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VENT TRANSFER
CRASH CARD
GAS EXCHANGE problem → correction
O2SpO2 / PaO2 low↑ FiO2 then ↑ PEEP
CO2EtCO2 / pCO2 high↑ RR then ↑ volume
CO2EtCO2 / pCO2 low↓ RR
DOPES
  • Displaced tube
  • Obstructed / plugged
  • Pneumothorax
  • Equipment failure
  • Stacked breaths
DOTTS
  • Disconnect vent
  • O2 100% · bag by hand
  • Tube: suction + EtCO2
  • Tweak settings
  • Sounds equal
HIGH PRESSURE  kink · plug · biting · bronchospasm · PTX
LOW PRESSURE  disconnect · cuff leak · extubated
TIDAL VOLUME 6 mL/kg PBW · by height & gender
HTF mLM mL
5'0"275300
5'2"300330
5'4"330355
5'6"355385
5'8"385410
5'10"410440
6'0"440465
6'2"465495
6'4"495520
ARDSNET (ARMA)
  • TV 6 mL/kg PBW · range 4–8
  • Plat ≤30 · if >30: ↓TV 1 mL/kg → min 4
  • RR ≤35 · titrate to pH
  • pH 7.30–7.45 · ≥7.15 tolerated
  • PaO2 55–80 · SpO2 88–95
  • ΔP ≤15 (Amato, post-hoc)
PBW derives from height + gender, not weight. 8 mL/kg = table × 1.33.
⚠ STILL HYPOXIC — ESCALATE IN ORDER
1 sedate deeper → 2 paralyze → 3 ↑PEEP (Plat ≤30, ΔP ≤15) → 4 prone if able → 5 accept SpO2 88 / pH ≥7.15 → 6 ECMO call (P/F <80)
High PEEP derecruits in seconds — clamp the tube before ANY circuit break.
FIELD REFERENCE · NOT A PROTOCOLVERIFY LOCALLY
FRONT
MODES — HAMILTON T1
HAMILTONEQUIVALENTFUNCTION
(S)CMV+Volume ACevery breath gets set volume
PCV+Pressure ACevery breath gets set pressure
SIMV+SIMVset rate + free breaths between
SPONTPSV / CPAPpatient drives, vent assists
ASVAdaptivevent picks rate/volume from %MinVol
DuoPAPBiPAP / APRVtwo pressure levels, spont. on both
NIVMask BiPAPleak-compensated mask ventilation
PRESSORS
AGENTCRV
Norepi●●●●●●
Epi●●●●●●
Vasopressin●●●●●●
Dopamine●●●●●●
Dobutamine●●●●↓
Phenylephrine●●↓●●
Milrinone●●●●↓
C contractility · R rate · V vasoconstriction    ●● strong · ● mild · ↓ drops it
SEDATION / PARALYTICS onset → duration
INDUCTION
Etomidatesec → 3–5m
Ketamine1m → 10–20m
Propofol<1m → 3–10m
PARALYSIS
Succinylcholine45s → 6–10m
Rocuronium1m → 45–70m
MAINTENANCE
Fentanyl2m → 30–60m
Midazolam3m → 1–2h
Dexmedetomidineslow → short
Propofol gttfast on/off
Ketamine gttsteady
SEDATE BEFORE PARALYZE
rocuronium outlasts induction — re-dose sedation first
VERIFY AGAINST LOCAL PROTOCOL
BACK

REAL CARD ARTWORK · VECTOR TEXT — ZOOM ALL YOU WANT

CC-VT-01 · ACUTE CARE

Vent Transfer Reference Badge

Gas exchange corrections, DOPES/DOTTS, tidal volume by height, ARDSnet, escalation to ECMO.

$14In stock — ships in 2 business days
1
  • Free US shipping
  • Rigid PVC · water-resistant
  • 2.25 × 3.5 in · badge-reel slot
SKUCC-VT-01
SeriesACUTE CARE
Size2.25 × 3.5 in (CR80)
MaterialRigid PVC, water-resistant
FinishDark ink on field-kit tan
ForTransport clinicians — FP-C/CCP-C register, no filler.

Field reference — not a protocol. Verify against local protocol.

On this card

CR80 badge card. Ventilator transfer reference for transport clinicians — FP-C/CCP-C register, no filler.

Front

gas exchange corrections · DOPES / DOTTS · high/low pressure differentials · tidal volume by height & gender (6 mL/kg PBW) · ARDSnet (ARMA) parameters · refractory hypoxemia escalation through ECMO referral.

Back

Hamilton T1 mode equivalents · pressor C/R/V matrix · sedation/paralytics onset→duration. Dark ink on tan card stock. Slot punched for badge reel. Field reference — not a protocol. Verify against local protocol.

Pairs with

LAB VALUES
CRASH CARDCC-LV-01 · ACUTE CARE 01
BASIC METABOLIC PANEL adult reference
Na135–145
▲K3.5–5.0
Cl / CO₂98–106 / 23–29
BUN / Cr7–20 / 0.6–1.2
▲Glucose70–100 (fasting)
Calcium8.5–10.5
Mg / Phos1.7–2.2 / 2.5–4.5
EXTENDED CHEMISTRY
Anion gap8–12
Osmolality275–295 mOsm/kg
Ammonia lab-specific15–45 µg/dL
Lipase lab-specific10–140 U/L
ABG arterial · PaCO₂ / PaO₂ mm Hg
pH7.35–7.45
PaCO₂35–45
PaO₂80–100
HCO₃⁻22–26 mEq/L
SaO₂95–100 %
▲Lactate0.5–2.0 · >4 critical mmol/L
▲ amber = high-alert analyte — recap on back
FIELD REFERENCE · NOT A PROTOCOLVERIFY LOCALLY
Lab ValuesCC-LV-01
ETT SIZING
CRASH CARDCC-ETT-01 · ACUTE CARE 02
PEDIATRIC ETT uncuffed-led · cuffed = −0.5 · depth at lip
AGElbkgUNCUFFCUFFDEPTH cm
Preterm2–51–2.52.5–3.0—6–8
Newborn7–113–53.0–3.5—9–10
6 mo1573.5–4.03.0–3.510.5–12
1 yr22104.0–4.53.5–4.012–13.5
2 yr26124.54.013.5
4 yr35165.04.515
6 yr44205.55.016.5
8 yr55256.05.518
10 yr70326.56.019.5
12 yr88407.06.521
14 yr110507.0–7.56.5–7.021
FORMULAS · 1–10 YR
  • Uncuffed (age÷4)+4
  • Cuffed (age÷4)+3.5
  • Depth 3 × tube ID cm
  • Neonate kg + 6 cm at lip
BLADE
  • Preterm Miller 0
  • NB–2 yr Miller 1
  • 2–8 yr Miller / Mac 2
  • 8 yr+ Mac 3 · Mac 4 lg
SUCTION CATH 2 × ETT ID in Fr · 4.0 tube → 8 Fr
GASTRIC / OG 2 × ETT ID in Fr · decompress after BVM
STYLET straight-to-cuff ~35° · tip never past Murphy eye
⚠ FAILED AIRWAY — MOVE, DON'T REPEAT
1 reposition + bougie → 2 size down 0.5 → 3 SGA / LMA → 4 2-person BVM + OPA/NPA → 5 surgical airway — mark cricothyroid early if predicted difficult
Max 2 attempts per operator — SpO2 recovery between every attempt.
FIELD REFERENCE · NOT A PROTOCOLVERIFY LOCALLY
ETT SizingCC-ETT-01
VASOACTIVE DRIPS
CRASH CARDCC-VD-01 · ACUTE CARE 03
INFUSIONS usual adult IV · titrate to effect
AGENTRECEPTORDOSEMIX
VASOPRESSORS
Norepinephrineα₁ > β₁0.01–0.5 µg/kg/min4 mg/250 = 16 µg/mL
Epinephrineβ₁β₂ > α₁0.01–0.5 µg/kg/min4 mg/250 = 16 µg/mL
VasopressinV₁0.03–0.04 U/min fixed20 U/100 = 0.2 U/mL
Phenylephrineα₁ pure0.5–6 µg/kg/min10 mg/250 = 40 µg/mL
INOTROPES
DopamineD→β₁→α₁2–20 µg/kg/min400 mg/250 = 1600
Dobutamineβ₁ > β₂2–20 µg/kg/min250 mg/250 = 1000
MilrinonePDE30.375–0.75 µg/kg/min20 mg/100 = 200
Amber agent = extravasation / high-alert. Dopamine effect is dose-dependent. Milrinone load & peripheral max rates omitted — facility-specific. Verify concentrations locally.
CHOOSE THE PRESSOR first-line by shock type
SEPTICNorepi+ vaso if refractory
CARDIOGENICNorepi ± dobutaminepressure first, then pump
ANAPHYLAXISEpidrip after IM dosing
NEUROGENICNorepi / phenylephrinewatch bradycardia
BRADYCARDICEpi / dopaminepace if refractory
LINE SAFETY
CENTRAL  preferred for all vasoactives · dedicated pump · labeled line
PERIPHERAL  bridge only · large vein · lowest dose · site check q1h
⚠ EXTRAVASATION
1 stop infusion → 2 aspirate via catheter → 3 phentolamine 5–10 mg SC in 10 mL NS around site → 4 new line · restart
Phentolamine reverses α agents — norepi · epi · phenyl · dopamine.
FIELD REFERENCE · NOT A PROTOCOLVERIFY LOCALLY
Vasoactive DripsCC-VD-01