Indications for ACCET transport: one or more of the following findings
Pulmonary disease:
(1) PaO2 to FIO2 ratio < 100
(2) inhalation injury
(3) acute pulmonary embolism with cardiac arrest or persistent hypoxemia
(4) bronchopleural fistula, pneumonectomy or other anatomic derangement
Ventilator-associated:
(1) FIO2 > 0.7 on lung protective ventilation
(2) pH < 7.25 on lung protective ventilation
(3) PEEP > 15 cm water AND plateau pressure (PPLAT) > 30 cm water
(4) severe brain injury AND PaCO2 > 40 mm Hg on a transport ventilator
(5) use of advanced ventilator modes (APRV, other)
Organ failure:
(1) cardiogenic shock refractory to maximal medical therapy
(2) multi-organ failure (MOF)
