PulmTools

Evidence-informed tools and calm, practical learning for respiratory care professionals.

Quick Analyzers

Analyze a real blood gas fast

Already have values from the ICU, ED, or class? Jump straight into the ABG or VBG analyzer instead of practice mode.

Built for fast bedside-style interpretationPairs with ABGenius and VBGenius practice

Flagship Tools

Start with PulmTools essentials

Jump into the highest-value bedside tools first, then browse the full suite by clinical workflow.

Clinical workflow

Core Calculators · Acid–Base

ABGenius

Interpret the provided ABG values (pH, PaCO₂, HCO₃⁻, PaO₂) to determine the correct acid-base disorder, compensation status, and oxygenation category.

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VBGenius

Practice venous blood gas interpretation using pH, PvCO₂, and HCO₃⁻ to identify acid-base disorders and compensation without oxygenation analysis.

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Cord Gas Analyzer

Interpret umbilical arterial or venous cord gases with fetal acid-base classification, acidemia severity grading, and sampling reliability warnings.

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CBG Analyzer

Interpret neonatal and pediatric capillary blood gases with acid-base classification, compensation checks, and capillary-specific oxygenation guardrails.

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Neo/Peds VBG Analyzer

Interpret neonatal and pediatric venous blood gases with age-aware acid-base framing, PvCO₂ trend guidance, venous PO₂ guardrails, and bedside teaching notes.

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Winters' Formula

Estimate the expected PaCO₂ in metabolic acidosis using Winter’s formula to assess respiratory compensation.

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Respiratory Compensation Calculator

Estimate expected HCO₃⁻ changes in acute and chronic respiratory acidosis or alkalosis and compare measured bicarbonate to expected compensation.

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Anion Gap Calculator

Calculate anion gap, corrected anion gap, and delta ratio to evaluate metabolic acidosis and mixed acid-base disorders.

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Delta Gap Calculator

Compare changes in anion gap and bicarbonate to help detect mixed metabolic acid-base disorders in high anion gap acidosis.

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Clinical workflow

Oxygenation & Respiratory Failure

P/F Ratio – OI Guidance

Assess oxygenation efficiency using P/F ratio and Oxygenation Index to guide escalation of respiratory support.

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OxyGenius

Practice PaO₂ classification, P/F ratio severity, and Berlin ARDS criteria using realistic ICU oxygenation cases.

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Pre/Post-Ductal Analyzer

Compare preductal and postductal SpO₂ / PaO₂ to detect ductal shunting, PPHN physiology, reverse differential cyanosis, and CCHD screening patterns.

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A–a Gradient Calculator

Estimate alveolar-arterial oxygen gradient to evaluate causes of hypoxemia and guide differential diagnosis.

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ROX Index Calculator

Calculate the ROX index using SpO₂, FiO₂, and respiratory rate to help assess HFNC response and escalation risk.

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Berlin ARDS Criteria

Apply the Berlin Definition of ARDS using timing, bilateral opacities, non-cardiogenic respiratory failure, PEEP/CPAP requirements, and PaO₂/FiO₂ severity classification.

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PE Rule-Out Toolkit

Combine Wells Score and PERC criteria to support pulmonary embolism risk assessment, D-dimer decisions, and imaging pathway guidance.

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Murray Lung Injury Score

Calculate ARDS lung injury severity using chest radiograph involvement, PaO₂/FiO₂ ratio, PEEP, and static compliance with VV ECMO referral context.

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VV ECMO Referral Criteria

Screen severe ARDS patients for VV ECMO referral triggers using P/F ratio, hypercapnic acidosis, ventilator intensity, rescue therapy status, and contraindication cautions.

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ECMO Contraindications Checklist

Screen major and relative ECMO contraindication concerns including severe neurologic injury, active bleeding, anticoagulation limitations, prolonged ventilation, frailty, irreversible disease, and multiorgan failure before referral discussions.

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Clinical workflow

Ventilation & Mechanics

Clinical workflow

Hemodynamics & Perfusion

Breathwork Hub

Guided coherence, box, and 4–7–8 breathing with timing cues, physiology explainers, and benefits for clinicians and patients.

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Learn with PulmTools

Master ABG interpretation, compensation rules, and real-world practice cases — plus breathwork and imaging guides.

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Explore Our Blog

Stay up to date with the latest evidence-based updates, guideline summaries, and clinical insights for respiratory care professionals.

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Clinical Reference Library

Start with high-yield references

Open the most practical bedside references first, then browse the full resource library by clinical category.

Resource category

Guidelines & Protocols

Resource category

Neonatal & Pediatric Respiratory

Resource category

Airway & Emergency Workflows

What is PulmTools?

PulmTools is a modern, mobile-friendly respiratory platform built for RTs, nurses, physicians, PAs, NPs, and learners. It combines bedside calculators, interactive practice tools, evidence-based protocols, and practical teaching content so you can move from calculation to interpretation to deeper learning in one place.

  • Fast, trustworthy tools: ABGenius, VBGenius, ARDSNet Assistant, P/F Ratio & Oxygenation Index, A–a Gradient, ROX Index, Dead Space, Hemodynamics, Fick CO, and more.
  • Evidence-informed learning with protocols, blog guides, and teaching content that reinforce real bedside reasoning.
  • Designed for clinicians and students — mobile-friendly, fast to use, and clear enough to trust during real shifts.

Tools at a glance

ABGeniusVBGeniusOxyGeniusMurray ScoreVV ECMO ReferralECMO ContraindicationsPE Rule-OutARDSNetP/F RatioROX IndexA–a GradientDead SpaceMAP + Shock Index
15+
Tools, Guides & Protocols
Unified
Learn, Calculate, Apply