A dense field-kit MARCH card for tactical and austere medicine — built for SWAT medics, SF medics, flight and field paramedics, and anyone who trains to the MARCH sequence. Content is derived from openly published Tactical Combat Casualty Care guidance and standard field-medicine references.
Front
the full sequence. M — MASSIVE HEMORRHAGE (tourniquet high and tight, time marking, wound packing, junctional options, second-TQ rule); paired A — AIRWAY and amber R — RESPIRATION panels (positioning, NPA, cric line; vented chest seal, needle decompression gauge/length and both landmarks, tension recurrence); C — CIRCULATION (shock sign, access, TXA 2 g inside 3 hours, blood-first fluid priority, permissive hypotension SBP 80–90 with the TBI exception); and H — HYPOTHERMIA / HEAD (strip, wrap, warm fluids, TBI targets, AVPU/pupil recheck).
Back
the TQ CONVERSION table — 2-hour reassessment, conversion criteria and method, and the amber never-remove-after-6-hours rule; ONGOING CARE — PAWS with triple-option analgesia doses, field antibiotics, wound care, and splinting; EVAC PRIORITY timings (urgent, priority, routine); DOCUMENTATION and MIST HANDOFF panels; an amber strip — reassess after every intervention and every move, needle decompression buys minutes, not hours; and the boxed rule: MARCH IN ORDER — BLEEDING KILLS FIRST. Rigid PVC, water-resistant, standard CR80 badge size in the tan field-kit colorway with dark olive-and-amber print. Punched badge-reel slot at the top — rides behind your ID or clips into kit and stays legible after hard use. Content is clinician-reviewed and kept to guideline-consistent values. Field reference only, not a protocol — always verify against current TCCC guidance and your unit or agency guidelines.