Framework
SHOP MARCH-H-E
MARCH-H-E is the TCCC/TECC framework for assessing and treating casualties in phases. Each letter represents a priority of care — and a curated collection of gear purpose-built for that phase. Click a letter to shop gear for that priority.
MPhase
Massive Hemorrhage
Tourniquets, hemostatics, pressure dressings.
Shop CollectionAPhase
Airway
NPAs, iGels, suction, cric kits.
Shop CollectionRPhase
Respiratory
Chest seals, needle decompression, BVMs.
Shop CollectionCPhase
Circulation
IV/IO access, TXA, fluids, shock management.
Shop CollectionHPhase
Head Injury & Hypothermia
TBI monitoring, warming systems, blankets.
Shop CollectionEPhase
Everything Else
Splinting, burns, wound care, meds, comms.
Shop CollectionThe Framework
Why MARCH-H-E
MARCH-H-E is the backbone of tactical medicine — it tells you what to treat first when multiple threats compete for attention. TCCC, TECC, and civilian tactical curricula all use the same priority order because preventable death in the field has predictable causes.
- MMassive Hemorrhage — the #1 cause of preventable death. Tourniquets, hemostatics, pressure.
- AAirway — open and protect the airway. NPAs, iGels, cric if needed.
- RRespiratory — chest seals, needle decompression, ventilation support.
- CCirculation — IV/IO access, diagnostic, shock management.
- HHead Injury & Hypothermia — TBI monitoring, warming — hypothermia is a killer even in warm climates.
- EEverything Else — splints, burns, wound care, meds, comms, documentation.