e700 Testing Scenarios

Scenario A - Assist Control- Volume

Scenario: 65 y/o female with History of CHF was treated in the Emergency Room for exacerbation of her condition. The patient is intubated, not breathing spontaneously, and with all appropriate treatment in place. The patient is to be transferred to a higher level of care facility. Ground transport is required, the current level of care is to be maintained. Upon arrival at Hospital receive a patient report and establish that the ventilator settings required.

Adjust ventilator settings to those required above and correct any potential hazards or alarms conditions that may occur.

Scenario B - Assist Control - Pressure

Scenario: 56 y/o Male with History of COPD was treated in the Emergency Room for exacerbation of her condition. The patient is intubated, not breathing spontaneously, and with all appropriate treatment in place. The patient is to be transferred to a higher level of care facility. Ground transport is required, the current level of care is to be maintained. Upon arrival at Hospital receive a patient report and establish that the ventilator settings required.

Adjust ventilator settings to those required above and correct any potential hazards or alarms conditions that may occur.

Scenario C - Assist Control- Volume Pediatric

Scenario: 8 y/o female with History of Asthma was treated in the Emergency Room for exacerbation of her condition. The patient is intubated, not breathing spontaneously, and with all appropriate treatment in place. The patient is to be transferred to a higher level of care facility. Ground transport is required, the current level of care is to be maintained. Upon arrival at Hospital receive a patient report and establish that the ventilator settings required.

Adjust ventilator settings to those required above and correct any potential hazards or alarms conditions that may occur.

Scenario D – SIMV-Volume

Scenario: 75 y/o Male with a History of Respiratory Failure is a ward of the State. The patient is ventilator dependent and resides at a local Skilled Nursing facility in the ventilator unit. The patient has contracted pneumonia and is in need of transport to the emergency room for further treatment. The patient is to be transferred to a higher level of care facility. Ground transport is required, the current level of care is to be maintained. Upon arrival at Hospital receive a patient report and establish that the ventilator settings required.

Adjust ventilator settings to those required above and correct any potential hazards or alarms conditions that may occur.

Scenario E – SIMV (Pressure Support)

Scenario: 86 y/o Female with History of Emphysema and is ventilator dependent. The patient resides at a local Skilled Nursing facility in the ventilator unit. The patient is suffering from acute exacerbation of condition and is in need of transport to the emergency room for further treatment. The patient is to be transferred to a higher level of care facility. Ground transport is required, the current level of care is to be maintained. Upon arrival to Hospital receive patient report and establish that the ventilator settings required.

Adjust ventilator settings to those required above and correct any potential hazards or alarms conditions that may occur.

Scenario F – SIMV – Volume - Pediatric

Scenario: 6 y/o Male, with a history of Epilepsy, is being treated in the ER for continuous grande mal seizures. The patient is sedated and seizures have been treated. The patient is intubated and with all appropriate treatment in place. The patient is to be transferred to a higher level of care facility. Ground transport is required, the current level of care is to be maintained. Upon arrival at Hospital receive patient report and establish that the ventilator settings required.

Adjust ventilator settings to those required above and correct any potential hazards or alarms conditions that may occur.

Scenario G – CPAP

Scenario: 74 y/o male with a history of COPD. The patient is presenting today with increased difficulty breathing. Upon arrival, all appropriate evaluation has been conducted and initial treatment in place. Patient vitals are BP 180/90, HR 96, RR 28, spO2 89%, ETCO2 55mmHg. Patient lung sounds are determined to be fine rales in the lower airway. Patient qualifies for CPAP therapy. Treat and transport patient adjusting CPAP settings as required by the patient and correct any potential hazards.

Scenario H – BiPAP (CPAP + PSV)

Scenario: 62 y/o male with a history of CHF. The patient is presenting today with increased shortness of breath, cough with expectoration of white to yellow phlegm, increased weight and pedal oedema. Upon arrival the patient is found seated on the edge of the bed, leaning forward and supporting his weight on his palms. He has marked dilated neck veins, accessory muscle use and is breathing through pursed lips. Patient vitals are BP 150/90, HR 124, RR 28, spO2 85%, Temp 105oF. Patient qualifies for BiPAP therapy however BiPAP is not a set mode on the ventilator. Treat and transport patient adjusting ventilator to deliver BiPAP and adjust settings as required by the patient and correct any potential hazards.

Scenario I - Unprotected airway CPR

Scenario: 56 y/o Male in full cardiac arrest. CPR is in progress with appropriate interventions in place. Advanced airway could not be established and secondary airway device is ineffective. Continue treatment with CPR protocols and utilize appropriate e700 CPR mode to ventilate the patient.

Scenario J – Protected airway CPR

Scenario: 12 y/o Female in full cardiac arrest. CPR is in progress with appropriate interventions in place. Advanced airway established. Continue treatment with CPR protocols and utilize appropriate e700 CPR mode to ventilate the patient.

Scenario K – Protected airway CPR using an automated chest compression device.

Scenario: 47 y/o Male in full cardiac arrest. CPR is in progress with appropriate interventions in place. Advanced airway established. Continue treatment with CPR protocols using the automated chest compression device for the transport phase. Utilize the appropriate e600 ventilation mode to ventilate the patient.