MED-01
MARCH-PAWS Tactical Trauma
Life-threat management for austere and disaster environments
MARCH-PAWS is the doctrinal framework used by military medics, TEMS operators, and austere environment responders to prioritize care when someone is critically injured. This course teaches you to apply that framework with skill and discipline: stopping immediate death first, then sustaining the patient until definitive care is available. No prior medical training is assumed. What is assumed is that you are serious about being ready.
Course Lessons
MED-01-00
Course Overview & How to Use This Training
The doctrine behind MARCH-PAWS, how to read these lessons, and what this training prepares you to do
MED-01-01
M — Massive Hemorrhage
Tourniquets, wound packing, hemostatic agents, junctional bleeding, and the blood sweep
MED-01-02
A — Airway
Positioning, manual maneuvers, airway adjuncts, and when to suspect obstruction
MED-01-03
R — Respiration
Chest assessment, open chest wounds, tension pneumothorax, and occlusive dressings
MED-01-04
C — Circulation & Shock
Recognizing hemorrhagic shock, permissive hypotension, and fluid strategy in the field
MED-01-05
H — Hypothermia & Head Injury
The lethal triad, active and passive rewarming, TBI recognition, and the AVPU scale
MED-01-06
PAWS — Sustaining the Patient
Pain management, antibiotic indications, wound care, and splinting in austere environments
This course teaches civilian preparedness-level trauma response based on TCCC doctrine adapted for austere and disaster environments. It does not certify you as a medical professional. Some interventions described require medical oversight, prescription access, or advanced training — these are marked throughout with an amber warning block and are included for completeness and handoff communication only. Always seek the highest level of care available. This training exists to bridge the gap when that care is not immediately available.
Complete the Picture
MARCH-PAWS manages life threats and sustains the patient. The courses below extend your capability into the assessment and documentation skills that support continuity of care, provider handoff, and prolonged field management.
MED-02
Medical History
SAMPLE, OPQRST, and systematic history-taking for trauma and medical casualties in austere environments
MED-03
DCAP-BTLS Secondary Trauma Assessment
Head-to-toe physical assessment technique, injury pattern recognition, and findings documentation
MED-06
Patient Care Documentation
TCCC card completion, handoff reports, and documentation practices for prolonged field care
Training Materials & Products
Physical training aids and reference cards to support your MARCH-PAWS practice.
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Medical Card Set: Triage — MARCH & Secondary Assessment
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M-A-R-C-H Assessment Card
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Patient Encounter Documentation Cards