what stethoscope do you use?

Discussion in 'Emergency Medicine' started by stoic, Jul 21, 2006.

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  1. stoic

    stoic "Time you enjoy wasting, was not wasted" Lifetime Donor 10+ Year Member

    Nov 4, 2000
    sodom, south georgia
    i know, generic question. over the years i've heard lots of talk about the littman tunable diaphram, both good and bad. i have a littman cardio III and it serves me well, though during an actual exam i can't recall switching between the bell/diaphram mode. i can't recall being unable to hear something an attending heard and i have picked up some subtle stuff (though i've undoubtable missed some, too).

    anyway, i'm bored and looking at stethoscopes on the internet. not that i'm unhappy with the littman, i'm just curious about some other scopes that might be worth listening too.

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  3. suckstobeme

    suckstobeme Member 10+ Year Member

    Oct 9, 2004
    Try out the Tycos Harvey models by Welch Allyn. I like it a little better than my cardio III that i lost earlier. I've also tried my friend's Rappaport-Sprague that her dad gave her. It's truly the ideal stethoscope, but its discontinued. I'm told that if you're willing to shell out a few hundred bucks for a used one, you can find them on Ebay.
  4. GeneralVeers

    GeneralVeers Globus Hystericus 10+ Year Member

    Mar 19, 2005
    Las Vegas
    If you can hear two heart sounds, and discern any obvious murmurs, then the stethoscope is good enough. Seriously, listening for S3s, S4s, opening snaps, etc. is beyond the scope of Emergency Medicine. Sure it's nice to sound really smart and be able to identify them, but it's not necessary when it comes to the critical admit-discharge decision.
  5. roja

    roja 7+ Year Member

    Oct 20, 2003
    NYC--->San Francisco
    You use a stethascope?
  6. irrka

    irrka Senior Member 5+ Year Member

    Feb 26, 2005
    my stethoscope is still in the moving box. granted, i'm only doing a prelim year now though.
  7. la gringa

    la gringa Senior Member 10+ Year Member

    Oct 14, 2004
    esse quam videri
    another vote for the tycos harvey...
  8. po' boy

    po' boy Senior Member 10+ Year Member

    Jan 12, 2001
    Portland, OR
    I'm an emergency medicine R2 at Vandy, and my fiance, a 3rd year med student, just bought a stethoscope on ebay made by a company called GRX Medical, advertised as being modeled on the Littmann Cardiology III. I was skeptical when she bought it, but man it is awesome -- feels more solid and sounds as good or better than my Littmann III, and also comes with extra parts so you don't have to buy them separate should you ever need them (diaphragm, rim, earpieces of different sizes). She bought it for about $25 using Buy It Now with $8 shipping. Best deal I've seen by far...
  9. Blue Dog

    Blue Dog Fides et ratio. SDN Advisor 10+ Year Member

    Jan 21, 2006
    South of disorder.
    The GRx CD-25 Advanced Cardiology (www.grxmedical.com) is a clone of the old Littmann Cardiology II, which is a far better-performing stethoscope than the Cardiology III. I haven't held one in my hands or put one in my ears, but it appears to offer good value for the dollar. If it doesn't measure up, at least you haven't lost much money (it's around $40).


    I tend to recommend the Welch-Allyn Harvey Elite (available NIB on eBay for far less than MSRP), or an older Littmann Cardiology or Cardiology II, which can be refurbished by 3M to look like new. The HP/Philips Rappaport-Sprague is another excellent choice, but it's getting increasingly hard to find since it was discontinued.
  10. emeddo

    emeddo OMS 5+ Year Member

    Feb 18, 2006
    Grand Blanc, MI
    I have both the littman cardiology III and the grx model and don't notice a singal difference between the two. I thought getting the littman would be better, but was disappointed it wasan't any better than my grx. Now I carry around my grx model becuase if I lose it I won't feel as if I lost as much money as if I would lose my littman.
  11. EctopicFetus

    EctopicFetus Keeping it funky enough 10+ Year Member

    May 3, 2004
    Littman Cardio 3... studly...

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