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.

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