MARCH mneumonic - ANSWER Massive Hemorrhage: Control with combat
gauze, celox gauze, or chito gauze; replacement of blood loss with whole blood or
1:1:1 ratio of plasma, RBC, and platelets to achieve SBP of 80-90mmHg.
Airway: Establish and maintain patent airway
Respiration: Decompress suspe...
E: Equipment failure, such as the patient becoming detached from the equipment
or loss of capnography
Seven P's of RSI - ANSWER -Preparation: ensure you have all necessary
equipment and personnel. Verify IV sites
-Preoxygenation: high flow oxygen for minimum of 3 minutes. Position is HOB
elevated to 20 degrees. For spinal precautions, reverse Trendelenburg at 30
degrees.
-Pre-intubation optimization: Lidocaine (may reduce risk of rise in ICP during
intubation) or Fentanyl (mitigates sympathetic response increased HR and BP
during intubation) administration
-Paralysis with induction
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