In Tactical Combat Casualty Care, what does MARCH stand for?

• A. Massive bleeds, Airway, Respiration, Circulation, Temperature control
• B. Massive hemorrhage, Airway, Respirations, Circulation, Hypothermia prevention
• C. Massive hemorrhage, Airway, Breathing, Circulation, Hypothermia prevention
• D. Massive hemorrhage, Airway, Respirations, Circulation, Hypothermia protection

Answer: (B)

MARCH organizes battlefield care by prioritizing threats in order of immediacy: control massive bleeding first, because uncontrolled hemorrhage kills fastest; then secure the airway to prevent airway collapse or obstruction; next ensure adequate breathing to oxygenate the patient; then attend to circulation to maintain perfusion and continue bleeding control; and finally prevent hypothermia to preserve clotting and overall stability. This sequence reflects what saves the most lives on the field.

The option that fits this sequence uses the standard terms: Massive hemorrhage, Airway, Respirations, Circulation, Hypothermia prevention. The wording differences in the other choices—such as bleeds vs hemorrhage, breathing vs respirations, or protection vs prevention—do not align with the conventional terminology and emphasis of MARCH. So this choice best matches the established protocol and rationale behind the priority order.