming system for far-forward whole blood delivery
QUANTUM Charger Warming Acc. Battery charger Dedicated charger for QUANTUM warming system batteries
QUANTUM Controller Warming Acc. System controller Controller unit for QUANTUM blood/fluid warming system temperature management
QUANTUM Battery Warming Acc. Replacement battery Replacement battery for QUANTUM warming system field operations
QUANTUM Controller Battery Warming Acc. Controller battery Dedicated battery for QUANTUM controller unit
QUANTUM Blood Transfusion Kit Transfusion Transfusion kit Blood transfusion kit designed for use with QUANTUM warming system
Thermal Transfusion Set -- BLOOD Transfusion Thermal transfusion set Thermal transfusion set for warmed whole blood delivery in field conditions
Thermal Infusion Set Infusion Thermal infusion set Thermal infusion set for warmed crystalloid and colloid fluid delivery
Low Titer O Whole Blood Kit -- LTOWB Blood Kit LTOWB kit Complete low titer O whole blood kit for far-forward collection and transfusion
Low Titer O Whole Blood Administration Set Blood Set LTOWB administration set Administration set for delivering low titer O whole blood to recipient
Low Titer O Whole Blood Collection Set Blood Set LTOWB collection set Collection set for drawing low titer O whole blood from donors in the field
Advanced LTOWB Transfusion Set Blood Set LTOWB transfusion set Advanced transfusion set for low titer type-O whole blood delivery
Advanced LTOWB Collection Set Blood Set LTOWB collection set, 2 variants Advanced collection set for low titer group O whole blood field collection
Fresh Whole Blood Donor Set Blood Set FWB donor set Donor set for collecting fresh whole blood in austere field conditions
Fresh Whole Blood Transfusion Set Blood Set FWB transfusion set Transfusion set for delivering fresh whole blood to recipient
Fresh Whole Blood Recipient Set Blood Set FWB recipient set Recipient set for receiving fresh whole blood transfusion in the field
TacMed Field Blood Transfusion Kit Blood Kit Transfusion kit, 5 variants Complete field blood transfusion kit in multiple configurations for tactical use
LIFEFLOW PLUS Fluid Infuser Infuser Manual fluid infuser Manual rapid fluid infuser for delivering large-volume fluids under pressure
Defibtech Lifeline AED AED Semi-auto AED Automated external defibrillator designed for non-medical responders in public spaces
Defibtech Lifeline Semi-Auto AED AED Semi-auto AED, 2 variants Semi-automatic AED with voice prompts for lay responder cardiac arrest response
Defibtech Lifeline Fully-Auto AED AED Fully-auto AED, 2 variants Fully-automatic AED -- no shock button press required, ideal for public access
Defibtech Lifeline VIEW AED AED AED with video screen AED with integrated full-color video screen showing CPR and rescue instructions
ZOLL AED 3 AED Semi-auto AED ZOLL AED 3 with Real CPR Help technology for feedback on compression depth and rate
ZOLL AED Plus Defibrillator AED AED defibrillator ZOLL AED Plus with Real CPR Help for professional and lay responder use
ZOLL AED Plus Complete Package AED AED complete package ZOLL AED Plus with full accessory package including case, pads, and battery
ZOLL AED 3 BLS for EMS w/ Real CPR Help AED BLS AED for EMS ZOLL AED 3 configured for EMS with Real CPR Help and BLS response protocols
Cardiac Science Powerheart G5 AED AED Fully-auto AED Powerheart G5 with dual-language support and rescue ready daily self-testing
Cardiac Science Powerheart G3 Plus AED AED Fully-auto AED Powerheart G3 Plus AED with RescueCoach voice prompts and STAR biphasic waveform
Philips HeartStart FRx AED Rugged AED Rugged AED Philips HeartStart FRx with rugged design for outdoor and tactical environments
Philips HeartStart FRx AED -- Refurbished AED Refurbished rugged AED Refurbished Philips HeartStart FRx AED with warranty and free carry case
Philips HeartStart OnSite AED AED Semi-auto AED Philips HeartStart OnSite AED designed for office, school, and community settings
Philips HeartStart OnSite Home AED AED Home AED Philips HeartStart OnSite configured for home use with simplified instructions
corpuls AED AED Professional AED corpuls AED for professional EMS and fire department cardiac arrest response
Lifeline ARM XR Chest Compression Device CPR Device Automatic chest compression Defibtech Lifeline ARM XR for consistent automated CPR during transport and extended resuscitation
Vermed EMS Electrodes AED Acc. Electrodes, case of 50 EMS replacement electrodes for defibrillators, case of 50 ten-packs
Pulse Oximeter Vitals Fingertip pulse oximeter Compact fingertip pulse oximeter for SpO2 and pulse rate monitoring
MightySat Rx Fingertip Pulse Oximeter Vitals Professional pulse oximeter Nonin MightySat Rx non-Bluetooth fingertip pulse oximeter for clinical-grade SpO2
Digital Blood Pressure Cuff Vitals Digital BP monitor Digital blood pressure cuff with automatic inflation and digital display
Manual Aneroid Sphygmomanometer Vitals Manual BP cuff Manual aneroid sphygmomanometer for auscultatory blood pressure measurement
Cardiology Stethoscope Vitals Cardiology stethoscope High-acuity cardiology stethoscope for heart, lung, and vascular auscultation
Capnospot Pneumothorax Indicator Diagnostic Pneumothorax indicator Colorimetric indicator for detecting pneumothorax in chest trauma assessment
Broward County AED & Bleeding Control Kit Compliance AED + BFK compliance package Large-capacity AED and bleeding control kit compliance package for Broward County, FL
City of Miramar AED & Bleeding Control Kit Compliance AED + BFK compliance package AED and bleeding control kit compliance package for City of Miramar, FL
Nasal Swab -- Virus Sampling Kit Diagnostic Virus sampling kit Nasopharyngeal swab and virus sampling tube for infectious disease screening

Circulation management extends beyond hemorrhage control to encompass vascular access, fluid resuscitation, and cardiac intervention. The products listed here support the full C-phase of the MARCH algorithm. FDA and CE compliant where applicable per manufacturer specifications. This comparison table is not all-inclusive and is subject to expansion or retraction at any time. MED-TAC does not claim to offer every circulation management option on the market.

Evidence-Based Selection
CoTCCC Aligned
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500+ Agencies
4.83 / 5 · 750+ Verified Reviews

We offer best-in-class products from every manufacturer, so you have variety and choice in the gear you need to save lives.

CoTCCC Aligned SDVOSB Certified SAM Registered 500+ Agencies Served Stop the Bleed

Why MED-TAC's Evidence-Based Approach Outperforms Single-Vendor Kits

Independent Testing, Not Marketing Claims

Each component is selected based on published clinical studies, field performance data, and professional user feedback -- not manufacturer marketing. We evaluate the entire equipment ecosystem, including the 90% of effective gear often missed by limited single-vendor review scopes.

Multi-Brand Curation Over Compromise

Single vendors excel in one category but underperform in others. We select the best tourniquet from one brand, the superior hemostatic from another, the top chest seal from a third -- optimizing kit performance over vendor politics. Result: 13% higher effectiveness vs. single-vendor averages.

Professionally Validated & Compliance Ready

Components align with Stop the Bleed, C-TECC, and MARCH protocols. Government procurement documentation, competitive bidding support, and GSA schedule compatibility available. Component traceability and assembly quality control on every kit.

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