Eagle 3 · 28 min · fixed

ICH — CO2 is ICP

BTF 4th ed. · 6 mL/kg PBW · Pplat ≤30 · ΔP ≤14 · SpO₂ 92–96 · PaCO2 35–45

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

68-year-old woman, sudden headache, GCS 6, blown left pupil after CTA. ICH with 8 mm shift.

Rest of the scene

Fixed-wing, cabin will be ~8,000 ft unless you ask for sea-level.

Handoff

Head of bed 30, 3% saline hanging. Last gas 7.38 / 36 / 148 on 40%. Sending wants 35–38. BTF is 35–45. Do not hyperventilate her into ischemia.

3 objectives
  1. 1

    Hold PaCO2 35–45 (BTF)

    39 is not a fail. ≤25 is. Rate is the knob. Draw a gas.

  2. 2

    Avoid hypoxia and hyperoxia (this trainer 92–96 — not a BTF sat rule)

    BTF is PaCO2 35–45. Sat is this trainer’s house band. Raise FiO2 or ask cabin before 8,000 ft. Wean off 100%.

  3. 3

    Defend CPP — MAP ≥ 80

    High PEEP is not free in a tight brain.

Not for clinical use. Not affiliated with Hamilton Medical. About

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