Which of the following is NOT included in MARCH-PAWS-L?

MARCH-PAWS-L is an acronym used in tactical medicine to help responders remember the critical components of casualty care. The components of MARCH-PAWS-L stand for:

• M: Massive Hemorrhage

• A: Airway

• R: Respirations

• C: Circulation

• H: Hypothermia

• P: Pain control

• A: Antibiotics

• W: Wounds

• S: Splints

• L: Logistics

In this context, neurological evaluation does not fit within the MARCH-PAWS-L protocol. The protocol is focused on immediate life-saving interventions and stabilization rather than comprehensive neurological assessments. While evaluating a patient’s neurological status might be important in a full medical assessment, it is not part of the MARCH-PAWS-L actions which prioritize physical trauma and medical treatment in urgent situations.

The other components, such as pain control and antibiotics, are included as they address specific critical needs that arise in emergency medical scenarios. Thus, the choice that highlights neurological evaluation as not being part of this framework is accurate.