How
- Ask RT to perform an expiratory hold/pause when feasible.
- Interpret alongside flow-time waveform and hemodynamics.
- Do not delay rescue actions in an unstable patient.
Vent control
Expiratory hold / pause
Use an expiratory pause to estimate intrinsic PEEP when the patient and ventilator are suitable.
Clinical review / use limits
Authored by: Airway of the Month education team. Last reviewed: July 2026. Audience: EM learners, faculty, EMS, RT, simulation educators, and airway teams.
This is an educational cognitive-aid scaffold, not a bedside order set. Verify medications, ventilator changes, pediatric dosing, and procedures against local ED, ICU, anesthesia, pharmacy, RT, EMS, and pediatric policies.
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