Rescue 3 · 14 min · ground
PALICC-2 · PALICC-2: 6–8 mL/kg if PIP ≤28 or ΔP ≤15 · Pplat ≤28 · ΔP ≤15 · SpO₂ 92–97 · PaCO2 ~35–45
Load card puts the starting breath on the box. Connect starts the clock. End whenever you want.
6-year-old, unrestrained submersion in a farm pond, 4 minutes down. ROSC after two doses epi.
0 cuffed tube. Wet, cold, foamy.
Handoff
Weight 22 kg. They bagged big. You can see the chest bounce. PALICC-2: start ~6–8 mL/kg (about 130–175 mL) if PIP ≤28 or ΔP ≤15. Cut to 4–6 if pressures climb. PEEP for the wet lung. Don’t blow a pneumo in a small chest.
VT 6–8 mL/kg if PIP ≤28 / ΔP ≤15 (about 130–175 mL on 22 kg)
PALICC-2. If Pplat or ΔP climb, cut to 4–6 mL/kg. Adult 500 mL will volutrauma this chest in one minute.
PIP / Pplat ≤ 28 and ΔP ≤ 15 (PALICC-2)
If you cannot stay there, drop VT toward 4–6. Rate defends pH.
Age-right rate 20–24
Don't leave adult 16 on the screen.
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