In asthma exacerbation, one of the ways patients compensate is by actively exhaling instead of passively in order to compensate for increased resistance. We can't replicate that on a ventilator. Exhalation is entirely a passive process when on a ventilator. In losing that compensatory mechanism, we can end up losing the battle. #Paramedicbook #paramedicsoffacebook #medicsoffacebook #medicbook #emtsoffacebook #emsbook #Paramedic #paramedics #firstresponders #firstresponderbook #firstrespondersoff