TY - CHAP M1 - Book, Section TI - Chapter 9. Breathing/Pulmonary A1 - Iserson, Kenneth V. PY - 2012 T2 - Improvised Medicine: Providing Care in Extreme Environments AB - Clinicians are exhorted to always place their stethoscopes directly on a patient's skin. Yet when patients are examined in hallways and prehospital settings or in locations where cultural norms prevent patients from disrobing, this rule is often violated. That is not a problem: By applying pressure on the stethoscope head, all the sounds normally heard on bare skin can be heard through up to two layers of indoor clothing—including double-layered flannel shirts. Of course, inspection and percussion cannot be done through clothing, and clothing-induced acoustic artifacts may create problems.1 SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/04/19 UR - accessmedicine.mhmedical.com/content.aspx?aid=57371918 ER -