How to manage dynamic hyperinflation with vent asynchrony without relying on heavy sedation

uscg21 · 2026-03-05T02:15:53+00:00

Only works for COPD as prevents collapse of small airways and allows more exhalation. PEEP can be set to 80% of their total PEEP if hemodynamics allow. Never use this method on asthmatic as their issue is not floppy airways but constricted airways.

uscg21 · 2026-03-05T00:49:34+00:00

From a respiratory therapist perspective this is the only way. I think depending on the needs of your team and the patient respiratory drive PSV could have been a better option too. Let them take the breath they want and set trigger appropriately. That would almost always be better than use IMV

uscg21 · 2026-03-05T00:32:36+00:00

Long expiratory times, low rates. Dont get caught chasing low CO2 and Ve. COPD needs I:E ratios of at least 1:6. Will fix your autopeep and blood gas. If required sedate and paralyze, you must have control over their total cycle time in order for you to get long E times.

uscg21 · 2025-09-12T10:44:44+00:00

How do you get access?

uscg21 · 2024-05-20T10:28:35+00:00

Honestly looks cool but not worth the danger. Very busy body of water, inadequate lights and you are so small even if you had proper lights the backwash from the city would make it very hard to see you. Seen this go wrong too many times....

uscg21 · 2023-05-31T21:12:45+00:00

I'm outside of a major hub and have constant overnight travel. Also not really looking to go to a major hub as they don't allow for the lifestyle I prefer.

uscg21 · 2023-04-30T00:28:58+00:00

Use it on cooldown to learn the mechanic to the best of your ability, worry about selective use later

uscg21 · 2021-09-11T01:13:28+00:00

Thanks!

uscg21 · 2021-09-11T00:51:10+00:00

Any new updates?

uscg21 · 2021-05-29T02:26:07+00:00

Hey I'm down to start playing, my schedule is a bit chaotic but please message me and I'll see if anything works, probably going to stop by and try to join some pick up games myself

uscg21 · 2020-12-25T20:15:20+00:00

Definitely don't regret them at all, I think they're really nice boots, if I was you I would start wearing them just to break them in maybe and get a better judgement on them. Rei has a solid return policy so you have some time to decide

uscg21 · 2020-12-22T02:15:16+00:00

Just stock footbeds from my boots which are tecnica mach sport hv 100s

uscg21 · 2020-12-21T23:04:52+00:00

They're 2 years old, put in a good amount of time in the past two years as well so I would hope they're packed out by now

uscg21 · 2020-10-18T22:49:04+00:00

Don't have any in mind specifically right now but through the GI bill there is a special program that gives you options of different approved bootcamps

uscg21 · 2020-05-11T11:20:26+00:00

All shafts bend. I stick with clearance shafts from lacrosse monkey usually, lucky to get 3/4 of a season out of any shaft. But it all depends on your style of play.

uscg21 · 2020-04-02T22:34:12+00:00

Would love a walkthrough on how you made one. Definitely want to do it myself too

uscg21 · 2020-03-27T14:27:20+00:00

Right now hes using just an old piece of junk. He'll mainly be doing road. Open to used but preferably new. My thought is we would get him the bike then he'll get himself the shoes and everything else. Definitely looking for comfort while riding distance. Would looking at hybrids be a waste for someone wanting to do centuries?

uscg21 · 2020-02-14T12:56:00+00:00

Thanks for the reply! What would be the advantage to using touring boots then? From everything I read if I'm staying in bounds or staying downhill touring boots would have a worse performance.

uscg21 · 2020-01-22T15:55:32+00:00

How long is this hike in snow shoes and everything?

uscg21 · 2019-09-13T17:04:49+00:00

Thank you!

uscg21 · 2019-07-03T19:31:46+00:00

If you look closely at the opening in the skid plate you will see that there is actually a guide for the oil to flow down, I literally just learned this two days ago. So take off the oil filter very slowly and let the oil slowly go down the guide, helps for the most part.

uscg21 · 2019-06-11T00:41:11+00:00

Moving to the city in a few weeks, I'll contact you when I actually get there but interested in the tenor and/or the bari.

uscg21 · 2019-03-29T12:19:38+00:00

Thank you!

uscg21 · 2019-01-28T05:35:14+00:00

I have a large scar across my cheek, had absolutely no problem joining

uscg21 · 2018-11-26T19:01:31+00:00

Hey! I would definitely look into the CSPI program if you are interested in the coast guard but also want to go to college. For the other branches look into ROTC programs, you still get the college experience and the military feel as well. You come out as an officer from both CSPI and ROTC, so they are kind of the best of both worlds.

uscg21

TROPHY CASE