AirCare 1 · 22 min · rotor
ARDSNet ARMA / ALVEOLI · ATS 2024 · ARDSNet: 6 mL/kg PBW · Pplat ≤30 · ΔP ≤14 · SpO₂ 88–95 · PaCO2 ~35–45
Load card puts the starting breath on the box. Connect starts the clock. End whenever you want.
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.
Handoff
Unit vent: VT 6 mL/kg PBW, PEEP 14, FiO2 80, Pplat 29. They want you on the T1 in ASV. Do not. Height/sex first (180 cm male → PBW ~75 kg). PCV+ or (S)CMV+. ARDSNet table — PEEP 14 / FiO2 80 is the lower-table pair. Climb is a table step, not a sat of 100.
ARDSNet VT 6 mL/kg PBW — drop toward 4 if Pplat >30
180 cm male ≈ 75 kg. 6 mL/kg ≈ 450 mL. Cstat ~22 cannot take 450 at PEEP 14 without Pplat >30 — live at 4–6.
PEEP/FiO2 on the ARDSNet table — do not drop to 5
Lower table at FiO2 0.80 = PEEP 14. Higher table (severe) = PEEP 20–22 if MAP allows. No 40-second hold.
SpO2 88–95% (PaO2 55–80) — treat the climb as a table step
Raise FiO2 before lift. Then walk PEEP with the table. 100% all the way in is not the goal.
Not for clinical use. Not affiliated with Hamilton Medical. About