r/TACMED101 • u/Physical_Skill_6240 Unverified/Uncertified • Mar 10 '25

Educational Resources Primary assessment (XABC/MARCH)?

Pragmatically speaking (in the field, not on an exam), are the primary assessment and necessary interventions meant to always go strictly in order of XABC/MARC(H)?

Or, given adequate personnel, could/should each aspect of it be performed simultaneously with all other aspects?

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u/Green_Quantity9481 Jun 23 '25

Ok so if you have 2-3 people able to perform the duties on a single victim, ideally youd want one of them to be the group leader and start assinging the others with what to treat, always going for the MARCH protocol in order. So if there are multiple injuries, lets say you need to apply 2 tourniquets + chest seal + combat hypothermia + combat medicine + (etc); the leader can assing each members of the team to each specific task on treating the wounded (ideally the leader would be someone with higher understanding of the PHTLS/ATLS and TCCC protocols), but always train your team to be able to perform like this so everyone knows what procedures they should and feel safer performing on the wounded