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North American Rescue
MED-TAC International's MARCH Supplies collection provides tourniquets, hemostatic gauze, airway adjuncts, chest seals, IV/IO supplies, and hypothermia prevention equipment — one collection covering all five phases of the TCCC MARCH algorithm. Used by U.S. military medics, law enforcement rescue task forces, and civilian trauma providers. Every product is sourced from the original manufacturer or authorized master distributor, including CoTCCC-recommended devices from North American Rescue, Z-MEDICA, CELOX, SAM Medical, and Compression Works.
MARCH is the treatment priority framework used in Tactical Combat Casualty Care (TCCC) — the clinical standard for prehospital trauma care developed by the U.S. Special Operations Command and adopted across U.S. military branches, NATO partners, and an increasing number of civilian EMS and law enforcement agencies. The acronym stands for Massive Hemorrhage, Airway, Respirations, Circulation, and Hypothermia/Head injury. Unlike the civilian ABC (Airway, Breathing, Circulation) framework, MARCH places hemorrhage control first — because uncontrolled external bleeding kills faster than airway obstruction in the majority of preventable trauma deaths. The sequence is evidence-based: data from the Joint Trauma System show that hemorrhage accounts for approximately 91% of potentially survivable battlefield deaths. MARCH provides a systematic protocol that any trained responder can execute under fire, in austere environments, or during mass casualty incidents.
Each phase of MARCH requires specific equipment. The table below maps each algorithm phase to its clinical objective, primary intervention, and the products MED-TAC carries to address it.
| Phase | Clinical Priority | Primary Intervention | Key Products |
|---|---|---|---|
| M — Massive Hemorrhage | Stop life-threatening external bleeding | Tourniquet; wound packing with hemostatic gauze; junctional device | CAT Gen 7, SAM XT, SOFTT-W, QuikClot Combat Gauze, Celox Rapid, AAJT-S, SAM Junctional Tourniquet |
| A — Airway | Establish and maintain patent airway | Chin lift/jaw thrust; NPA insertion; surgical airway if needed | Nasopharyngeal Airway (NPA), surgical airway kits — see Airway Management |
| R — Respirations | Identify and treat life-threatening chest injuries | Chest seal (open pneumothorax); needle decompression (tension pneumothorax) | Hyfin Vent Chest Seal, ARS Needle Decompression — see Respiratory Support |
| C — Circulation | IV/IO access; fluid resuscitation; treat shock | IV/IO access; blood products or crystalloid; pressure infusion | IV/IO supplies, blood transfusion kits — see IV/IO & Blood Transfusion |
| H — Hypothermia / Head | Prevent heat loss; assess head/spine injury | Hypothermia prevention wrap; head injury assessment | Heat reflective blankets, hypothermia prevention kits — see Head Injuries & Hypothermia Prevention |
This collection stocks a comprehensive range of CoTCCC-recommended and field-deployed tourniquet options. The Combat Application Tourniquet (CAT) Gen 7 by North American Rescue remains the most widely issued tourniquet in the U.S. military and the standard for most law enforcement IFAKs. The SAM XT Extremity Tourniquet by SAM Medical uses the TRUFORCE buckle system for audible and tactile pressure confirmation during self-application. The SOF Tactical Tourniquet Wide (SOFTT-W) by TACMED Solutions is preferred in applications requiring maximum occlusion pressure across large limbs. Additional options include the M2 Ratcheting Tourniquet (available in 1.5-inch, 2-inch, and XL widths), the RCR Medical X8T for one-handed operation, and the SnakeStaff ETQ Gen 2. For junctional hemorrhage, the collection includes the AAJT-S (Compression Works) and SAM Junctional Tourniquet — both CoTCCC-recommended for inguinal and axillary hemorrhage control. Browse the dedicated Tourniquets & Pouches collection for the full tourniquet selection.
The MARCH Supplies collection includes the two primary CoTCCC-recommended hemostatic gauze categories. QuikClot Combat Gauze (Z-MEDICA) — available in standard and XL formats — uses kaolin to activate the intrinsic clotting cascade, concentrating clotting factors at the wound surface. CELOX Z-Fold and CELOX Rapid (CELOX) and ChitoGAUZE XR PRO and ChitoGAUZE XR2 PRO (Tricol Biomed) use chitosan, which operates independently of the clotting cascade — retaining efficacy in hypothermic and anticoagulated patients. Also available: NuStat Tactical Hemostatic Dressing and Rhino Rescue Chitosan Hemostatic Gauze for additional options. Proper technique requires tight packing directly against the bleeding source with sustained manual pressure for 3–5 minutes. See all options in the Hemostatic Agents collection.
Equip Every Phase of MARCH
Tourniquets, hemostatic gauze, chest seals, airway supplies — everything for a complete TCCC loadout.
All products sourced from the actual brand manufacturer or authorized master distributors. CoTCCC recommendation status verified where applicable. Ships from MED-TAC International, Pembroke Pines, FL — clinician-founded, veteran-led, SDVOSB-certified.
Multi-brand curation means optimal performance — not vendor compromises.
We select the best component from each manufacturer — not whatever a single vendor pushes.
Components chosen based on clinical studies and field data — not marketing claims.
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