Is the Content of Textbooks on the Evaluation of a Patient in Respiratory Distress Adequate?

• DOI: 10.4187/respcare.01112
• Publication Date: 2012-02-27T16:38:55Z
• Authors: Aiman Tulaimat; Aiyub Patel; Bhaven Shah; Stephen W Littleton
• Keywords: Palpation

The ability to rapidly and precisely evaluate patients in respiratory distress is essential. Due limited opportunities for formal instruction during training, textbooks are the main educational source teach junior physicians how interpret signs of distress. quality textbook content relevant unknown.To examine on evaluation a patient representative sample Internet resources.Two individually reviewed most recent edition 21 standard from variety specialties. Smartphone applications, UptoDate, MD Consult were examined. Each physician 14 different signs. For each sign, reviewers determined 3 parameters: mention its pathophysiology, detection. reviews compared discrepancies, third reviewer resolved them.The normal rate was mentioned 10 (48%) textbooks, ranged between 22 breaths/min. sign by mean 45 ± 26% textbooks. pathophysiology described 33 30% least commonly inspection cyanosis retraction suprasternal notch, respectively. They 20 (95%) 4 (19%) palpation thoracoabdominal asynchrony or paradox tracheal tug, 17 (81%) their 15 (71%) also found inconsistency descriptions meaning scalene muscle contraction paradox.The inconsistent deficient.