Flight Crew Buddy LLC

Academy

Field notes · 4 min

Gotchas that eat crews

These are the pages programs write in blood. Read them before the next night flight.

Wrong patient profile

IBW is downstream of sex and height. Confirm it every new patient, out loud.

Plimit vs Pmax vs PasvLimit

Different names, same idea — a ceiling. Volume targeting surrenders ~10 cmH2O below the high-pressure alarm. If VTE is falling and pressure is kissing the limit, you are done targeting.

Standby

Standby on a connected patient is a disconnect. The T1 will scream. So should you.

O2 enrichment

Two minutes of 100% — suction, lift, a bad minute. It is not a new FiO2. It ends.

Neonatal circuit on an adult

Or the reverse. Flow and compliance measurements become fiction.

Trigger too soft in the truck

Every pothole becomes a 'spontaneous' breath. The MV climbs, the patient doesn't.

Flight Crew Buddy LLC

Training the best to take care of the rest

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

Independent product of Flight Crew Buddy LLC · flightcrewbuddy.com

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.

© 2026 Flight Crew Buddy LLC. All rights reserved.