This session teaches a reproducible, step-by-step approach to chest X-ray (CXR) interpretation using two complementary mnemonics: RIPE (Rotation, Inspiration, Penetration/Projection, Exposure/Artifacts) to verify image quality, and A-B-C-D-E-F-G-H-I to read findings in a consistent order. Viewers learn to spot essential landmarks (trachea, aortic knob, hila, lobes/fissures, diaphragms, costophrenic angles), recognize when AP vs PA matters (e.g., cardiothoracic ratio), and avoid common pitfalls that lead to misses. A live, real-time read ties the method together so the approach can be used on rounds, in clinic, or at the bedside.

What you’ll learn
- Quality first: use RIPE to confirm a film is worth interpreting
- A structured read with A-B-C-D-E-F-G-H-I
- How projection changes appearance (AP vs PA vs lateral)
- Reliable checks for effusions, pneumothorax, edema, and device/artifact confounders
- How to synthesize a clear impression clinicians can act on


Disclaimer:
This content is for educational purposes only and is not medical advice. It does not replace individualized evaluation, diagnosis, or treatment. Always seek the advice of a qualified health provider with questions about a medical condition and never delay care because of educational content.

Chapters:
00:00 Intro & why a systematic approach
01:03 Method overview (RIPE + A→I)
03:15 Pre-checks (ID, date, comparison films)
04:10 RIPE: image quality (rotation, inspiration, penetration/projection, exposure)
11:40 A→I structured read (bones → hila)
24:05 Live demo: full read & forming the impression
33:50 Common pitfalls & limits (AP CTR, artifacts)
37:10 Key takeaways & how to practice the workflow
39:10 Resources (free downloads) + disclaimer & outro