P&T knob
Press
Turn to change the orange tile. Press the knob (or tap the tile again) to confirm. It goes blue.
Does
Every set number on a T1 is selected, then confirmed. An orange tile is not in the breath yet.
Do not
Walking away while a control is still orange. The last confirmed blue number is what the lung is getting.
Controls
Press
Membrane / side tab → Controls. Then tap the parameter.
Does
Shows every control for the active mode. Mode change lives here too.
Do not
Hunting PEEP on the home strip when you are in a mode that hid it. Open Controls.
Values
Press
Tab → Values.
Does
Monitored: Ppeak, Pplat (after a hold), VTE, MV, fTot, PEEP tot, AutoPEEP if shown.
Do not
Treating a stale Pplat from ten minutes ago. Hold again.
Alarms
Press
Tab → Alarms. Same P&T confirm.
Does
Pmax / high pressure, low VTE, low MV, apnea. Set them to this patient, not the last ICU.
Do not
Inheriting VTE 80 mL. You will never hear the disconnect.
Patient / height · sex
Press
Patient window → sex and height → confirm. Read IBW out loud.
Does
Writes PBW. Every mL/kg and ASV's 100% MinVol come from here.
Do not
Leaving the last 175 cm male in the box. That is a silent 9 mL/kg.
Silence
Press
Membrane key. Typically two minutes of quiet.
Does
Mutes the speaker. The lamp and the message stay. Fix the cause.
Do not
Silence as a treatment. The problem is still in the circuit.
O2 100%
Press
Membrane key. Timed enrichment (about two minutes on the real box).
Does
Blasts FiO2 to 1.0 without changing your set Oxygen. Then it falls back.
Do not
Using it as the flight FiO2. Set Oxygen is what you wean. This key is for the move, the suction, the lift.
Manual breath / hold
Press
Tap-and-release = extra mandatory breath. Press-and-hold = inspiratory hold for Pplat.
Does
Hold is how you read lung Pplat. Dump is a disconnect, not this key.
Do not
Holding through a fight. They will cough on the tube. Sedate, then hold.
Standby
Press
Power / Standby key. Confirm on-screen.
Does
Stops ventilation. Use it to change circuit or patient — not on a connected lung.
Do not
Standby on a tubed patient is a disconnect. The box will scream. So should you.
Start the breath from IBW
A 6 mL/kg breath you can defend before lift.
- 1
Tap
Patient → sex + height
Say IBW out loud. 6 mL/kg = IBW × 6.
- 2
Tap
Controls → Mode → PCV+ or (S)CMV+
PCV+ you own Pinsp. (S)CMV+ you own VT. Confirm P&T (blue).
- 3
Tap
(S)CMV+: VT = 6 mL/kg, Plimit 30
PCV+: PEEP first, then Pinsp so ΔP is 8–14.
- 4
Tap
Controls → Rate
16 neighborhood. Slower if obstructive. Faster if DKA or pregnant.
- 5
Tap
Controls → Oxygen and PEEP
Oxygen from the sat band. PEEP from the lung (ARDSNet pair if ARDS).
- 6
Tap
Alarms → Pmax, low VTE, low MV
This IBW, not the last ICU. Start. Do not open ASV.
What fights
Height vs VT. Pinsp vs PEEP (both raise Ppeak). Rate vs TI (more rate steals Te).
