Had three HBCs in 40 minutes last night and our wall protocol slowed us down. Does anyone have a printable, waterproof one-pager that takes techs from primary survey through first-line stabilization — airway/bleeding control, AFAST/TFAST hits, shock indicators — that can live on a 4x6 crash-cart card? Bonus if it includes quick cues for oxygen routes and when to reach for blood vs hypertonic.
On full-arch cases with the i700, I pass scans only when the ISO 12836 RMS is ≤40 µm and the CBCT–STL ICP residual in CloudCompare (https://www.cloudcompare.org) stays ≤0.15–0.18 mm given your “0.2 mm voxels,” and if I see 35–50 µm after 1.3.2 I rescan the scan bodies in HD and restrict alignment to enamel/scanbody flats. Are you segmenting out soft tissue before registration? With 0.2 mm voxels you won’t get reliable merges if you chase errors below about 0.15 mm on the rigid regions.
I shrunk ours to a 4x6 on Rite in the Rain index cards (https://www.riteintherain.com/4x6-index-cards) and put one red-line cue up top: “AFAST free fluid + MAP <65 or lactate not improving after the first small crystalloid bolus = call for blood now” — it’s sped up our HBC nights… If you’re not cycling MAP, use weak pulses/pale MM as the stand-in; want the template PDF?
I stuck a 1 cm “capno strip” on our 4x6: auto place nasal capno as you dock the gurney; if EtCO2 <30 or falling with weak femoral pulses, skip to the shock bundle and pull a type/cross — more actionable than the first cuff BP. @sophia_b89 your MAP cue pairs perfectly — want the PDF?
Mid–‘3 HBCs in 40 min’, I’d anchor the card with two hard cues: “no lung sliding on TFAST or SpO2 <90% with effort → tap now and O2, skip rads” and “AFAST free fluid with weak femoral/MAP <65 after one small bolus ([redacted]/kg dog, [redacted]/kg cat) → type/cross and start blood.” I’ve got this on a 4x6 that lives on our cart — want the PDF?