Respiratory Therapist – Professional Physician Extender

I am strongly looking forward to hearing Garry W. Kaufman’s presentation – the key phrase

that drew my attention is PROFESSIONAL PHYSICIAN EXTENDER.

We all know it … first sign of trouble (desat, cardiac arrest, strange noise, etc.)  and the first words out of anyones mouth is “get respiratory”.



I really am looking forward to this and other’s commentary that know the respiratory therapist’s role in the medical field.

(MORE TO FOLLOW … from my soap box).


To ALL (RN, RT, MDs).

If you can discern the intervertebral space thru the heart on film , the CXR technique was good!

How was the radiology techs technique in taking an cxr?

resplearn-intravertebral space 001resplearn-intravertebral space 002

It is suggested that if the intervertebral space can be discerned thru the heart, the radiology technician

had good technique.

The x-ray had to travel thru (from front (ventrum) to back (dorsum) :

front of patient > skin > muscle > bone > front of heart muscle > blood in heart >

intracardiac structure > back of heart muscle > bone > muscle > skin > back of patient …

and yet one can discern the intervertebral space, technique was good!

The lung is visible thru the heart when there is minimal atelectasis.


As a general rule, the lung is visible thru the heart when there is minimal atelectasis.




X-rays have to travel thru (from front (ventrum) to back (dorsum)) in this order :

patient front > skin > muscle > bone > lung > heart muscle > blood in heart >

heart muscle > lung > bone > muscle > skin > patient back > to x-ray plate.

The more atelectatic, the more denser the pulmonary tissue, and therefore the x-ray

has higher potential for being deviated / obliterated / absorbed.  The less atelectatic,

the less chance of deviation / obliterated / absorption.


BiVent as a Quick Differentially Diagnosing Tool For Elucidating Pathologic Disease

Please enjoy this presentation on BiVent.

As with any discussion, please discuss enacting BiVent with your medical director, resp dept director, supervisors, managers, coordinators, resp peers, medical attending, medical resident, icu intensivist, physician’s assistant, nurse practioner, and nurse.

We present it as a differentially diagnosing tool to keep amidst our armamentarium of tools.

The beauty of this paradigm is that while awaiting any other tool required to diagnose or “rule-in” another diagnosis, the diagnosis of “run away atelectasis” can be ruled-in or ruled-out starting immediately.