{"version":1,"type":"rich","provider_name":"Libsyn","provider_url":"https:\/\/www.libsyn.com","height":90,"width":600,"title":"Podcast 189 - APRV & Volumetric CO2 w\/ Joe Hylton","description":"In this episode of the FOAMfrat Podcast, we sit down with Joe Hylton, one of the go-to ventilator educators in critical care transport, to break down APRV in a way that actually makes sense. We move beyond surface level explanations and get into how APRV really works, why it is so effective for ARDS and severe hypoxemia, and how volumetric capnography can give you real-time physiologic feedback when titrating mean airway pressure and PEEP. This is not a \u201cset it and forget it\u201d APRV discussion. We dig into the mechanics, the physiology, and the bedside decision making that matters in transport and critical care environments. Topics covered in this episode: \u2022 How APRV differs from conventional pressure control ventilation \u2022 Why mean airway pressure is the real driver of recruitment \u2022 Using flow curves and time constants instead of guesswork \u2022 Volumetric CO\u2082 vs end-tidal CO\u2082 and why the difference matters \u2022 Identifying optimal recruitment and overdistension in real time \u2022 How VC\u0307O\u2082 trends can guide PEEP and pressure adjustments \u2022 APRV pitfalls, misconceptions, and when paralysis may still make sense \u2022 Practical APRV setup on Hamilton ventilators for transport teams If APRV has ever felt like ventilator voodoo, this episode pulls the curtain back and ties the mechanical settings to what is actually happening at the alveolar and capillary level. Joe brings deep experience from working with Hamilton Medical systems, and the discussion is framed through real-world transport and ICU decision making, including insights relevant to teams like Life Link III and other critical care programs. This episode is ideal for: \u2022 Flight paramedics and critical care transport clinicians \u2022 ICU nurses and respiratory therapists \u2022 Medical directors and educators \u2022 Anyone who wants to understand APRV beyond memorized settings \ud83c\udfa7 Listen, learn, and rethink how you approach lung recruitment. Subscribe for more high-yield critical care and EMS education from FOAMfrat. ","author_name":"FOAMfrat Podcast","author_url":"http:\/\/www.foamfrat.com","html":"