Treatment Guidelines
The treatment of an individual casualty has been designed with a common gateway for all emergencies, whether the emergency is traumatic, medical, toxicological or environmental in nature.
The priorities for treatment are MARCH principles​. This is an evolution from previous doctrine and recognises the requirement to treat catastrophic external haemorrhage as the first priority. This is the commonest cause of avoidable battlefield death.
Evidence-based guidelines are presented that are tempered with operational experience and that have been matched to the availability of equipment and drugs within the deployed medical modules.
This is not a textbook of all possible emergencies. Rather, conditions have been selected that are likely to be encountered within the military population in the operational setting, or if rare are still important clinically and will predictably require guidance.
These guidelines relating to the operational blood transfusion capability have been approved by the Defence Medical Services Transfusion Committee (DMSTC).
It is important that their content is governed by this committee due the number of dependencies and stakeholders involved.
They are reviewed regularly as part of the committee's standing agenda. Any comments or suggestions to be raised with the Chair DMSTC, through nominated representatives.
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