Aeromedical crews are taught to set the ventilator: IBW, lung pathophysiology, sedation, and the ABG. Adaptive Support Ventilation (ASV®) is a closed-loop mode on this platform. This trainer includes it so you can recognize what a sending ICU left running — not so you fly it.
What it is doing
You would set %MinVol, PEEP, FiO2, and PasvLimit. The ventilator picks rate, VT, and Ti. That is convenient. It is also a breath you cannot explain to the receiving attending without looking at the screen.
What to do instead
Height + sex. 6 mL/kg. PCV+ (you own Pinsp) or (S)CMV+ (you own VT). Rate from the disease and the gas. PEEP from the lung. Oxygen from the sat. Deepen sedation before you add pressure.
If you must sit in it for one hop
PasvLimit 30 (that is Pplat). Then convert. Do not raise %MinVol to chase a sat.
What ASV will not do
It will not pick PEEP. It will not diagnose a pneumo. It will not save you from a wrong height. It will not sedate the patient.
Dump the lung
On asthma / COPD the slow compartment has not emptied. Disconnect 6 seconds (Dump on the train screen), watch MAP come back, reconnect. That is not a suction and it is not a rate click. BTF brains do not get permissive 7.15 — they get 35–45.
Radio
Play the inbound on the briefing. Transmit before you land. The report is VT in mL/kg, Pplat, sat vs the case band, sedation, and what you did to the chest. If you never hit Transmit, receiving does not know.
The gas
One cartridge (two on long hops). Ninety seconds. The number freezes when it prints. After 7 minutes it is stale — do not treat it. etCO2 is not pH.
Sedation is a setting
Light they fight. Fentanyl drops drive and MAP. Ketamine holds MAP and they still breathe. Paralysis zeros drive and costs a little tone. You own this — ASV will not.