Littmann Cardiology III Stethoscope or Classic II S.E? - page 3

by futurern123

63,109 Views | 27 Comments

I'm not sure which to get. I graduate in a year so I want to buy one I can use when I graduate. On the Littman website, it says the Carido III is for cardiologists, respiratory therapists, etc- but I've seen nurses with the... Read More


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    Quote from Kirsten2907
    i am starting my first home health care job next week and had purchased a 3M Littman Select Stethoscope. can anyone give me the good, the bad, and the ugly sides of this particular stethoscope? i purchased it on ebay... supposibly "new"... but im in dire need of a steth now.
    Kirsten, I also own the Select and it truly is a great stethoscope. I have used several other stehtoscopes and currently am using this one at work. I can do a good general assessment and hear lung sounds/heart sounds well. no complaints yet...
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    I have both and I notice a dramatic difference between the two. I honestly have to say get the Cardiology III, it is worth it in the long run.
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    Quote from calledtodo
    I have both and I notice a dramatic difference between the two. I honestly have to say get the Cardiology III, it is worth it in the long run.
    I tried the Cardiology III stethoscope out at a scrub shop and I was hoping to hear from it because I had a cheap Prestige Medical SpragueLite that I couldn't hear anything out of. I was surprised because I could hear the brachial pulse that I couldn't hear before. My aunt, cousin, grandmother and friend, who are all nurses, said they have the Master Cardiology and loved it, so I decided to go for that, knowing it was a step above the Cardio III. I just ordered it on eBay, BRAND NEW!, for $125 + $10 shipping. I'm getting mine engraved at Things Remembered so it doesn't "grow legs." LOL. :chuckle
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    thank you for the info....what are med schools suggesting if not a littmann?
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    welch allyn, prestige, ADC, DRG (the same ones suggested here). When you graduate you will find out that the docs use both cheap and expensive scopes, so make sure it works for you.
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    As a matter of interest can someone tell me what nurses usually do with their stethoscopes? Measure BPs? Auscultate?
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    As a CVICU RN I very rarely use my stethoscope for BP... we very rarely do manual blood pressures. I only use that if I am working at a community clinic or something random. I use mine for auscultation of breath sounds, heart sounds, and bowel sounds. We do pretty frequent assessments in the ICU, and our patients can change from one minute to the next so it's good to have a decent stethoscope to hear everything and notice any changes in assessment.
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    Quote from beyondx4
    I'm not sure why most nursing students are just stressing and drooling over these Littmann stethoscopes, mostly because of the brand name. I'm guilty of this trend myself, as I own a Classic II SE and Cardiology III scope; however, my gf, who's a 3rd year medical student just told me the other day that her school is steering people away from these tunable diaphragm scopes, as very few med students could use them well in most situations. In contrast to the tunable diaphragm, the traditional floating diaphragm doesn't require a firm and square pressure in order to reproduce accurate high pitch sounds (hardly any patients are flat). Try to compare the low pitch sounds from a traditional deep-cone bell and from a "tuned" low pitch diaphragm on a Littman and you will notice that the bell produces a much cleaner and crisper sound (vs a muffled and boomy sound). This is very easily tested by converting your Cardiology III's pediatric side into a deep bell and then try to see if you can match the quality of the sounds from your tunable diaphragm. This is the reason why medical schools are steering away from these tunable diaphragms, it's a joke. However, I have to admit 3M products are high quality products, just overrated and overpriced. I can be sure once my Cardiology III breaks or is stolen (somebody already took the II SE from my bag), there won't be another Littman stethoscope around my neck. Look around and you will find there are very many quality-built stethoscopes out there at a lower cost (make sure it has a quality steel chestpiece, thick dual lumen tubing, comfortable eartips, etc). Hate to see poor nursing students squeezing out every chunk of their change just to have a "Littmann".
    beyondx4,

    What you say in this post is what I've been thinking about ever since I bought my Littmann Classic SE II from my nursing school bookstore (I'm a first year). The steth is loud and comfy, but the sound is boomy to me. And varying the pressure, frankly, yields little in terms of discernible sound difference (if anything, its slightly muffled). I wanted to take it back, but lost the receipt
    Even though I'm a noob student, I'm just not sold on the tunable diaphragm. Unfortunately, the college only sells Littmann, and w/o a receipt, I could only return it for in-store credit.
    I guess sound-wise, I'm not as impressed as every body else is with Littmann (sounds arrogant, doesn't it? Sorry about that!)
    I also have an Omron Sprague Rappaport-style 'beater' scope, and a Welch Allyn (Tycos) Professional that was given to me asa gift (I don't want to lose it, so I don't take it to clinicals, though I like the sound of it more - better high end sensitivity IMHO).
    What do you like for a student nurse on a budget? Whatever I get, I will also have engraved.


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