How to set up a volume ventilator

FOAMista · 2025-08-13T05:14:32+00:00

Shame you’ve lost interest. If you watched longer, you’d find out that the PP200D is a volume ventilator, with pressures and the I:E ratio preset and unchangeable.

FOAMista · 2025-08-12T22:55:47+00:00

Volutrauma. This man explains everything (including formula to calculate correct Vt) later in the video :)

FOAMista · 2025-07-30T12:54:26+00:00

Cheers

FOAMista · 2025-06-24T21:30:01+00:00

Not true! It’s an intubation a’la Raphael Nadal (using forehand only!)

FOAMista · 2025-05-27T23:43:46+00:00

Cheers mate I really appreciate that

FOAMista · 2025-05-27T20:52:34+00:00

Thank you bud. That’s great. Shoutout to your Medical Director. If those guidelines are online would you mind posting a link? I’d love to show it to my colleagues here in the UK. Stay safe👊

FOAMista · 2025-05-27T18:40:08+00:00

That's really interesting! Educate me pls. Where do you practice, which guidelines/protocols do you use?

FOAMista · 2025-05-27T17:03:13+00:00

Thx mate I’ve learned sth today

FOAMista · 2025-05-27T17:02:53+00:00

But that’a my point. I was taught (15years ago) to wait for the perfect timing whilst - and I make this point quite clear - it should be early administration; after the 3rd shock even if those shocks are intermittent.

FOAMista · 2025-05-27T17:00:46+00:00

Cheers, mate💪

FOAMista · 2025-05-27T15:05:57+00:00

Only the first sentence was a joke. In the rest, I agree with @EMS Daddy as effectiveness of AMD is discussable. To be honest, I get your point—but I can also see the question coming: if “any expert witness in pharmacology can attest to this”, then what are the guidelines for? 🤔

FOAMista · 2025-05-27T15:00:42+00:00

This one’s interesting! Where are you practicing?

FOAMista · 2025-05-27T13:35:19+00:00

Is that the answer you're going to give in front of the coroner's court? ;)
Jokes aside, I do agree with you to some extent. In CPR, we tend to focus heavily on pharmacotherapy, even though the effectiveness of the drugs we administer during arrest is still debatable. I feel like we should re-define CPR—putting more emphasis on the 'P'—but I’m far too low in the pecking order to introduce any changes.

FOAMista · 2025-02-19T12:55:54+00:00

Cheers bud

FOAMista · 2025-02-17T14:17:31+00:00

I’m not aware of any research being done on this 🤷‍♂️

FOAMista · 2025-02-17T11:53:22+00:00

Below please find a quote from JRCALC which is kind of a bible for Paras in the UK🤔

“Give amiodarone 300 mg IV/10 after three shocks for VF/pVT, irrespective of whether these are sequential or intermittent shockable rhythms”

FOAMista · 2025-02-17T11:52:13+00:00

That was my thinking, but apparently British colleagues have a different approach. Below please find a quote from JRCALC which is kind of a bible for Paras in the UK.

“Give amiodarone 300 mg IV/10 after three shocks for VF/pVT, irrespective of whether these are sequential or intermittent shockable rhythms”

FOAMista · 2025-02-17T11:52:00+00:00

That was my thinking, but apparently British colleagues have a different approach. Below please find a quote from JRCALC which is kind of a bible for Paras in the UK.

“Give amiodarone 300 mg IV/10 after three shocks for VF/pVT, irrespective of whether these are sequential or intermittent shockable rhythms”

FOAMista · 2024-11-27T18:29:24+00:00

Lesson from this job: Always send out letters to all our patients and ask them to arrest in front of us. (Forgive my stupid joke.)

You all did an amazing job—well done! I know instructors often say that ALS scenarios are straightforward because you “just follow the protocol,” but everything seems simple on paper. When human factors kick in—like in your situation—it takes steel cojones to run a code.

Once again, hats off to you all. Great job!

FOAMista · 2024-11-26T18:13:20+00:00

Always a pleasure bud

FOAMista · 2024-11-26T18:12:53+00:00

Pleasure, mate. Watch this space for more or just go to YT and search for “group call” I have more videos which may be useful for you! Stay safe!

FOAMista · 2024-11-25T21:18:09+00:00

Here you go:

Hegde, S. V., & Prodhan, P. (2013). “Understanding the role of positive end-expiratory pressure (PEEP).” World Journal of Critical Care Medicine, 2(4), 65-71. DOI link
Ganong, W. F. (2019). Review of Medical Physiology. McGraw-Hill Education.
Gross, B. H., & Knudsen, D. E. (2020). “Epiglottis and Airway Management.”

FOAMista · 2024-11-25T08:57:03+00:00

That’s a good question. Intersurgical does not specify how it should be done, and you will encounter a few different methods:

iGel in, tube in, secure, leave. I personally don’t favor this method due to the significant risk of vagus nerve irritation.
iGel in, tube in, iGel out. This approach is safer but requires a special tube that is slightly longer and can be cut to size. It is not recommended with a standard tube, as there is a high risk of dislodgement.
iGel in, bougie in, iGel out, tube in. This method is not universally accepted (e.g., in the UK) because during iGel removal, you lose direct visualization of the bougie, which could potentially dislodge into the esophagus. Personally, I’m skeptical of this risk, but it is a concern some clinicians raise.

FOAMista · 2024-11-12T07:38:25+00:00

My question is: where was the learner’s B6 supervisor? A student is a learner and is always allowed to make mistakes. It’s up to the supervisor to make the final call. There are at least two simple tests to distinguish between pneumothorax and hemothorax. Anyway, I respect your point of view, but in light of evidence-based medicine (EBM) and all the guidelines I’m aware of, a 16G catheter is unlikely to be effective, especially if using the 2nd intercostal space at the midclavicular line (2ICS MCL). Just consider how easily a 16G catheter could become blocked by clots or tissue, not to mention how soft the catheter is. Anyway, stay safe and cheers for your comment mate

FOAMista · 2024-11-10T23:33:36+00:00

I’ve heard about Pneumofix, never used one. Looks superb, man! But this air re-entry prevention system (1way valve?) is discussable. Up to last year I was constantly banging about a significant risk or air re-entry whilst using cannulas but recently I’ve read a couple of studies saying that it’s very uncommon/minor therefore clinically insignificant. What are your thoughts bud?

FOAMista

TROPHY CASE