I have also an EKO Core stethoscope. But i am not working as health care profession. I though i would love that stethoscope, but i dont like the sound. So i dont use it any more.
Do you have any tips to how i can use it better, and maybe see the good with it?
I sometimes use the stethoscope part, with that i mean the cardiology 4 part as a normally stethoscope, or my Littmann Classic 3 for listening to my own body.
i think the Cardio III and Cardio IV are great stethoscopes. If you are using it at home or in a more quiet environment, you do not really need the ambient noise reduction. The patients i have in the hospital are critically and chronically ill with many co-morbidities. Large bodies, lots of adipose tissue, makes it harder to hear heart and lung sounds, they sound "distant," so amplification helps. COPD is common and causes a "barrel chest" in many, again can make it harder to hear.
Most of the time i am listening through the patients gown. Again, most are pretty sick with emergent issues and most bring a list of co-morbidities that have to be considered and juggled as we care for the emergent issue. Many patients are bed ridden and do not move or sit up well, so turning on the side or getting the stethoscope under them to listen to the back can be a challenge.
The gowns tie in the back, so typically i listen in the front through the gown. i'm generally pressed for time, and while my exam is thorough, because i've done it thousands of times, i'm pretty fast. Practice is what has made that happen, i know what i am listening for and what i am hearing. if you have others who will let you listen to them, the more you listen, and the greater variety of bodies, the better you will get. The back is usually exposed so i listen on skin on the back usually. Some patients automatically strip when i tell them i'm going to listen to their heart, lungs or abdomen, but most appreciate that i listen through the gown. There's not a lot of dignity in the hospital. Where i work is a teaching hospital and it stays packed most of the time. 95% of the rooms are double occupancy. It's pretty surprising how quickly patients adapt to the environment and just take all kinds of exposure in stride.