Episode 2 – M.A.R.C.H2 – Rapid Trauma Assessment

This week we introduce you to the M.A.R.C.H2 trauma assessment technique. This acronym will help you identify and prioritize the immediate life-threats you might encounter during the first minutes of trauma assessment. This is a useful tool. Take-a-listen and consider how you might incorporate this into your trauma assessment.

As always, please comment and leave some feedback.


M = Massive Hemorrhage. Tourniquets, pressure bandages, wound packing, direct pressure, junctional TQs. Life-threatening hemorrhage must be controlled quickly to prevent the onset of shock.

A = Airway Management. Unconscious casualties require aggressive airway management. BLS airways provide rapidly deployable options to reestablish a viable airway. Supraglottic airways Offer a more definitive solution to field airway problems. Lastly intubation and Rapid Sequence Induction offered definitive airway options for those with the appropriate skill level.

R = Respirations. Chest trauma can produce many different etiologies of respiratory derangements. Rapid identification of these problems and rapid intervention, such as needle decompression and/or occlusive dressing placement, will often mean the difference between life or death.

C = Circulation. Field identification of shock is critical for its mitigation. Understanding the shock cascade and methodologies for preventing hypoperfusion will help the prehospital provider decrease trauma mortality.

H = Hypothermia. Recognizing the need to prevent hypothermia in a trauma patient is an important step in lessening the impact of the lethal triad.

H = Head Injury. Head injury is a leading cause of mortality as related to trauma. Recognizing the signs and symptoms of traumatic brain injury will help the provider understand treatment options.

That’s all for this week, a somewhat long podcast but some pretty good information. Thanks again for listening. We’ll be back soon with another installment.  Derrick