Sources — tap the paper

Flight Crew Buddy is not affiliated with Hamilton Medical. These are the society papers behind every band. Tap a title to open the publisher page. If a number is not on this list, it is a trainer house line (ΔP ≤14, adult 92–96) and the debrief will say so. The clock will not decompress a chest for you. Cabin is a request you make, not a scenery label.

ARDSNet ARMA

Brower RG et al. N Engl J Med. 2000;342:1301-1308. ARDS / contusion: 6 mL/kg PBW, Pplat ≤30, SpO₂ 88–95 or PaO₂ 55–80, lower PEEP/FiO₂ table

ARDSNet ALVEOLI

Brower RG et al. N Engl J Med. 2004;351:327-336. Higher PEEP/FiO₂ table for moderate–severe ARDS. Transport still has to watch MAP.

ATS / ESICM / SCCM 2024

Qadir N et al. Am J Respir Crit Care Med. 2024;209:24-36. Still starts at 6 mL/kg and Pplat ≤30. Higher PEEP for moderate–severe. Against prolonged recruitment holds. ΔP is mentioned — not a strong 14 cmH₂O mandate.

PALICC-2

Emeriaud G et al. Pediatr Crit Care Med. 2023;24:S12-S31. Children: 6–8 mL/kg if PIP ≤28 or ΔP ≤15; 4–6 if pressures high. SpO₂ 92–97% (88–92% severe PARDS if PEEP optimized).

BTF 4th ed.

Carney N et al. Neurosurgery. 2017;80:6-15. PaCO₂ 35–45. Do not prophylactically hyperventilate to ≤25. Brief HV only as a bridge for herniation.

AHA 2025

Hirsch KG et al. Circulation. 2025;152(16_suppl_2):S673-S718. 100% oxygen until a sat can be measured, then SpO₂ 90–98% (PaO₂ 60–105). Do not park on 100% once the probe reads. ILCOR GPS 94–98 is not what this trainer scores — AHA 2025 used the 90–98 trial range.

BTS oxygen

O'Driscoll BR et al. Thorax. 2017;72:i1-i90. 88–92% only for COPD / chronic CO₂ retainers. Not for asthma. Not the ward 94–98 target pasted onto every tube.

SSC 2026

Prescott HC et al. Crit Care Med. 2026. doi:10.1097/CCM.0000000000007075. ARDS: 6 mL/kg and Pplat ≤30. Without ARDS: 6–8 mL/kg over 4–6. MAP 65 (range ~60–70); ≥65 y suggest 60–65. Oxygen: panelists 90–96 — liberal or conservative allowed; this trainer weans off 100%. Higher PEEP for moderate–severe ARDS; do not crush an empty RV with the ALVEOLI table.

Amato 2015

Amato MBP et al. N Engl J Med. 2015;372:747-755. This trainer scores adult ΔP ≤14. Survival association — not an ATS 2024 strong recommendation. Debrief will say trainer line.

Devine PBW

Devine BJ. Drug Intell Clin Pharm. 1974;8:650-655. ARDSNet PBW tables 2005. Adult IBW. Scale weight is not the vent weight. Kids: PALICC-2 uses the child’s kg, not Devine.

Pregnancy physiology

Physiologic baseline. VT and Pplat still from ARDSNet / ATS. No obstetric society publishes a HAMILTON-T1® protocol. Progesterone drops PaCO₂. This trainer scores 30–34, MAP ≥70, LUD, and 6 mL/kg from height. Not BTF. Not a Hamilton protocol.