TCCC IFAK Refill Module The MARCH TCCC IFAK Refill Module is a convenient way to restock used, old, or expired TCCC essential components - or use this module as a starting point to build your own IFAK (find a pouch here). This module includes just the essentials for a MARCH TCCC (Tactical Combat Casualty Care) kit and will address most severe trauma scenarios, but don't forget to add whatever additional supplies you need, from everyday needs like bandages, band-aids, tape, meds and topicals to the more specialized equipment like splinting, airway or diagnostic components. MARCH Algorithm The MARCH acronym is an easy-to-remember order of operations for treating trauma patients, helping responders prioritize what injuries to treat first. M - Massive Hemorrhage - Severe bleeding can cause death very quickly. Tourniquets, hemostatic gauze, and wound packing gauze can rapidly help reduce or stop bleeding. A - Airway Management - Closed airways are the second common cause of survivable deaths. Naso or oral airway devices can aid in maintaining an open airway in trauma casualties. R - Respiratory - The chest cavity has a specific pressure that allows the lungs to function as intended. Chest seals and decompression needles can help restore and maintain the natural pressure needed in the chest cavity. C - Circulation - Trauma patients are often in a state of shock which can require IV or IO intervention in order for circulatory systems to work properly. H - Head Injury / Hypothermia - Identify and monitor for head injuries. Address hypothermia in trauma patients (hypothermia is part of the lethal triad and should be taken seriously). Click here to learn more about the MARCH TCCC Algorithm. What is TCCC? TCCC stands for Tactical Combat Casualty Care. It is a set of best-practice guidelines developed from evidence-based studies, aimed at managing trauma in the field, especially in combat, tactical, or high-risk environments. These best practices are used by military personnel, but have also been adapted by prominent organizations such as the ACS (American College of Surgeons) and NAEMT (National Association of Emergency Medical Technicians). These standards guide law enforcement and even civilian first responder medical trainings.
