CCT 7 · 20 min · ground

Sepsis on the interstate

SSC 2026 · SSC 2026: 6 mL/kg if ARDS · Pplat ≤30 · ΔP ≤14 · SpO₂ 90–96 · PaCO2 ~35–45

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

4. Intubated for work of breathing.

Rest of the scene

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.

3 objectives
  1. 1

    MAP ≥ 65 on the ride

    Mean Paw is a third pressor.

  2. 2

    Clear CO2 — pH ≥ 7.22

    Raise rate before you raise VT.

  3. 3

    SpO2 90–96% (SSC 2026) without wrecking preload

    Panelists target 90–96. Liberal or conservative is allowed — do not park on 100%. Find the PEEP that recruits without dumping MAP.

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