The MARCH protocol is an instruction on which the life and health of a fighter depends

Everyone knows that his life directly depends on the timely assistance to a wounded soldier on the battlefield. That is why every soldier, regardless of his military specialty, must know the techniques of tactical medicine.

Meanwhile, the situation in combat conditions, to put it mildly, differs from the one in which military personnel study these techniques in the course of training. Thus, even knowing the nuances of first aid, a fighter can be confused or confused, missing those very minutes or even seconds on which the life of his comrade depends.

To prevent this from happening, there is the MARCH protocol. In other words, this is an instruction, a clear sequence of actions that military personnel should not hesitate to carry out in case of one or another injury to their colleague.

It is worth noting that the MARCH protocol is a kind of generally accepted standard, which closely echoes Order No. 760 of the Russian Ministry of Defense on first aid on the battlefield.

At the same time, Russia has already developed its own tactical medicine algorithm called “Kulak-master”. However, it also includes many points of the more world-famous MARCH protocol.

Tellingly, the abbreviation used in the name of the algorithm fully deciphers the actions that every soldier should be able to carry out in time: Massive Hemorrhage - stopping life-threatening bleeding, Airways - ensuring airway patency, Respiration - closing chest wounds, ensuring respiratory functions, Circulation - complete examination of the wounded, stopping bleeding, diagnosing shock, replenishing blood loss, Hypothermia / Head injuries - prevention of hypothermia and treatment of head injuries.

For each of the above situations, there is an instruction that allows the fighter "on the machine" to carry out the necessary actions in an extreme situation.

In addition, the above-mentioned generally accepted algorithm has an addition - PAWS, which means: Pain - the use of painkillers,
Antibiotics - antibiotics, Wounds - wounds, their treatment, as well as Splinting - splinting.

Comments

[rocket757]

This is understandable... in a critical situation, in saving a person’s life, minutes, seconds, moments matter!!! Everyone should know this, be able to provide first, emergency assistance ...
This was not invented yesterday, it has stood the test of time.

[svp67]

At the same time, Russia has already developed its own tactical medicine algorithm called “Kulak-master”.

More than a strange name for medicine. Well, as long as it brings benefits, as they say: "Even though you call it a iron, just don't put it in the oven ..."

However, it also includes many points of the more world-famous MARCH protocol.

And should this be surprising? For me, the main thing is which of these measures is more effective in terms of saving the life of a wounded soldier, and if the enemy "protocol" is suddenly better, then it must be accepted without changes.
Well, the opinion of those who understand all the "+" and "-" of these two protocols is important here and which one is more suitable for us

[Ryazan87]

More than a strange name for medicine.

I just had to come up with some kind of absurd, but memorable acronym. Before that, and J.O.P.A. was (tourniquet-anesthesia-dressing-auto).

Well, the opinion of those who understand all the "+" and "-" of these two protocols is important here and which one is more suitable for us

"master's fist" is a copy of march paws. Suddenly, a ray of reason flashed and they did not invent "analogue". The March algorithm is now just an axiom of tactical medicine, tested on a huge array of feedback (here the Americans are simply the undisputed leaders).
Training within the framework of this system, coupled with the adoption of an adequate first-aid kit API 7, will be something breakthrough for our army. If this innovation is not chewed up, we will be able to overcome the existing gap of 40 years from modern armies.

[AndreyKam_Z]

Thank you. The question of the KulakBarin system was directly removed from the tongue, otherwise everything slipped in the article. But J.O.P.A. everyone should know it more primitively, this is 90% survival, the Fist is good, but this is already a whole system, already more for vocational education.

[Ryazan87]

Algorithm "F" has a significant drawback - the painkiller is the second item. From the point of view of saving human life and health, this is not true. It's just that many people think, having seen enough films, that the first necessary action is to inject promedol to the wounded. This is wrong.
The main cause of death on the battlefield is bleeding. Anesthesia is generally useful, but secondary.
As for professionalism - here it is worth using the American experience, in my opinion. The US Army not only trains all soldiers in tactical medicine, but there is also such a special level of qualification, roughly speaking, "assistant medical instructor." It turned out to be a very useful innovation. The medical officer is often overwhelmed, and, in addition, he himself can be killed or injured.
R.S. regular turnstiles appeared in the Russian army, which is almost a miracle. I would also like to teach everyone to write the overlay time ...

[Vasya Piratoff]

In fact, the principles of first aid were developed and APPLIED by the Russian surgeon PIROGOV back in the Crimean War. Since then, with various modifications, the Pirogov system has been used in all armies of the world. The United States tried to drastically modify the system through the use of helicopter evacuation immediately to the hospital. But on the real front, this does not always work. So the Pirogov system is still the basis of medical care on the battlefield. And words like w or n are just an algorithm for a novice medical instructor, so that in the first battle you don’t get the same w...

[Ryazan87]

In fact, the principles of first aid were developed and APPLIED by the Russian surgeon PIROGOV back in the Crimean War.

In fact, to begin with, it is worth understanding the difference between military field surgery and tactical medicine. These are different concepts.
And if we talk about first aid in a historical aspect, then rather Jean Larrey is worth remembering, who, in principle, introduced a specialized evacuation of the wounded from the battlefield and began to work with sorting the wounded. This is not denying the enormous merits of Pirogov, of course.

And words like w or n are just an algorithm for a novice medical instructor, so that in the first battle you don’t get the same w...

These are not buzzwords, but algorithms that allow people without a medical education to provide the necessary minimum of assistance on the battlefield in order to deliver the wounded to the hospital in such a condition that he can save his life and (ideally) not be left crippled.
MARCH PAWS training and more broadly, the use of Tactical Combat Casualty Care in the US Army has markedly reduced deaths from wounds on the battlefield:

[Doctor]

All these mnemonics are the trouble of modern medicine (and not only medicine).
At the professional level, they are also trying to introduce all sorts of standards of assistance. For 30 years, all this nonsense has been going on, now they are implementing the Clinical Recommendations of the Ministry of Health.

[agond]

In addition to standard methods of treatment, for example, stopping bleeding, there are non-standard ones, for example, a conspiracy (a long time ago, an acquaintance told me how he stopped the bleeding on his face, then at the emergency room, the doctors immediately realized that it was a conspiracy, they rubbed the wound so that the blood would start bleeding again and then stitched it up). Filipino healers do not treat in a standard way at all, although there are many witnesses, video recordings, studies, official medicine does not recognize them, as if there were two parallel realities: some operate with bare hands, while others do not recognize that this is possible. Purely hypothetically, if the filer is without anesthesia and with a scalpel in 2 seconds he stepped towards the patient, extended his hand and with two fingers takes out a stone from the stomach and throws it on a saucer to the nurse, then he probably could have taken the fragment out of the wounded man.