Flight Crew Buddy LLC
Training the best to take care of the rest
Mission board
Simulated patients
Flight Crew Buddy
Night MVC — pulmonary contusion
Rural interstate. 34-year-old restrained driver, prolonged extrication. Right chest wall tender, sat 86% on NRB, now tubed 7.5 at 22 cm. Contusion is focal ARDS — same ARDSNet rules.
Flight Crew Buddy
Farmhouse asthma
52-year-old woman, three days of viral prodrome, now silent chest. RSI after NIV fail. ETCO2 78 on the bag. You can hear wheeze through the tube.
Flight Crew Buddy
Viral ARDS — night rotor
61-year-old man, day 4 viral pneumonia. Proned overnight, now too unstable for the truck. P/F 96 on PEEP 14 / FiO2 80 (Berlin severe). Flight plan 22 minutes, cabin will step to ~4,000 ft.
Flight Crew Buddy
ICH — CO2 is ICP
68-year-old woman, sudden headache, GCS 6, blown left pupil after CTA. ICH with 8 mm shift. Fixed-wing, cabin will be ~8,000 ft unless you ask for sea-level.
Flight Crew Buddy
Sepsis on the interstate
71-year-old man, nursing-home pneumonia, norepinephrine 0.18, lactate 5.4. Intubated for work of breathing. Warm, mottled, sat 90% on 80%.
Flight Crew Buddy
DKA — she was breathing for a reason
24-year-old woman, new DKA, Kussmaul, pH 6.92, HCO3 4, K 3.1 after 2 L. Tired, GCS slipping, tubed before you arrived.
Flight Crew Buddy
COPD — NIV then the tube
69-year-old 80-pack-year, BiPAP fail, pH 7.18 / 92. You start NIV-ST on the T1 at the house. If he tires, you RSI and fly.
Flight Crew Buddy
Pediatric near-drowning
6-year-old, unrestrained submersion in a farm pond, 4 minutes down. ROSC after two doses epi. 5.0 cuffed tube. Wet, cold, foamy.
Flight Crew Buddy
VTE is falling — why?
41-year-old GSW right chest. Finger thoracostomy in the bay, poorly taped. Tubed, one more hospital 12 minutes away. Starts okay. Then it doesn't.
Flight Crew Buddy
Belly tight, cabin high
55-year-old woman, pancreatitis, IAH 22 mmHg, secondary ARDS. Long fixed-wing. Cabin scheduled 8,000 ft. Belly is a second diaphragm.
Flight Crew Buddy
TBI storm
28-year-old motorcycle vs. deer. GCS 4, blown right pupil, fighting the tube despite fentanyl. Short rotor to the neuro ICU.
Flight Crew Buddy
ROSC — the heart is the lung's neighbor
58-year-old anterior STEMI, 18 minutes down, ROSC after two shocks. Cold, wet, sat 88%, MAP 62 on norepinephrine and a dab of epi.
Flight Crew Buddy
Pediatric status asthmaticus
11-year-old, 38 kg, two days of viral wheeze, silent chest after three nebs and mag. RSI in the ED hallway. 5.5 cuffed tube. You can feel the bag fight you on the way out.
Flight Crew Buddy
Pregnant trauma — 31 weeks
31-year-old, G2P1 at 31 weeks, restrained passenger, T-bone at 45. Tender LUQ, sat 90% on NRB, now tubed 7.0. Fundus at the xiphoid. Left uterine displacement on the stretcher.
Flight Crew Buddy
House fire — inhalation injury
44-year-old pulled from a bedroom fire. Soot in the mouth, singed nasal hair, 18% TBSA partial thickness. Tubed in the yard with a 7.5 after the voice went hoarse. HME already looking dirty.
Flight Crew Buddy
Post-ROSC — hypoxic PEA
67-year-old found down, presumed aspiration. PEA 12 minutes, ROSC after epi ×2 and a good tube. Still unresponsive. Sat 91% on the bag at 20, etCO2 28 and falling.
Flight Crew Buddy
Sandbox — build-a-patient
No dispatch. A stable 70 kg-IBW adult on the bench so you can learn the T1 without a clock screaming at you.
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.
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