MARCH/ Tactical Combat Casualty Care
Prerequisites: None Required
Demonstrate comprehension of M.A.R.C.H. principles and competency at
life-saving skills. This course is taught with the latest standards of care recommendations by
the Joint Trauma System (JTS), American College of Surgeons, and the Committee of Tactical
Combat Casualty Care (CoTCCC).
Fairfax Rod and Gun Club
• Recognize massive (life threatening) hemorrhage.
• Demonstrate competency using commercial and improvised tourniquets
• Recognize common causes of airway compromise.
• Demonstrate how to position someone in the Recovery Position.
• Recognize signs of difficulty breathing.
• Basic MARCH
• Demonstrate the physical examination to identify penetrating chest
• Demonstrate the placement of an occlusive dressing for penetrating
• chest trauma.
• Differentiate non-life-threatening hemorrhage from massive bleeding.
• Demonstrate the proper placement of a trauma dressing.
• Demonstrate wound packing techniques when use of a TQ is not feasible.
• Describe the adverse effects of hypothermia on trauma patients.
• Demonstrate the proper utilization of an emergency casualty blanket to
• prevent hypothermia.
Current Medical Items Commonly Worn
Tactical Gear Commonly Worn
Medical SOPs if available
Knee pads (optional, but recommended)
Water for hydration
• Lunch is not included. Please bring your own.
• It’s highly recommended to bring a chair.
• This is an outdoor range, so the only restrooms are Port-A-Johns.
Instructor Bio: David Lang
Lead instructor David Lang started his journey in the 82nd Airborne as a medic deployed
to Operation Enduring Freedom, Afghanistan. Furthering his pre-hospital knowledge by assessing
for Task Force 160th and attending the Special Operations Combat Medic Course. Later diving
deeper into Flight Medicine and Critical care he obtained his Flight Paramedic Certification and
Critical Care endorsements. He later went on to Instruct at the Flight Paramedic School house and
Expeditionary Medical Course at the Army’s Fort Sam Houston (home of Army Medicine). Then
moved on to become an Operations Chief for the Walter Reed Simulation and Training Dept,
specializing in high-risk low acuity training for the DOD’s medical school. Currently holding a
position at the State Departments Operational Medicine Directorate.
*Slots limited to 20 students only*
For questions or more info, contact us at: [email protected]