At-a-Glance Cards

MARCH-E

Massive bleeding → Airway → Respiration → Circulation → Hypothermia/Head → Everything else

• Massive bleeding: Direct pressure → hemostatic packing → tourniquet (note time)
• Airway: Head‑tilt chin‑lift or jaw thrust; position of comfort
• Respiration: Expose; seal open chest wounds; sit up if easier to breathe
• Circulation: Pulse/skin; manage shock; elevate legs if no trauma
• Hypothermia/Head: Insulate from ground; wrap; monitor AVPU
• Everything else: Secondary survey; meds/IDs; vitals every 5–15 min

Hypothermia/Hyperthermia

Hypothermia

• Signs: Shivering → slurred speech → drowsy → shivering stops (worse)
• Actions: Dry layers, wind/water block, warm sweet drinks if alert, heat packs to armpits/groin/neck; handle gently

Hyperthermia

• Signs: Cramps → exhaustion (sweaty, weak) → stroke (altered, very hot)
• Actions: Shade, water/ORS, cool with water and fanning; ice to neck/groin/armpits; call EMS for stroke signs

Dehydration ORS Recipe

1 L safe water + 6 level tsp sugar + 1/2 level tsp salt; stir until dissolved; taste lightly salty.

Sip steadily; if vomiting, 5–10 mL every 2–3 minutes.

GAR (Green/Amber/Red) Quick Card

People — warm, hydrated, uninjured? If cold/injured → Red/controls. Environment — stable weather, safe terrain? Thunder, high winds, flood risk → Red. Equipment — light, layers, comms, nav working? Missing critical gear → Amber/Red. Plan — Go/No‑Go thresholds set? Decision points and backstops noted? If not → Amber.

Decide: Green = proceed; Amber = proceed with controls; Red = stop/change plan.

PACE Comms Quick Card

Primary: call — [fill] Alternate: text/app — [fill] Contingency: radio Ch [ch] / Tone [tone] @ [hh:mm] for [mins] Emergency: Rendezvous at [place] by [hh:mm] if comms fail

Message: WHO / WHERE / WHEN / WHAT / INTENT

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Print, cut, and laminate for kits.