Kettering - CSE Strategies

Kettering - CSE Strategies sequence for selecting items in CSE information gathering sections ️️1. visuals 2. bedside 3. basic labs 4. special tests visual assessment ️️inspection: general appearance appearance of the chest respiratory pattern/rate sensorium posture color skin integrity bedside assessment ️️interview/history: symptoms, HPI, medical history, family history, advance directives palpation/percussion: pulse, tracheal position, diagnostic chest percussion, temperature auscultation: breath sounds, blood pressure, bowel sounds, heart sounds non-invasive monitoring: capnography, oximetry, ECG monitor, transcutaneous monitoring other assessments: reflexes (pupil, gag, transtracheal, babinski, etc), range of motion, capillary refill, hemodynamic monitoring basic lab tests ️️ABG CBC electrolytes CXR 12-lead ECG special tests ️️laboratory: culture and sensitivity (sputum, blood), urinalysis, cardiac biomarkers (troponin, BNP) pulmonary function: volumes, flowrates, pre-post bronchodilator, DLCO, 6MWT imaging studies: CT, MRI, V/Q scan, lateral neck XR, angiograms, PET scan, lateral decubitus XR cardiopulmonary testing: bronchoscopy, bronchoalveolar lavage, stress testing, echocardiogram hemodynamic monitoring: peripheral arterial lines, pulmonary artery line (Swan-Ganz), intracranial pressure (ICP) other diagnostic tests: sweat chloride, ELISA test, edrophonium (Tensilon) test, APGAR, Dubowitz, L/S ratio, mallampati score, cardiac enzymes, polysomnography, apnea-hypopnea index, GCS steps for decision making ️️1. analyze all available information 2. summarize the patients current condition 3. prioritize what needs to be done scoring is based on ️️relevance