What is the overall goal of Tactical Combat Casualty Care?

• A. To evacuate immediately with no field care
• B. To rely exclusively on antibiotics in field care
• C. To prevent preventable deaths by addressing threats and applying MARCH in the field and during evacuation
• D. To perform only analgesia

Answer: (C)

The main aim of Tactical Combat Casualty Care is to prevent deaths that can be avoided by delivering timely, life-saving care on the battlefield and during evacuation. This means actively managing the most dangerous threats to life in a practical, field-friendly way and continuing care as the casualty moves toward higher levels of treatment. The framework used is MARCH, which guides care in the field: control massive bleeding first, secure the airway, ensure adequate breathing, manage circulation, and address hypothermia or head injuries as needed. By focusing on these steps in the right order, responders reduce preventable deaths right where injuries occur and during transport to follow-on care. This approach is broader than simply evacuating immediately or relying on a single intervention like antibiotics or analgesia; those elements can be part of care, but they do not capture the organized, priority-driven effort to stop life-threatening threats in the field and during evacuation.