How to Use a Stethoscope
Perhaps one of the greatest abilities in today’s medical world is the ability doctors and nurses have to listen to heartbeats, pulses, and breathing patterns with simplicity. It doesn’t require any high-tech equipment. It doesn’t require a myriad of tests and examinations. It doesn’t cost thousands of dollars per minute to operate. In fact, the abilities that I just mentioned are made possible by this instrument: a stethoscope.
The stethoscope that we know today is not the stethoscope that was invented nearly 200 years ago. In 1816, a young physician in Paris, France, named R.T.H. Laennec, created the first recorded stethoscope, thanks to his noble convictions. You see, Dr. Laennec was examining a female patient, and was embarrassed to put his ear to her chest. This was common practice among physicians in this time period, but Laennec was simply resistant. Instead, he recalled that sound travels through solid materials. He rolled up 24 sheets of paper, and placed one end to his patient’s chest. The other end he placed to his ear, and to his amazement, listened to the noises of her chest cavity. Not only could he hear the sounds his patient was making, he noticed the sounds were louder and clearer.
Of course, Laennec’s design was much like a paper towel tube, so it is not at all representative of this instrument: the modern binaural stethoscope. This design was created only years after the creation of the stethoscope a...
Lincoln at Gettysburg: The Words That Remade America "Fourscore and seven years ago ." These are the first 5 of only two hundred seventy-two words that remade America. In Lincoln at Gettysburg: The Words That Remade America, the author, Gary Wills, informed us that Abraham Lincoln wanted equality among us and to unite as one. In Abraham Lincoln's own speech, he would not mention single individuals or even top officers. Everyone was considered as equal importance and was never any different. "Though we call Lincoln's text the Gettysburg Address, that title clearly belongs to Everett." 1 This is very true, which I think is interesting. Everett who was chosen by David Wills to commemorate the National Cemetery of Gettysburg, was supposed to be the speaker while Lincoln was only the dedicatory remarks speaker. Not only did Lincoln have the favorable speech, it was only three minutes while Everett's was two hours long. Lincoln also supposedly was not supposed to be there to speak; he actually just told a correspondent that he would be present. It's amazing to believe that a two hundred seventy-two word speech would say so much to thousands of people.
Cardiac monitoring has been available since the early 1960s (Henriques-Forsythe, Ivonye, Jamched, Kamuguisha, Olejeme & Onwuanyi, 2009). George, Walsh-Irwin, Queen, Vander Heuvel, Hawkins, & Roberts (2015) explain, “Remote telemetry monitoring is the monitoring of cardiac rhythms of acute care inpatients from a central locate by personnel who are not directly involved with patient care” (p. 11). Researchers and authors published a multitude of articles, best practices, and standards for hospital monitoring (Drew, 2004, Funk, 2010). A basic internet query reveals injuries and deaths related to remote telemetry monitoring. Guidelines, best practices, and research provide the best evidence in the delivery of safe quality care
The science and history of the heart can be traced back as far as the fourth century B.C. Greek philosopher, Aristotle, declared the heart to be the most vital organ in the body based on observations of chick embryos. In the second century A.D, similar ideas were later reestablished in a piece written by Galen called On the Usefulness of the Parts of the Body. Galen’s thesis was that the heart was the source of the body’s essential heat and most closely related to the soul. Galen made careful observations of the physical properties of the heart as well. He said “The heart is a hard flesh, not easily injured. In hardness, tension, in general strength, and resistance to injury, the fibers of the heart far surpasses all others, for no other instrument performs such continues, hard work as the heart”(Galen, Volume 1).
First of all we need to understand the type of technology this device represents. Is this a sustaining innovation? Or is this a completely new disruptive product? After fully understanding this aspect we can make better decisions regarding the future of the firm and its product. This device offers many benefits that current products do not. As explained earlier, this device is extremely portable, offering emergency rooms the flexibility and convenience they seek to provide patients with the best treatment possible. Likewise, this product will come in at a price point much lower than current echocardiographies, further separ...
Lincoln had numerous purposes for the Gettysburg Address. Firstly, it was to be used to dedicate the land where the Battle of Gettysburg had taken place as a cemetery for the fallen troops of both the North and the South, the most apparent and central reason for his address. His second purpose for the address was to transform the war on states’ rights to a war on slavery and upholding the ideals that the Founders had authored in the Declaration of Independence. By doing this, Lincoln was capable to manipulate countries, such as England and France who had not been fond of slavery for decades, in making them loath the Confederacy and ensure other nations would not recognize the Confederacy as a nation.
In the early 1950s, the first ever amazing invention of an external cardiac Pacemaker was developed by Dr. John Hopps. It was large (about 30 cm long, and several centimetres high and wide), the pulses were generated by vacuum tubes and the entire unit was powered by 60 Hz household current.(The Pacemaker) Hopps was an electric engineer appointed by the National Research Council of Canada in 1941 after training at the University of Manitoba as an electrical engineer. Pacemakers helped with the pumping of blood by sending electric signals but it occupied too much space. John Hopps was recognized as “The Father of Biomedical Engineering”. "The financial cost of the pacemaker was minimal" which made the pacemaker even popular and appealing as a weapon to treat problems in rhythm of the heart. (Drew)
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.
An electrocardiogram (ECG) is one of the primary assessments concluded on patients who are believed to be suffering from cardiac complications. It involves a series of leads attached to the patient which measure the electrical activity of the heart and can be used to detect abnormalities in the heart function. The ECG is virtually always permanently abnormal after an acute myocardial infarction (Julian, Cowan & Mclenachan, 2005). Julies ECG showed an ST segment elevation which is the earliest indication that a myocardial infarction had in fact taken place. The Resuscitation Council (2006) recommends that clinical staff use a systematic approach when assessing and treating an acutely ill patient. Therefore the ABCDE framework would be used to assess Julie. This stands for airways, breathing, circulation, disability and elimination. On admission to A&E staff introduced themselves to Julie and asked her a series of questions about what had happened to which she responded. As she was able to communicate effectively this indicates that her airways are patent. Julie looked extremely pale and short of breath and frequently complained about a feeling of heaviness which radiated from her chest to her left arm. The nurses sat Julie in an upright in order to assess her breathing. The rate of respiration will vary with age and gender. For a healthy adult, respiratory rate of 12-18 breaths per minute is considered to be normal (Blows, 2001). High rates, and especially increasing rates, are markers of illness and a warning that the patient may suddenly deteriorate. Julie’s respiratory rates were recorded to be 21 breaths per minute and regular which can be described as tachypnoea. Julies chest wall appeared to expand equally and symmetrical on each side with each breath taken. Julies SP02 levels which are an estimation of oxygen
Although I have these opinions I do believe certain businesses such as mental health facilities should have stricter guidelines as HEA 1065 addresses. I believe it should be a requirement for employees to reveal whether or not you carry a firearm. Liability is always a concern and I infer that it is one of the reasons current law restricts firearms to locked vehicles on company property. However, I believe in criminal law the one who commits a crime involving a firearm is solely
Abraham Lincoln’s formal diction in the “Gettysburg Address” created a reverent tone, and made him appear reputable. By choosing words like “hallow” “devotion” “nobly” and “brave” he praised the Civil War soldiers and commemorated their work. Lincoln aimed to inspire and encourage people to keep fighting. He alluded to the Declaration of Independence “Four score and seven years ago our fathers brought forth on this continent a new nation, conceived in liberty, and dedicated to the proposition that all men are created equal” (2048). Moreover, symbolizing equality and freedom, it gave them something to fight for. Lincoln used “we” multiple times to comfort the crowd and never said the words “I” or “me.”
The Essay written by Amy Tan titled 'Mother Tongue' concludes with her saying, 'I knew I had succeeded where I counted when my mother finished my book and gave her understandable verdict' (39). The essay focuses on the prejudices of Amy and her mother. All her life, Amy's mother has been looked down upon due to the fact that she did not speak proper English. Amy defends her mother's 'Broken' English by the fact that she is Chinese and that the 'Simple' English spoken in her family 'Has become a language of intimacy, a different sort of English that relates to family talk' (36). Little did she know that she was actually speaking more than one type of English. Amy Tan was successful in providing resourceful information in every aspect. This gave the reader a full understanding of the disadvantages Amy and her mother had with reading and writing. The Essay 'Mother Tongue' truly represents Amy Tan's love and passion for her mother as well as her writing. Finally getting the respect of her critics and lucratively connecting with the reaction her mother had to her book, 'So easy to read' (39). Was writing a book the best way to bond with your own mother? Is it a struggle to always have the urge to fit in? Was it healthy for her to take care of family situations all her life because her mother is unable to speak clear English?
On November 19, 1863, President Abraham Lincoln delivered ‘’The Gettysburg Address’’. Abraham Lincoln’s purpose in ‘’The Gettysburg Address’’ was to persuade listeners to finish what those who fought for died for by treating everyone else equally. ‘’The Gettysburg Address’’ is the most compelling speech due to its use of rhetorical
It says that Socrates feared that people are relying more on written words than using their memory. He believes that if you don’t exercise your memory, then you can become more forgetful. Carr also believes this to be true because we are using the internet to look up answers for us and not doing the research to find it ourselves. We’re not relying on our memory to remember what we read we’re just looking for the answers.
Let's begin with the history of the speech. The Gettysburg Address speech was presented by the president at that time, Abraham Lincoln on November 19, 1863 in Gettysburg, Pennsylvania (Staff, “Battle of Gettysburg”). This was four and a half months after the battle, in which the United States was undergoing a bloody war. Not a war with other countries but within its own nations. The war was called the “ Civil War “, in whic...
This reflection of vital signs will go into discussion about the strengths and weaknesses of each vital sign and the importance of each of them. Vital signs should be assessed many different times such as on admission to a health care facility, before and after something substantial has happened to the patient such as surgery and so forth (ref inter). I learned to assess blood pressure (BP), pulse (P), temperature (T) and respiration (R) and I will reflect and discuss which aspects were more difficult and ways to improve on them. While pulse, respiration and temperature were fairly easy to become skilled at, it was blood pressure which was a bit more difficult to understand.