AirCare 6 · 20 min · rotor

COPD — NIV then the tube

BTS oxygen — retainer · 6 mL/kg PBW · Pplat ≤30 · ΔP ≤14 · SpO₂ 88–92 · Permit CO2 if pH ≥7.15–7.20 — empty the lung

Load card puts the starting breath on the box. Connect starts the clock. End whenever you want.

18 / 92. You start NIV-ST on the T1 at the house.

Rest of the scene

If he tires, you RSI and fly.

Handoff

Home O2 3 L. Cor pulmonale. He will not tolerate high mean Paw. First 6 minutes are a NIV trial. If RR stays > 30 or pH falls, take the airway.

3 objectives
  1. 1

    Honest NIV trial — or commit

    NIV-ST backup rate, EPAP 6–8, PS 8–12.

  2. 2

    After the tube, empty the lung

    Rate down, Te up. Same disease, new interface.

  3. 3

    SpO2 88–92% (BTS retainer) — not the asthma band

    He lives on 3 L. Do not treat him like a 52-year-old asthmatic.

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