clinical-protocols/six-breaths.html
2026-08-22 11:45:23 +00:00

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<title>The Six Breaths — an ED respiratory assessment | Allison Walters</title>
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<div class="mono">Allison Walters · LPN · Detroit</div>
<h1>The Six Breaths</h1>
<p>A sixty-second respiratory assessment, from the night shift.</p>
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<a href="index.html">Home</a>
<a href="clinical-protocols.html">Clinical Protocols</a>
<a href="community-health-assessment.html">Community Health</a>
<a href="six-breaths.html">The Six Breaths</a>
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<div class="mono">film · 63s · 4 scenes · narration + score</div>
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Six breaths, sixty seconds — and I know whether this room
is stable or crashing. That cadence is the first safety net.
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<h2>See it</h2>
<p>Watch on my 4ort.mov channel: <a href="https://4ort.mov/" target="_blank" rel="noopener">the six breaths</a> — the short film renders from the same composition I worked the shift cadence into.</p>
<h2>What the film walks you through</h2>
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<div class="k">01 · count</div>
<div class="v">Six full breaths</div>
<p>Not shallow, not rushed. One full respiratory cycle as the unit of measure. The number is oxygen and CO&#8322; at once.</p>
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<div class="k">02 · read</div>
<div class="v">Rate · effort · symmetry</div>
<p>Is the chest rising evenly? Is the work visible from across the room? Symmetry tells you where to look first.</p>
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<div class="k">03 · look</div>
<div class="v">Tripod · retractions</div>
<p>The patient who can't finish a sentence, who's bracing on the cot, who's pulling with the neck — that's the sign I don't miss.</p>
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<div class="k">04 · decide</div>
<div class="v">Stable, or crashing</div>
<p>Within the minute I have a trajectory. Slow is still a read: it tells me how this body is coping, not just failing.</p>
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<h2>Why I made it</h2>
<p>
Most people know the machines before they know the nurse. But on the floor, my
first instrument has always been the breath I can see and hear — before I ever
reach for the pulse oximeter or the monitor. I filmed it so the cadence stops
being abstract: it's a habit any one of us can learn, and it's the hand-off
I carry between my own shifts.
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<p>
It stands alongside the fuller <a href="clinical-protocols.html">clinical protocols</a>
I keep here, and the community-health assessment lens I bring out of the ED
into Detroit's neighborhoods.
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Imagery: hand-drawn waveforms, no stock. This film is part of an ongoing
series of short clinical explainers — watch the channel for the next one.
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