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Role of the stethoscope in healthcare
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Recommended: Role of the stethoscope in healthcare
Stethoscope functionality generally has not changed over the past few decades evolving from the monaural hollowed out wooden tube first invented in the early 1800’s by Rene Laennec to the more familiar long multi tubular version, improved upon by George Cammann 50 years later, we so typically see today. The core components of a modern stethoscope are comprised of ear tips, binaural piece, tubing and a diaphragm with a bell on the back. The bell transmits low frequency waves all the way up to the ear pieces, while the diaphragm is designed to carry the higher frequency sound. The two fathers of the stethoscope left little room for improvement on the near perfect design for just over a century until a Harvard Medical School professor by the name of David Littmann turned the simple listening device into the versatile diagnostic tool resting around almost every health care professional’s neck today. …show more content…
The Littmann iteration of the stethoscope is widely considered one of the best, top selling, most sought after brands in the market currently with multiple styles to suit every need.
Many top tier lists have the brand mentioned in at least one position and some have even had more than half of their spots taken over by their many variations of the stethoscope. There is no perfect product out there, especially in a field as diverse as the medical industry, and each piece of equipment brings their own special feature so it really comes down to what one is looking for in the product. As with any market, there is usually always at least one product that shines out above the rest, often having two rival products battling it out for top spot. However in the stethoscope industry, it is hard to find a product to rival the quality of the Littmann line of products. The Littmann Cardiology III stethoscope is often thought to be one of the best stethoscopes money can buy, but at a premium price of nearly $200, what exactly are you spending your money on for that kind of
expenditure? Some of the most sought after traits of a great stethoscope include the quality of the sound that is delivered, general comfort of the device in the ears and resting around the neck, is it cost effective and will it last. Alternatively, another key component to consider is the patient themselves who are often usually already suffering enough discomfort from injury or illness and even sometimes slight phobias. The length of tubing comes into play here as comfort zones should always be respected and also you may not necessarily want to be that up close and personal to an ill individual. A non-chill rim around the bell and diaphragm can also help keep the patient at ease as sometimes cold, bare metal can come off as quite shocking to some. All of these aspects and many more come into play when picking out features that make up the best stethoscope. The Littmann Cardiology III stethoscope is undoubtedly a high performance tool that should not be overlooked and is a viable tool for not only Cardiologists, but anyone in the medical field. It is acceptable to use on adults and children. With a net weight of 6.2 ounces (175 grams) and a net length of 27 inches (69 centimeters¬) it is definitely one of the heftier, lengthier stethoscopes on the market. The chest piece features a finish of black matte and the color theme is continued all the way up to the ear piece in the standard model. The diameter of the diaphragm measures 1.7 inches (4.3 centimeters) and is made up of an epoxy fiberglass material which is also tunable to adjust tension for a clearer sound from the diaphragm. Claiming to be environmentally friendly, the dual-lumen tubing is made up of a Litmann trade secret material which does not contain any natural rubbers or latex, so no worries of allergy. No phthalate plasticizers were used to treat the tubing, meaning it was not chemically altered to resist breaking and cracking when bent, and is also FDA approved. The tubing boasts a longer life and has improved protection against skin oils, alcohols and staining. A spring is also included to keep the ear tips fitting snug, which are soft sealing, and come with an extra pair. The headset is made of a very lightweight and durable anodized aluminum which resists corrosion and finally, The Cardiology III stethoscope comes with a 5 year warranty. Hopefully though, it is never needed as people have claimed to have carried their Littman products for fifteen plus years. Apart from having an outstanding line of products, accessories and customization can raise the standard to a whole new level. Not only in the healthcare profession, but all over the world, stealing is a nasty issue, even sometimes being unintentional having picked up someone’s misplaced item and never being able to return it to them. Thankfully, having something that can set you apart from the norm so you can easily identify what is yours is an option here as the Littman line of stethoscopes offers a whole slew customization options and now you may not have to keep such a watchful eye over that pesky forgetful doctor who keeps borrowing your bright pink stethoscope as it is easily visible, bears your name and even matches your scrubs. Apart from a plethora of color options and combinations there are even identification tags and as previously stated, one could even go as far as to engrave their prized stethoscope with their name or email address. Coupled with the customization options is a full line of replacement parts for all the wear and tear the Littmann stethoscope may endure. Unfortunately, as it is one of the heavier models, it may become a bit of a nuisance to wear around your neck all day long which could lead you to put it down briefly and misplace it accidentally so a batclip or some other small accessory may be advised to combat this minor inconvenience if one finds this to be a problem. Other stethoscopes may sound a bit better, be a bit more comfortable, even come at a better price, but for top of the line products, there is no arguing the Littmann Cardiology III Stethoscope is a very powerful tool that is well suited to be on any health care professional. You can trust your life on it.
Transcatheter aortic valve replacement or TAVR is the latest technology used principally for the treatment of aortic stenosis, a condition in which one of the major valves of the heart, the aortic valve, becomes tight and stiff, usually as a result of aging (3). Since many patients who need aortic valve replacement for aortic stenosis are too sick to undergo major valve replacement surgery, they are unable to get the treatment they need. With the transcatheter aortic valve, this issue is bypassed because this valve can be implanted in the heart by accessing the patient’s heart through an artery in the groin. The valve can be inserted through a wire that can be pushed to the heart and the old valve is simply pushed to the side when the new valve is implanted. This technology has been in use in the US with Edwards’ Sapiens valve since 2011 and has saved the lives of many patients with aortic stenosis (4). Medtronic’s CoreValve uses similar technology and has won patent fights in Europe and has been in use internationally. However, within U.S., Medtronic has not been...
Diagnostic medical sonography is a profession where sonographers direct high-frequency sound waves into a patient’s body through the use of specific equipment to diagnose or monitor a patient’s medical condition. As described by the Bureau of Labor Statistics, this examination is referred to as an ultrasound, sonogram, or echocardiogram. The high-frequency sound waves emitted from the handheld device, called a transducer, bounce back creating an echo and therefore produce an image that can be viewed on the sonographers computer screen. This image provides the sonographer and physician with an internal image of the patient’s body that will be used in the diagnosis. The most familiar use of ultrasound is used in monitoring pregnancies and is provided by obstetric and gynecologic sonographers, who also provide imaging of the female reproductive system. Other types of sonography include; abdominal sonography, breast sonography, musculoskeletal sonography, neurosonography and cardiovascular sonography. Due to the vast nature of uses in sonography, most professionals study one field that they choose to specialize in. Diagnostic medical sonography is a rapidly growing field because of the increase in medical advances. The area of Cleveland, Ohio has continued to rise in the medical field with great strides, providing better career prospects with the availability of numerous employment positions.
Cochlear implants are amazing feats of biomedical engineering, and have helped many people regain the ability to hear. While there are some ethical dilemmas that go along with them, there is no denying just how amazing these implants really are. By understanding how the ear works, what causes it to stop working, and using science and engineering to fix that problem, there is now a way to give someone a sense they might have never been able to experience. It can be costly, but it could drastically change someone’s life. Some people may say for worse, but there will always be someone else to say it was for better. Overall, cochlear implants are an incredible invention and will continue to grow and only get better with technology.
Without question the cost of medical care in this country has skyrocketed over the last few decades. Walk into an emergency room with an earache or the need for a few stitches and you’re apt to walk out with a bill that is nothing short of shocking.
The cost of Medical equipment plays a significant role in the delivery of health care. The clinical engineering at Victoria Hospital is an important branch of the hospital team management that are working to strategies ways to improve quality of service and lower cost repairs of equipments. The team members from Biomedical and maintenance engineering’s roles are to ensure utilization of quality equipments such as endoscope and minimize length of repair time. All these issues are a major influence in the hospital’s project cost. For example, Victory hospital, which is located in Canada, is in the process of evaluating different options to decrease cost of its endoscope repair. This equipment is use in the endoscopy department for gastroenterological and surgical procedures. In 1993, 2,500 cases where approximately performed and extensive maintenance of the equipment where needed before and after each of those cases. Despite the appropriate care of the scope, repair requirement where still needed. The total cost of repair that year was $60,000 and the repair services where done by an original equipment manufacturers in Ontario.
Two heart sounds are normally heard through a stethoscope on the chest wall, "lab" "dap". The first sound can be described as soft, but resonant, and longer then the second one. This sound is associated with the closure of AV valves (atrioventricular valves) at the beginning of systole. The second sound is louder and sharp. It is associated with closure of the pulmonary and aortic valves (semilunar valves) at the beginning of diastole. There is a pause between the each set of sounds. It is a period of total heat relaxation called quiescent period.
Therefore, I plan on closely examining audiology not only in a clinical setting but also in a research setting after my first year in USF’s program. I plan on closely examining innovative audiological strategies, as a graduate student, inside and outside of the classroom, while immersing myself in the intellectual community within the department. While my future classmates at USF may claim that they were born audiologists, I am proud to proclaim, as I have reflected on my journey thus far, that I have gained an intellect and love for audiology that drives my unrelenting passion for the field.
As we go through our daily routine in our jobs in any medical facilities, we are bound to make an occasional error. Misspelling a word on a chart may be one of them. If you make a mistake while you are writing in a patient's medical chart, just draw one straight line through the word and put your initials to the top right of it, and write what you meant to say next to it. Do not make any big swirly lines through the incorrect word. The chart must look as neat and professional as possible. You might try to keep track of the mistakes you make so you can be sure not to make them in the future. Common sense, I know. But this could make a huge difference in the medical profession concerning someone's life.
Client Profile: Lane Bronson is a 55 year old male with a history of angina, hypertension, Type 2 diabetes, COPD, and sleep apnea. He comes to the physican’s office complaining of worsening shortness of breath. His skin tone is grey, and his angina is worsening. Previously stable, he now does not get relief from rest or nitroglycerin. The physician called 911 and had Mr. Bronson directly admitted to the hospital.
The amount of career opportunities involved with the profession are endless. Virtual Job Shadow estimates that there are about 75,000 Ultrasound Technicians in the world and half are working in hospitals. By far, hospitals are the most common employers for sonographers but doctor’s offices are not too far behind. Labs, rehabilitation centers, and nursing homes are other establishments that Ultrasound Technicians can be found. These jobs are highly competitive and they demand a high level of attention and accuracy. As medical careers flourish, needs for technicians in many fields of medicine are increasing. Instead of a doctor choosing complex and risky surgery to find out problems within the body, they can now choose a safer path; the ultrasound path. Patient’s history and physical evaluation are building blocks to diagnostics but ultrasounds are much greater. While the field of Ultrasound Technology is a popular in the health care industry, there are still a fairly small number of people in the
Being able to identify lumps, swelling, tissue damage, cysts, and the overwhelming news of the sex of a baby all have something in common, an ultrasound. Swelling of the spleen, kidney stones, blood clots, aneurysms, cancer and so much more can be identified through the works of an ultrasound’s imaging technique. Ultrasound involves many concepts, procedures, and careers. The amount of medical possibilities involved with ultrasounds is useful in major medical diagnostics. The field of ultrasounds and career opportunities are widely growing. As medical careers flourish, needs for technicians in many fields of medicine are increasing. Instead of a doctor choosing complex and risky surgery to find out problems within the body, they can now choose a safer path; the ultrasound path. Patient’s history and physical evaluation are building blocks to diagnostics but ultrasounds are much greater. They are powerful tools used to see beyond the skin into the depths of a person’s body. What ultrasounds are, what types there are, and what they are used for, and the education and careers available are the major themes found in research on the subject. Knowledge of ultrasound and its background may help one decide what career is best for them. Understanding the wide array of diagnostic tests and their uses are essential to figuring out what a career as a sonographer entails and the type of education that is needed. Because there are plenty of possibilities for specializing with different technologies, there is a wide variety of job opportunities in the medical imaging career. The call for ultrasound’s assistance opens new paths in future high-quality careers.
October 9th, 2016, after being discharged just three days prior, a 44-year-old African American female presented in the emergency department with complaints of shortness of breath with minimal activity and chest pain that radiates to the back and shoulders. Vitals signs were taken and reveled a heart rate of 134, blood pressure of 219/147 and a respiratory rate 28. Observation of the patient showed that she was slightly diaphoretic and anxious. Lab work was ordered to be drawn as well as an ECG and the admission process began. Admitting diagnosis recorded was tachycardia, elevated troponin, acute exacerbation of congestive heart failure, acute chronic congestive heart failure, chest pain and pleuritic chest pain.
The most common model of the ancestral hearing aid is that of the simple ear trumpet. This was a small, pipe-looking device which was carved from either bull’s horn or seashell, and was held up to the ear in order to amplify sound. The audible result of such would have been much like cupping your hand around your ear.
Tess is an anesthesiologist, her job includes the administration of anesthetics,which is a type of medication that relieves pain, closely monitoring patients' vital signs during surgery, and adjusting anesthetics. Tess’ job also includes monitoring patients through the first recovery stages after an operation administering the appropriate medications during recovery and prescribing medication for those living with chronic pain.
In conclusion, after measurements were recorded for four weeks the evaluators came to the conclusion that researched “showed no significant differences between the SEIC and ultrasound groups” in the visual analog scale, the pain pressure threshold, or the cervical lateral flexion. The article does include graphs of the particular