CCT 7 · 20 min · ground

Sepsis on the interstate

SSC 2021 · 88–95% (SSC conservative oxygen — avoid hyperoxia) · ARDSNet / SSC: 6 mL/kg PBW; drop 1 mL/kg toward 4 if Pplat >30 · Pplat ≤30 · ΔP ≤14 (trainer) · PaCO2 ~35–45

71-year-old man, nursing-home pneumonia, norepinephrine 0.18, lactate 5.4. Intubated for work of breathing. Warm, mottled, sat 90% on 80%.

Handoff

Second 30 mL/kg is in. Still on a pressor. High PEEP will steal his venous return. High CO2 production — he needs minute ventilation, not just pretty volumes.

1
MAP ≥ 65 on the ride
Mean Paw is a third pressor.
2
Clear CO2 — pH ≥ 7.22
Raise rate before you raise VT.
3
SpO2 88–95% (SSC) without wrecking preload
Conservative oxygen. Find the PEEP that recruits without dumping MAP. Wean off 100%.

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.