AMBULANCE SERVICE

Normal initial setting is IPAP 10 and EPAP 5. May use IPAP sufficient to achieve tidal volume = 6-10 cc/kg ideal body weight. Minimum tidal volume used should be 300 cc. EPAP may be increased by increments of 2 from 5 cm H20 in order to achieve SP02 >94% with the hypoxemic patient or to achieve synchrony with the hyper-inflated COPD patient. ................
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