Which of the following is NOT part of the P-MARCH-P acronym?

The P-MARCH-P acronym is designed to aid in the assessment and treatment of a casualty during tactical combat. Each letter of the acronym stands for a specific element of care:

• P for Patient/Provider Safety ensures that the caregiver can operate without risk to themselves or to the patient.
• M for Massive Hemorrhage focuses on controlling life-threatening bleeding.

• A for Airway emphasizes the need to secure and maintain the casualty's airway.
• R for Respirations addresses the management of breathing and ventilation.
• C for Circulation highlights the importance of assessing and maintaining circulation.
• H for Head Trauma and Hypothermia brings attention to potential head injuries and the risks associated with hypothermia.
• P for Pain Management underscores the importance of managing pain in the injured individual.

Among the provided options, “Environmental Hazards” does not fit within the P-MARCH-P framework as it is not explicitly addressed by any element of the acronym. While environmental hazards are important considerations in a tactical situation, they are not directly part of the immediate care protocol specified by P-MARCH-P. Thus, identifying this option as “not part of” the acronym reflects an understanding of the focus areas within the TCCC guidelines.