MARCH-PAWS TRAINING

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Life-Threat Priorities for Austere & Disaster Environments Preparedness reality:In disasters, people don’t usually die because no one cared.They die because the wrong problem was treated first. MARCH-PAWS is a prioritized medical decision framework designed to stop preventable death when time, resources, and professional care are limited or unavailable. What This Training Covers This training teaches you to: Identify life-threatening injuries in the correct order Prevent fixation on non-lethal problems Operate under stress, uncertainty, and scarcity Manage patients when evacuation is delayed Integrate trauma care into group preparedness and leadership This is not about advanced medicine.It is about discipline, prioritization, and survival logic. The MARCH-PAWS Framework MARCH-PAWS divides care into two phases: MARCH — Stop Immediate Death Focuses on problems that will kill right now. M — Massive Hemorrhage A — Airway R — Respiration C — Circulation H — Head / Hypothermia PAWS — Sustain the Patient Prevents secondary collapse once immediate threats are controlled. P — Pain A — Antibiotics W — Wounds S — Splinting Preparedness rule: If you skip the order, you skip lives. MARCH: Immediate Life Threats M — Massive Hemorrhage Uncontrolled bleeding kills fastest. Training focus: Rapid bleed identification Tourniquets, pressure, packing Continuous reassessment...