\documentclass[10pt,a4paper]{article}

% Packages
\usepackage{fancyhdr}           % For header and footer
\usepackage{multicol}           % Allows multicols in tables
\usepackage{tabularx}           % Intelligent column widths
\usepackage{tabulary}           % Used in header and footer
\usepackage{hhline}             % Border under tables
\usepackage{graphicx}           % For images
\usepackage{xcolor}             % For hex colours
%\usepackage[utf8x]{inputenc}    % For unicode character support
\usepackage[T1]{fontenc}        % Without this we get weird character replacements
\usepackage{colortbl}           % For coloured tables
\usepackage{setspace}           % For line height
\usepackage{lastpage}           % Needed for total page number
\usepackage{seqsplit}           % Splits long words.
%\usepackage{opensans}          % Can't make this work so far. Shame. Would be lovely.
\usepackage[normalem]{ulem}     % For underlining links
% Most of the following are not required for the majority
% of cheat sheets but are needed for some symbol support.
\usepackage{amsmath}            % Symbols
\usepackage{MnSymbol}           % Symbols
\usepackage{wasysym}            % Symbols
%\usepackage[english,german,french,spanish,italian]{babel}              % Languages

% Document Info
\author{nickitarbell}
\pdfinfo{
  /Title (emt.pdf)
  /Creator (Cheatography)
  /Author (nickitarbell)
  /Subject (EMT Cheat Sheet)
}

% Lengths and widths
\addtolength{\textwidth}{6cm}
\addtolength{\textheight}{-1cm}
\addtolength{\hoffset}{-3cm}
\addtolength{\voffset}{-2cm}
\setlength{\tabcolsep}{0.2cm} % Space between columns
\setlength{\headsep}{-12pt} % Reduce space between header and content
\setlength{\headheight}{85pt} % If less, LaTeX automatically increases it
\renewcommand{\footrulewidth}{0pt} % Remove footer line
\renewcommand{\headrulewidth}{0pt} % Remove header line
\renewcommand{\seqinsert}{\ifmmode\allowbreak\else\-\fi} % Hyphens in seqsplit
% This two commands together give roughly
% the right line height in the tables
\renewcommand{\arraystretch}{1.3}
\onehalfspacing

% Commands
\newcommand{\SetRowColor}[1]{\noalign{\gdef\RowColorName{#1}}\rowcolor{\RowColorName}} % Shortcut for row colour
\newcommand{\mymulticolumn}[3]{\multicolumn{#1}{>{\columncolor{\RowColorName}}#2}{#3}} % For coloured multi-cols
\newcolumntype{x}[1]{>{\raggedright}p{#1}} % New column types for ragged-right paragraph columns
\newcommand{\tn}{\tabularnewline} % Required as custom column type in use

% Font and Colours
\definecolor{HeadBackground}{HTML}{333333}
\definecolor{FootBackground}{HTML}{666666}
\definecolor{TextColor}{HTML}{333333}
\definecolor{DarkBackground}{HTML}{A32A2A}
\definecolor{LightBackground}{HTML}{F9F1F1}
\renewcommand{\familydefault}{\sfdefault}
\color{TextColor}

% Header and Footer
\pagestyle{fancy}
\fancyhead{} % Set header to blank
\fancyfoot{} % Set footer to blank
\fancyhead[L]{
\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{C}
    \SetRowColor{DarkBackground}
    \vspace{-7pt}
    {\parbox{\dimexpr\textwidth-2\fboxsep\relax}{\noindent
        \hspace*{-6pt}\includegraphics[width=5.8cm]{/web/www.cheatography.com/public/images/cheatography_logo.pdf}}
    }
\end{tabulary}
\columnbreak
\begin{tabulary}{11cm}{L}
    \vspace{-2pt}\large{\bf{\textcolor{DarkBackground}{\textrm{EMT Cheat Sheet}}}} \\
    \normalsize{by \textcolor{DarkBackground}{nickitarbell} via \textcolor{DarkBackground}{\uline{cheatography.com/149330/cs/32452/}}}
\end{tabulary}
\end{multicols}}

\fancyfoot[L]{ \footnotesize
\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{LL}
  \SetRowColor{FootBackground}
  \mymulticolumn{2}{p{5.377cm}}{\bf\textcolor{white}{Cheatographer}}  \\
  \vspace{-2pt}nickitarbell \\
  \uline{cheatography.com/nickitarbell} \\
  \end{tabulary}
\vfill
\columnbreak
\begin{tabulary}{5.8cm}{L}
  \SetRowColor{FootBackground}
  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Cheat Sheet}}  \\
   \vspace{-2pt}Published 19th March, 2023.\\
   Updated 12th June, 2022.\\
   Page {\thepage} of \pageref{LastPage}.
\end{tabulary}
\vfill
\columnbreak
\begin{tabulary}{5.8cm}{L}
  \SetRowColor{FootBackground}
  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Sponsor}}  \\
  \SetRowColor{white}
  \vspace{-5pt}
  %\includegraphics[width=48px,height=48px]{dave.jpeg}
  Measure your website readability!\\
  www.readability-score.com
\end{tabulary}
\end{multicols}}




\begin{document}
\raggedright
\raggedcolumns

% Set font size to small. Switch to any value
% from this page to resize cheat sheet text:
% www.emerson.emory.edu/services/latex/latex_169.html
\footnotesize % Small font.

\begin{multicols*}{3}

\begin{tabularx}{5.377cm}{x{2.73735 cm} x{2.23965 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Airway}}  \tn
% Row 0
\SetRowColor{LightBackground}
NPA- nasal pharyngeal airway & Adjunct \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
OPA- Oral Pharyngeal airway & Adjunct \tn 
% Row Count 4 (+ 2)
% Row 2
\SetRowColor{LightBackground}
Head tilt chin lift (non traumatic) & Opening airway \tn 
% Row Count 6 (+ 2)
% Row 3
\SetRowColor{white}
Jaw thrust (Trauma) & Opening airway \tn 
% Row Count 7 (+ 1)
% Row 4
\SetRowColor{LightBackground}
Lung sounds & Wheezing- \seqsplit{Bronchoconstriction} \tn 
% Row Count 9 (+ 2)
% Row 5
\SetRowColor{white}
 & Crackles- fluid or mucous \tn 
% Row Count 11 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Airway}}  \tn
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Image could not be loaded.} \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{3.03597 cm} x{1.94103 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Breathing}}  \tn
% Row 0
\SetRowColor{LightBackground}
Ventilation & Oxygenation \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
- Equal chest rise and fall & BVM- 15lpm \tn 
% Row Count 3 (+ 2)
% Row 2
\SetRowColor{LightBackground}
- Breath every 5-6 (adult) & CPAP- 10lpm \tn 
% Row Count 5 (+ 2)
% Row 3
\SetRowColor{white}
PEEP- positive end expiratory pressure & Nasal canula- up to 6lpm \tn 
% Row Count 7 (+ 2)
% Row 4
\SetRowColor{LightBackground}
{\emph{5 dry }}10 wet & NRB- 10-15 lpm \tn 
% Row Count 8 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{2.33919 cm} x{2.63781 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Circulation (CPR)}}  \tn
% Row 0
\SetRowColor{LightBackground}
ADULT- 30:2 & PED- single 30:2 double 15:2 \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
100 bpm (another one bites the dust) & 2 fingers (single) 2 hand encircling (double) \tn 
% Row Count 5 (+ 3)
% Row 2
\SetRowColor{LightBackground}
CLEAR BEFORE SHOCKING & CLEAR BEFORE SHOCKING \tn 
% Row Count 7 (+ 2)
% Row 3
\SetRowColor{white}
Compress while charging & Compress while charging \tn 
% Row Count 9 (+ 2)
% Row 4
\SetRowColor{LightBackground}
2 minute cycles & 2 minute cycles \tn 
% Row Count 10 (+ 1)
% Row 5
\SetRowColor{white}
Pulse check & Pulse check \tn 
% Row Count 11 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{p{1.64241 cm} p{3.33459 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Circulation continued}}  \tn
% Row 0
\SetRowColor{LightBackground}
BP- & 120/80 \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
HR & 60-100 \tn 
% Row Count 2 (+ 1)
% Row 2
\SetRowColor{LightBackground}
RR & 12-18 \tn 
% Row Count 3 (+ 1)
% Row 3
\SetRowColor{white}
BG & 80-100 \tn 
% Row Count 4 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{BP below 80 systolic will not have a radial pulse  \newline  \newline Brady- low  \newline Tachy- high  \newline Hypo-low  \newline Hyper-high}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}


% That's all folks
\end{multicols*}

\end{document}