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Floyd Miracle
Добавлен 9 янв 2019
Видео
JCEMS PHTLS Part 1 - Scene Management and Communication
Просмотров 708 месяцев назад
JCEMS PHTLS Part 1 - Scene Management and Communication
JCEMS PHTLS Part 2 - Massive Hemorrhage, Airway, Respiration
Просмотров 1008 месяцев назад
JCEMS PHTLS Part 2 - Massive Hemorrhage, Airway, Respiration
JCEMS PHTLS Part 3 - Circulation, Shock Management, Hypothermia, Head Injury
Просмотров 948 месяцев назад
JCEMS PHTLS Part 3 - Circulation, Shock Management, Hypothermia, Head Injury
JCEMS PHTLS Part 4 - Thoracic Trauma and Fracture Management
Просмотров 948 месяцев назад
JCEMS PHTLS Part 4 - Thoracic Trauma and Fracture Management
Thank you for your relevant and concise presentation!
I believe you recommend PCV during CPR. My readings suggest CMV would be a better mode for ventilation during CPR than a pressure targeted mode. Compressions would increase intrathoracic pressure and cause premature cycling without assuring a delivered tidal volume. Interested in hearing the views of those more familiar with the subject then myself.
The T1 is a pressure ventilator, so even if you use a volume targeted mode the breath is limited by high pressures. Hamilton has since came out with a CPR mode with default settings. We still use a pressure targeted mode during CPR but with a high peak a pasv limit. We monitor our epired tidal volumes and are getting good volumes with a pressure mode during CPR. Remember, when cardiac output drops, the minute volume demand drops proportionally, so you don't need normal volumes during CPR.
@@floydmiracle8984 thanks for taking the time to provide me with some clarification on that. Appreciate it.
*promosm* 😍
Roc > SCH
Thought you were sleeping.
Great Instructional Video! Well done!
Hey Floyd, just came across your video as we’re looking into using high-flon with our Hamilton. Just wondering what the O2 consumption would be and if you have a copy of that “cheat sheet” you were talking about making that I could see? Thanks!!
I don't, since we haven't went live with HFNC yet. But there are multiple calculators out there and it's pretty easy to do since it's a flat LPM with HFNC regardless of the patients RR and tidal volume. Just plug in your tank size, the LPM, and account for around 200 PSI of unsuable pressure: opencriticalcare.org/oxygen-cylinder-duration-calculator/
@@floydmiracle8984 on the Hamilton T1 you have to remember the flow of LPM is coming from the blower inside the vent not the oxygen delivery. Your oxygen is only consumed through your FiO2 settings. The higher the flow the more O2 it will take to keep the desired FiO2
Those Hamilton simulators, I use to use all of the time. EVERY DAY, at least ONCE a day. Now they are unaccessable. Those were wonderful simulators. I used the T1, and C1 simulators all of the time, and Sometimes used the other ones. Now you aren't able to access those anymore. Seriously! They werw GREAT simulators.
Great information! Question, which Hamiton T-1 simulator software are you using to make this PowerPoint?
There's a simulator on the Hamilton website!
Great video. I know we're not a large following but for us who you make these videos we really appreciate them and hope you could do more. Thank you from Botswana🙂