AVPU Scale

So MARCH stands for Massive Extremity Hemorrhage, and then there's a smaller M inside of the M portion of MARCH, which is MENTATION.

At the same time that we're assessing for Massive Extremity Bleeding, we're also talking to our patient and seeing how they respond and seeing, you know, kind of doing that whole AVPU thing, right? And are their responses appropriate? And that starts to clue us in pretty early on in that process as to how severe are these injuries, right? If somebody is talking to me and they're answering my questions appropriately, it's like, hey, what's your name? And they tell me their name.

Ezekiel.

Yeah,

Use the responses you can safely assess and follow your clinical guidelines.

For first aid situations, there's much simpler tools, such as AVPU, alert, voice, pain, unresponsive.

This may be appropriate, and we've covered that in a previous episode.

But GCS gives us a much more detailed picture when a structured neurological assessment is required.