Emergency Medical Retrieval Service (EMRS)

www.emrs.scot.nhs.uk

Standard Operating Procedure

Public Distribution
Title Oxylog 1000
Version 3
Related EMRS Oxygen SOP
Documents EMRS Oxylog 3000, 3000+ SOP
EMRS Pre Hospital HEMS mission activation SOP
Author A Kennedy
Reviewer P Munro, M Donald

Aims
To ensure all staff are familiar with the operation and use of the oxylog 1000

Background
The Oxylog 1000 is a time-cycled, volume-controlled and pressure limited emergency
ventilator for controlled ventilation of patients with a minute volume of at least 3 L/min. It is
not intended to replace the oxylog 3000 or 3000+. The oxylog 1000 is to be used on
primary missions only. It is not intended for use on patients under 30kg (approx 8 – 10
years of age).

Application
EMRS team members
SAS airwing Paramedics

Oxylog 1000

The oxylog 1000 is a purely pneumatic system and is oxygen driven meaning we are not
dependant on additional power supply or batteries.

User interface: Pmax, Frequency, Minute Volume and O2 concentration can be set to the
patient‘s need. Feedback is given in visual and audible signals

1
• On/off: to switch on or off the main power supply (oxygen supply)

• Pmax: to set the maximum allowable positive pressure in the airway of the patient.

• Frequency (f): to set the number of ventilation cycles (Inspiration and expiration) per
minute

• Minute volume (MV): to set the volume of oxygen/(air) gas supplied by the Oxylog
1000.

• Tidal volume will be equal to the minute volume setting divided by the frequency.
See table below.

Minute Frequency
volume 5 10 25 35 54
(L/min)
3 0.20 0.30 0.12 0.09 0.06
7 1.40 0.70 0.28 0.20 0.13
10 2.00 1.00 0.40 0.29 0.13
15 3.00 1.50 0.60 0.43 0.28
20 4.00 2.00 0.80 0.57 0.37
Tidal volume (L)

2
 • CPR: when Pmax and frequency are set to the heart symbols (55mbar and 12/min),
CPR can be performed. During CPR, the ventilation pressure can be high due to
pressure in the thorax during cardiac compressions. When Pmax is not set at a
higher level, the Oxylog would alarm very quickly during CPR.

• Air mix / no air mix: to select whether [60%O2+40%air] gas mixture or [100% O2] is
supplied. (e.g. in case there is not sufficient O2 available, the air mix will be used).

Alarm functions:

Supply pressure low (Psupply)

Airway pressure high (Paw High)
Airway pressure low (Paw low)

The alarms are both visual and audible and are provided by pneumatic components so do
not require any power supply.

CPR mode

By setting the user interface dials to the heart settings the device can be used effectively
during CPR:

ƒ During chest compressions the airway pressure inside the lungs increases.
ƒ Most ventilators switch to expiration phase during chest compressions,
resulting in a lower oxygenation.
ƒ With the Oxylog 1000, chest compressions do not compromise oxygenation.
ƒ When the set Pmax (max. allowable airway pressure) is exceeded due to
chest compressions, the Oxylog 1000 continues the inspiration phase and
opens the expiration valve at the same time to release the overpressure. The
acoustic alarm sounds to indicate this.
ƒ Result: pressure is maintained at 20- 30 mbar / cm H2O during inspiration.

Draeger product training Oxylog 1000

3
Preparation for use.

ƒ The oxygen supply is via a standard Schraeder valve fitting which will fit all medical
oxygen points in hospital as well as EMRS, SAS and military O2 cylinders
ƒ We will be using a 1.5m single use (disposable) ventilation hose and ventilation
valve. The ventilation hose must be connected to the big connector at the side panel
of the Oxylog. Check that it is well connected to avoid any leakage. When removing
the ventilation hose, grip it by the sleeve, not by the spiral ridges.
ƒ Attach a single use PEEP valve if required.

Oxylog 1000 daily device check.

• Connect O2 pressure supply.

• Connect disposable ventilation hose.

• Fit test lung to ventilation hose.

• Set device to
¾ MV approx 8 l/min
¾ Freq approx 10 bpm
¾ Pmax approx 30 mbar
¾ Main switch I (on)
¾ Switch No air mix

• After approx 5 ventilation strokes, no alarms should occur

• Squeeze the test lung, so that airway pressure is approx 60 mbar

¾ The “Paw high” indicator turns red and the audible alarm is sounded

• Release the lung and allow to reinflate.

• Remove the test lung

¾ The “Paw low” indicator turns red and the audible alarm is sounded.

Remove the disposable test tubing and secure the O2 supply tubing to the ventilator ready
for use.

4
Carriage

The oxylog 1000s should be stored in the kit room. After completion of the daily checks one
oxylog should be packed in the EMRS green HEMS pack.

Note. Default fitting on helimed 5 will be the bracket for the oxylog 1000. If
responding to a secondary mission the helimed paramedics and pilot must be
reminded to change the bracket to accommodate the oxylog 3000.

The disposable tubing is stored in the main compartment of the green HEMS bag and
should only be attached when needed.