Flight Crew Buddy LLC

Flight Crew Buddy

LLC

Flight Crew Buddy LLC

Training the best to take care of the rest

Set the vent

IBW → numbers you can defend

Height, history, sedation, cabin, and the gas. The card writes PCV+ or (S)CMV+ — not ASV. Same papers as the sim. You still own the patient. Each condition uses its own document: ARDSNet ARMA/ALVEOLI + ATS 2024 (ARDS / contusion), SSC (sepsis), PALICC-2 (kids), BTF (TBI — PaCO2 35–45, no permissive 7.15), AHA 2025 (ROSC), BTS (COPD), pregnant CO2 30–34. Adults start 6 mL/kg PBW · Pplat ≤30. ΔP ≤14 is this trainer’s Amato line, not an ATS mandate. Asthma is not COPD. Cabin is a request. The clock will not decompress a chest. Dump the lung is a disconnect, not a rate click. Not a Hamilton protocol.

Patient

IBW 70.5 kg · Devine · 6 mL/kg = 423 mL · not scale weight

Sedation

Cabin

Who

Airway

Lung / history

Circulation

Neuro

Metabolic

Right now

Labs / last gas

Leave blank if you do not have it. The card still writes a start. A 7-minute gas is stale.

Write this on the T1

ATS 2024 · 6 mL/kg · Pplat ≤30 · 92–96% (trainer band — avoid hyperoxia)

  • Male · 175 cm · IBW 70.5 kg · MV 6.7 L/min
  • PCV+ · VT 420 mL (6 mL/kg) · Rate 16 · Pinsp 12 · PEEP 8 · Oxygen 50% · TI 1.0 s · Plimit 30
  • Targets: SpO₂ 92–96% (92–96% (trainer band — avoid hyperoxia)) · Pplat ≤30 · trainer ΔP ≤14 (Amato, not ATS) · etCO₂ ~35–45. Permit if pH ≥ 7.20 and the lung needs it.

Mode

PCV+

VT

420

Rate

16

Pinsp

12

PEEP

8

O2

50%

TI 1.0s · Plimit 30 · trigger 4 L · P-ramp 80 ms · MV 6.7

  1. TAP 1 Patient → male 175 cm. Say IBW 70.5 kg. 6 mL/kg = 420 mL.
  2. TAP 2 Controls → Mode → PCV+. Confirm P&T (blue).
  3. TAP 3 Pinsp 12 · PEEP 8 · Oxygen 50% · Rate 16 · TI 1.0.
  4. TAP 4 Alarms for this IBW. Hold. Read Pplat. Transmit. Do not open ASV.
Why this number

  • IBW · 70.5 kg

    Devine PBW from height and sex. Scale weight 80 kg is not the vent weight.

  • VT · 420 mL (6 mL/kg)

    ATS / this trainer: 6 mL/kg PBW (4–8). Not 10. Not ASV guessing height.

  • Rate · 16

    Start ~16. Rate is the CO₂ knob once VT is 6.

  • PEEP / O2 · 8 / 50%

    Sat band 92–96% (92–96% (trainer band — avoid hyperoxia)). Mean Paw hits MAP — this model does not teleport a number.

  • Pinsp / TI · 12 cm · 1.0 s

    PCV+ Pinsp is a guess at 6 mL/kg. Hold and read Pplat. Live at ΔP ≤14 (trainer / Amato).

  • Sedation · fentanyl

    Drive and MAP fall. Backup rate must be real.

If the patient changes

  • Sat below band

    FiO₂ up now. Then PEEP +2 if FiO₂ ≥60% and this is not a tension. Stop at SpO₂ 92–96%.

  • etCO₂ / PaCO₂ high

    Confirm VTE is real. Rate +2 if expiratory flow hits zero. Then Pinsp/VT only if ΔP <14.

  • Fighting the vent

    Fentanyl, ketamine, or they own the rate. Do not add Pinsp as a sedation plan.

  • Flow never returns to zero

    You stacked. Cut rate, shorten TI, Dump (disconnect 6 s). Do not raise rate.

  • ΔP >14 or Pplat over cap

    Cut Pinsp or VT. Live at 6 mL/kg and ΔP ≤14.

  • MAP falls after you 'fixed' the vent

    Drop PEEP/Pinsp first — mean Paw is RV afterload. This model computes MAP from preload and Paw, not a scripted 58. Stacked gas is occult PEEP.

  • Climbing / cabin

    Ask 2,000 ft or sea-level on the train screen. Raise FiO₂ before the next 1,000 ft. Dalton is a vent setting.

  • Gas is >7 minutes old

    Do not treat it. Draw again (90 s cartridge) or fly the patient in front of you.

You own these numbers. This is a worksheet — not medical direction and not Hamilton software.

Do not open ASV as the default. Convert if you inherit it.

Transmit the card: VT mL/kg, Pplat, sat band, sedation, chest, cabin.

Sources — tap the paper

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.

PCV+420 mLf 16P12PEEP 850%

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.