MED-01

MARCH-PAWS Tactical Trauma

Life-threat management for austere and disaster environments

Course Overview

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.

The MARCH-PAWS Framework

MARCH — Life Threats, In Order

MMassive HemorrhageControl bleeding immediately — the #1 cause of preventable death

AAirwayEnsure the airway is open and protected

RRespirationIdentify and treat breathing compromise

CCirculationAssess and treat hemorrhagic shock

HHead / HypothermiaProtect the brain and prevent heat loss

PAWS — Only After MARCH

PPainManage pain to preserve function and prevent shock escalation

AAntibioticsPrevent infection when indicated by wound type

WWoundsClean, cover, pack, and reassess all wounds

SSplintingImmobilize fractures to reduce pain and further injury

PAWS begins only after every MARCH step is addressed

Training Scope & Limitations

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.

Lessons 00–06

MED-01-00Course Overview & How to Use This TrainingThe doctrine behind MARCH-PAWS, how to read these lessons, and what this training prepares you to do

MED-01-01M — Massive HemorrhageTourniquets, wound packing, hemostatic agents, junctional bleeding, and the blood sweep

MED-01-02A — AirwayPositioning, manual maneuvers, airway adjuncts, and when to suspect obstruction

MED-01-03R — RespirationChest assessment, open chest wounds, tension pneumothorax, and occlusive dressings

MED-01-04C — Circulation & ShockRecognizing hemorrhagic shock, permissive hypotension, and fluid strategy in the field

MED-01-05H — Hypothermia & Head InjuryThe lethal triad, active and passive rewarming, TBI recognition, and the AVPU scale

MED-01-06PAWS — Sustaining the PatientPain management, antibiotic indications, wound care, and splinting in austere environments

Training Materials & Products

Physical training aids and reference cards to support your MARCH-PAWS practice.

TCCC Cards (4×6)

TCCC Cards — Pack of 54×6 field reference cards · Set of 5
TCCC Cards — Pack of 104×6 field reference cards · Set of 10

Medical Card Sets

Medical Card Set: Triage — MARCH & Secondary AssessmentComplete triage and assessment card set
M-A-R-C-H Assessment CardSingle assessment reference card
Patient Encounter Documentation Cards4×6 documentation cards · Patreon member pricing

How This Course Works

Format	7 self-paced lessons, each with interleaved knowledge checks
Order	Sequential — each lesson unlocks the next only after its knowledge check is passed
Certificate	Unlocks automatically after all 7 lessons are complete, on this device/browser
Companion Guide	16-page field reference, available as a download in Lesson 00