Full-size tactical mannequin MARCH-X for TCCC/TECC and MARCH with controlled bleeding (HEMORRHAGE-X3)

MARCH-X is a full-size adult mannequin for training in tactical medicine (TCCC/TECC) and the MARCH algorithm in realistic 'field' conditions. Height/weight are close to that of a real person (1.95 m / ~70–80 kg), sturdy stainless steel frame, thick silicone skin, interchangeable limbs for transport and evacuation training. A key feature is the connection of wounds to the bleeding system and the HEMORRHAGE-X3 pump (included) with control of bleeding parameters via an app/web.

What is MARCH-X used for in tactical medicine

  • MARCH-X is designed as a 'combat' simulator for scenarios where it is necessary to simultaneously practice:
  • massive hemorrhage control (tourniquet/compression/tamponade + realistic bleeding),
  • airway (maneuvers, airways, intubation, cricothyrotomy),
  • respiration (BVM, occlusive dressings, bilateral decompression),
  • evacuation/extraction and movement of the injured.

Realistic bleeding and control via HEMORRHAGE-X

  • Wounds are connected by separate tubes for 'blood' delivery.
  • 'Blood' can be pumped manually (squeeze bottle) or via the HEMORRHAGE-X pump.
  • HEMORRHAGE-X3 (3 outputs) is included with MARCH-X.
  • Bleeding control via app/web: arterial/venous, flow and pulse regulation, pressure sensors, 1 or 3 independent flows, remote control.


What can be practiced

M — Massive Hemorrhage

  • application of tourniquets to arms and legs (fully compatible)
  • control of bleeding from connected wounds with realistic 'blood' delivery

A — Airway

  • head tilt / chin lift / jaw thrust
  • oxygen therapy (cannulas/masks, etc.)
  • anatomy: tongue, epiglottis, vocal cords, trachea
  • OPA/NPA, LMA
  • orotracheal/nasotracheal, fiberoptic intubation
  • needle and surgical cricothyrotomy

R — Respiration

  • BVM ventilation
  • bilateral decompression of pneumothorax
  • application of chest seal

Resuscitation

  • anatomical landmarks for chest compressions, realistic resistance to compressions

Injuries (built-in wounds)

  • chest/abdomen: entry gunshot
  • right arm: entry/exit gunshot
  • left arm: laceration
  • right leg: entry/exit gunshot
  • left leg: laceration


Durability and 'field' operation

  • stainless steel frame and joints, thick durable silicone skin
  • withstands falls from up to 3 m, resistant to rain/sand/dirt/stone/grass, heat/cold
  • interchangeable arms/legs; ability to change skin and genitals
  • easy to wash and disinfect


  • Type: full-size adult male patient simulator
  • Height/weight (specified): 1.95 m; ~70 kg
  • Eyes (interchangeable): dilated/constricted pupils, eye injuries, subconjunctival hemorrhage
  • Bleeding connection: 6 lateral external connectors for HEMORRHAGE-X3
  • Warranty: 2 years
  • Included: HEMORRHAGE-X3 (3 outputs)
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