The original Laennec stethoscope, in wood, retains in the Museum of the History of Medicine, in Paris, France. Note the handwritten Latin dedication to his uncle Guillaume Laennec in Nantes: “ A mon excellent oncle, mon autre père” ("To my great uncle, my other father"). Front cover of the first edition of the “ Traité de l’Auscultation Médiate”, Paris, France, 1819. Portrait of René Théophile Hyacinthe Laennec. This chapter aims to review recent technological advances, evaluate promising innovations and perspectives in the field of auscultation, with a special focus on the development of new intelligent communicating stethoscope systems in clinical practice, and in the context of teaching and telemedicine. The availability of novel representations of the sounds, with phono- and spectrograms, also opens interesting perspectives in the context of diagnostic aids, but also in education and pedagogy. More recently, we have seen advances in the techniques used to process auscultatory signals as well as in the analysis and clarification of the resulting sounds. Over the past two decades, much of the progress made in this area has resulted primarily from improvements made to the stethoscope itself. ![]() ![]() However, the ability to differentiate between normal and abnormal sounds or noises (vesicular sounds, wheezes, crackles, etc) remains essential in clinical practice for correct diagnosis and management. Laennec ( Traité de l’Auscultation Médiate, Paris, 1819 ) and over the years very few changes have been made to both the stethoscope itself and the way in which it is used. Just chart what you hear, use proper terminology whenever possible, and ask for a second set of ears if you aren't sure.The stethoscope and the semantic of auscultatory findings were invented more than 200 years ago by Dr. My preceptor was reviewing my charting and questioned why I put that and i asked if she didn't hear the murmur when she did her assessment, and she was like "oh I heard something but it really is for the doc to say what it is so I never chart that".I just froze and told her that I was charting it so the doc could know to look into it and she looked at me like I was insane. I came on shift and did my assessment once and heard a clear loud systolic murmur. Unfortunately I've seen far too many nurses who don't even know how to properly identify lung or heart sounds and just copy what was put on the last assessment. Seriously, act like a professional and call it what it is, and if you don't know then ask someone else to listen so you can find out. I would absolutely question any nurse giving me handoff with nothing more than "Coarse" or "juncky". Where i've been coarse is a descriptor to be added to another phenomenon (coarse vs fine crackles/rhonci). As always, do not rely on Reddit alone for answers critical to your health or your career. Safety Reminder: We do not provide official answers or provide professional judgement. r/UKHealthcare: Everything and anything related to UK Healthcare r/Pharmacy: Pharmacists, pharmacy students, techs, and anyone else in the pharmaceutical industry! r/MedicalSchool: Medical students and physicians who wish to advise them. ![]() r/HealthIT: Health information technology, electronic health records, security and privacy issues, and related legislation. r/Healthcare: Links and discussion about health care: systems, costs, problems and proposed solutions. r/GlobalHealth: Discusses the discipline concerned with improving the health of the most number of people, irrespective of where those people live in the world. Specific clarification on moderation related to the topics of abortion and reproductive healthįree Mental Healthcare for HCWs Related Subreddits For Prospective Nurses: No racism, sexism, or other intolerable isms. No COVID denialism, antivax, or other anti-science rubbish No revealing of personal information or social media accounts All posts should be related to nursing or healthcare
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