What does the 'M' in MARCH PAWS represent?

The 'M' in MARCH PAWS stands for "Massive Bleeding." In the context of Tactical Combat Casualty Care, addressing massive bleeding is a top priority in the initial assessment and treatment of a casualty. This is part of the trauma care paradigm, which emphasizes controlling severe hemorrhage to prevent shock and improve the chances of survival. By immediately identifying and managing massive bleeding—using methods such as direct pressure, tourniquets, or hemostatic agents—medics can stabilize the patient’s condition effectively. Understanding and prioritizing this aspect of care is essential for any combat medic or corpsman, as rapid intervention can significantly impact patient outcomes.