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Indications

Severe respiratory distress AND signs/symptoms of acute pulmonary edema or COPD

Conditions (age, LOA, HR, RR, SBP, other)

>18


N/a


N/a


Tachypnea


Normotension


Spo2 <90% or accessory muscle use

Contraindications

Tracheostomy


Inability to sit upright


Major trauma or burns to head or torso


Unprotected airway or unstable


Unable to cooperate


Asthma exacerbation


Suspected pneumothorax

TIMUUAS

Treatment (initial setting, titration increment, titration interval, max. Setting)

5 cm h20, or eq flow rate of device as per BH direction


2.5cm h20, or eq flow rate of device as per BH direction


5 minutes


15 cm h20, or eq flow rate of device as per BH direction

Consider increasing FIO2 (if available)

Initial 50-100%


FIO2 increment: sp02 <92% despite tx and/or 10 cm h2o pressure or eq flow rate as per BH direction


Max FIO2: 100%