APPENDIX F: HAMILTON T1

CAUTION: The Hamilton-T1 as fielded by the Department of Defense DOES NOT support noninvasive ventilation (NIV). In environments where there is a risk of patients requiring NIV, a different ventilator should be fielded.

2. Perform pre-operational checks.

a. Click PreOp Checks on main page.

b. Conduct Tightness Test.

c. Conduct Flow Sensor Test.

**Do not attach a patient to the ventilator without conducting both tests.**

3. Select modes

a. Input patient Sex and Height (this calculates all alarm values and “normal” ranges. Do not bypass this step)

b. Touch Modes to change ventilator mode.

c. Select ASV.

4. Select settings

a. Set Tidal Volume (4-8 ml/kg IBW) or Pressure Support (not to exceed 30 mmHg).

NOTE: This ventilator is “PEEP Compensated” which means when in Pressure Support mode if your Pressure Support is 20 and your PEEP is 10, your settings are actually 30 over 10. If you want 20 over 10, you need to see the Pressure Support at 10 and the PEEP at 10.

**This can get confusing, seek direction from medical control if necessary.**

b. Set appropriate rate for age group.

c. Set Fi02 (21 to 100%).

d. Set PEEP (5 to 20).

e. Adjust I:E Ratio as necessary.

5. Set Flow Trigger (0.5 to 5). Press the start ventilation button prior to connecting patient.

6. Once the patient is on the ventilator, you may have to adjust alarm parameters