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🫁 SpO₂/FiO₂ (S/F) Ratio

UseWhen to use: ARDS / hypoxemic respiratory failure triage without arterial blood gas.

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StrataTeaching maps ≈235↔P/F 200 and ≈315↔P/F 300; prefer ABG when possible.

LimitsWhen not to use: SpO₂ >97% (flat portion of dissociation curve). · Pitfall: entering FiO₂ as % without conversion when >1. · Not a solo Berlin definition.

SourceRice TW et al. S/F vs P/F

Runs locally in your browser (no PHI uploaded). For licensed clinicians — not a substitute for clinical judgement.
Stored on this device for revisit reminders

This-shift next steps

After scoring: open the scene pack, peer scores, and the matching pathway. Local reference — no HIS write.

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Methodology · worked example, guidelines & full notes
Clinical takeaway

SpO₂÷FiO₂.

When to use

When to use: ARDS / hypoxemic respiratory failure triage without arterial blood gas.

How it works

S/F = SpO₂ / FiO₂ (fraction).

Key points

  • SpO₂÷FiO₂.
  • ≈235 / ≈315 cues.
  • Next: P/F if ABG.

References

  • Rice TW et al. S/F vs P/F

Worked calculation

The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.

SpO₂92 %
FiO₂0.40 fraction (0–1) or %

→S/F230

  • FiO₂ used:0.40
  • Cue:<235 — roughly aligns with P/F <200 (moderate–severe ARDS cue)
Verification & sources · governance
FAQ

Frequently asked questions

Does SpO₂/FiO₂ (S/F) Ratio upload patient data? Where is it calculated?
Calculation runs locally in the browser; inputs and results are not uploaded. For licensed clinicians only; interpret with history, investigations and local protocols — not a diagnosis or prescription.
How is SpO₂/FiO₂ (S/F) Ratio calculated in practice? Can you show a worked example?
Inputs: SpO₂ 92 %, FiO₂ 0.40 fraction (0–1) or % → Result: S/F 230(FiO₂ used: 0.40, Cue: <235 — roughly aligns with P/F <200 (moderate–severe ARDS cue))
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