Waveforms that matter at 3 a.m.

Keep pressure and flow up. Volume is optional. Loops if you have the screen space. The T1 will lie to you in numbers before it lies in the trace.

AutoPEEP

Expiratory flow never returns to zero before the next breath. The lung is not empty. Cut rate, shorten Ti, treat obstruction.

Obstruction

Scooped expiratory flow, long tail, high Rinsp, not-terrible Cstat. This is asthma/COPD/kinked tube — not ARDS.

Stiff lung

Square-ish pressure, small VT for the Pinsp, low Cstat, short time constant. Protective VT, moderate PEEP, don't stack.

Overdistension

P-V loop beak. Driving pressure climbing while VTE is already 8 mL/kg. You are done recruiting. Stop.

Leak / disconnect

Inspiratory flow doesn't match expiratory. VTE << VTI. Volume loop does not close.

Asynchrony

Negative pressure scoops, double-stacking, flow starving. Fix drive, Ti, ETS, or the mode — not the alarm limit.

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.