What does 'D' in the MARCH protocol address?

The 'D' in the MARCH protocol stands for Disability, which emphasizes the assessment of the patient’s neurological status. This aspect is crucial in trauma care, as it helps identify any potential traumatic brain injuries or neurological deficits. By assessing disability, healthcare providers can evaluate the level of consciousness and responsiveness of the patient, often using the AVPU scale (Alert, Verbal, Pain, Unresponsive) or the Glasgow Coma Scale. Understanding the neurological status can guide timely interventions, ensuring the best possible outcomes for the patient. This systematic approach to monitoring disabilities is essential in managing trauma effectively, especially in combat or emergency situations where rapid decision-making is critical.