In MARCH, what does the A represent?

• A. Assessment
• B. Aortic Pressure
• C. Arterial Bleeding
• D. Airway

Answer: (D)

In MARCH, the A represents Airway management. After addressing massive bleeding, the next priority is ensuring the casualty’s airway is open and protected so oxygen can reach the lungs and tissues. This means keeping the airway clear of blood or vomitus, suctioning as needed, and using appropriate adjuncts or techniques to maintain patency (like a jaw-thrust maneuver, oropharyngeal or nasopharyngeal devices, and careful rapid airway interventions if trained). The other options don’t fit because they aren’t what the A stands for in this acronym—Aortic pressure isn’t a term used here, and assessment or arterial bleeding aren’t designated by the A in MARCH.