Flight Crew Buddy LLC

How to press the T1 · 8 min

Buttonology — keys, then combinations

Flight Crew Buddy trains crews who use the HAMILTON-T1®. This page is field buttonology — which keys, in which order, for which outcome. It is not Hamilton software, not a reprint of the operator’s manual, and not an official protocol.

The only change ritual

Controls → tap the parameter (orange) → turn P&T → press the knob or tap again (blue). Leave it orange and the lung is still on the last blue number.

The checklist below

Same list as Tools on the T1. Tap an outcome. Each step is TAP then what you should see. Orange is selected. Blue is in the breath. ASV is not the Flight Crew Buddy default.

Buttonology

Orange = selected. Blue = in the breath. Confirm with P&T. Training layout — not Hamilton software.

The keys

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.

If I want this

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).

Flight Crew Buddy LLC

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Flight Crew Buddy trains crews who use the HAMILTON-T1®

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HAMILTON-T1®, ASV®, and Hamilton Medical® are trademarks of Hamilton Medical AG and/or its affiliates.

Flight Crew Buddy LLC is not affiliated with, endorsed by, sponsored by, or a training partner of Hamilton Medical AG. This is an independent training aid. Not for clinical use. Not a substitute for manufacturer training or clinical judgment.

The on-screen ventilator is a training layout — not a photograph of the HAMILTON-T1® and not Hamilton software. We will not chase a photo of the box. Crews set the breath from IBW, the lung, sedation, and the gas. ASV® is here so you can recognize it, not as the Flight Crew Buddy default.