I would be tempted to use the MHAUS as my 1st resource.
Hopefully they would be able to give you the most current
data, algorithms, charts, etc.
In our OR we follow the protocol for MH and update according to our anesthetists input.
We have all the usuals in the cart, Dantrium, Sterile water for mixing, insulin, chlorpromazine, and so on.
We have ice in our fridges and also an ice machine.
We still have a " clean machine" however, I think they would just run O2 at 100% should we have an MH event.
We do not have a regular inservice on MH but we do have a monthly check of our MH cart for outdates etc.
We have a specialty syringe set for rapid mixing of the dantrium.
There is the help line for MH, phone number listed as well as a run down of the steps to take.
I believe tachycardia is one of the 1st indicators for MH