In START/MARCH, which step is the first instruction listed for field triage?

In START/MARCH, which step is the first instruction listed for field triage?

• A. Massive bleeding: control it
• B. Airway: maintain patent air way
• C. Respiratory: seal any torso wounds
• D. Circulation: control bleeding

Answer: (A)

In this field triage approach, stopping life-threatening bleeding comes first. Massive bleeding control is prioritized because severe hemorrhage can kill quickly, and addressing it immediately preserves the patient’s life and stabilizes them enough to tackle airway and breathing next. Techniques like direct pressure, tourniquets, or hemostatic dressings are applied right away, before moving on to airway or respiratory concerns. The other steps are critical, but they follow once the bleeding is under control, which is why that option is the best choice.

In this field triage approach, stopping life-threatening bleeding comes first. Massive bleeding control is prioritized because severe hemorrhage can kill quickly, and addressing it immediately preserves the patient’s life and stabilizes them enough to tackle airway and breathing next. Techniques like direct pressure, tourniquets, or hemostatic dressings are applied right away, before moving on to airway or respiratory concerns. The other steps are critical, but they follow once the bleeding is under control, which is why that option is the best choice.