The Cribsiders

S5 Ep111: Why Can’t Your Patient Breathe? An Exam-Driven Approach to Pediatric Respiratory Failure

Jun 5, 2024
Expert pulmonologists discuss how to approach pediatric respiratory failure using physical exams and an anatomic framework. Insights on differentiating between upper and lower airway issues, the significance of bedside assessments, and utilizing a compartments model for evaluation. They also explore the satisfaction of diagnosing Croup and the importance of a systematic approach to managing complex respiratory cases in children.
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ANECDOTE

Lessons From A Soup Failure

  • Weston shared a humorous failure of making an awful lettuce soup early in marriage.
  • This taught him to seek advice before trying new things, yielding lasting laughter and learning.
ADVICE

Know Patients as People

  • Prioritize knowing your patients as people, not just their medical conditions.
  • Engage with life and culture to better relate and care for your patients.
ADVICE

Use The Compartments Model

  • When assessing respiratory failure, take a deep breath yourself to understand breathing mechanics.
  • Use an anatomic compartment approach: CNS, box (muscles/chest wall), upper airway, lower airway, parenchyma, pleura.
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