RT Book, Section
A1 Iserson, Kenneth V.
SR Print(0)
ID 57371918
T1 Chapter 9. Breathing/Pulmonary
T2 Improvised Medicine: Providing Care in Extreme Environments
YR 2012
FD 2012
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-175497-2
LK accessmedicine.mhmedical.com/content.aspx?aid=57371918
RD 2024/04/19
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