MDF Sprague-X Stethoscope

  1. I know it's a long shot, but has anybody used the MDF Sprague-X stethoscope?

    Robot Check (this is a link to the Amazon page, not spam--every time I link to Amazon on AN it autocorrects the link title to 'Robot Check'...)

    I'm starting a new job in the peds cardiac ICU, and need to purchase my own scope for the first time (I have usually used patient-specific Littmann Infant scopes in NICU). I'd love to get a quality scope with a pediatric diaphragm (i.e. a Littmann Cardiology IV or ADC Procardial) so that I can become more proficient at recognizing hearing heart sounds in case I ever want to become an NP; however, I want to hold off on choosing a model until I have the chance to actually listen with them and feel them (i.e. size, weight, tubing stiffness).

    Once I start on the unit, I'm hoping I can borrow my coworkers' scopes for a minute to compare the sound quality between models (and obviously give them right back!) In the meantime, I need a pedi scope of my own; this one is <$40, so I'm wondering if it would be an appropriate stand-in or totally useless.

    Any and all input appreciated!
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    About adventure_rn, BSN

    Joined: Jun '15; Posts: 766; Likes: 2,177

    2 Comments

  3. by   PeakRN
    I've tried it, it is better than most of the sprague imitations but I still think there are much better stethoscope designs.

    My personal favorite is a Harvey DLX with a bell and pediatric diaphragm, I would keep an eye out on ebay as you can get one pretty cheap from a med school dropout but they are still fairly pricey.

    In my opinion the important thing is to have a true bell and diaphram, not any of the pressure adjustable stuff. They work well for most patients but for cardiac kids I really want to be able to discern murmurs and rubs that just don't get conducted well through a diaphragm. I would avoid anything marketed as light weight, they seems to also not be great and transmitting those low frequency tones.

    Beyond that I think that the ADC 603/604 is a great value and perfectly adequate as a stethoscope, they are what I used to use when I worked in the fire service (they worked well and were cheap enough that I didn't care that much if they were stolen). Most of the PNP-ACs that I worked with used a littmann classic II pediatric, which is basically the more expensive and slightly nicer quality (though in my opinion about the same for auscultation) version of the 604. Very few used 'cardiac' stethoscopes, with a thin chest wall they just are not as necessary as in adults.
  4. by   adventure_rn
    Quote from PeakRN
    I've tried it, it is better than most of the sprague imitations but I still think there are much better stethoscope designs.

    My personal favorite is a Harvey DLX with a bell and pediatric diaphragm, I would keep an eye out on ebay as you can get one pretty cheap from a med school dropout but they are still fairly pricey.

    In my opinion the important thing is to have a true bell and diaphram, not any of the pressure adjustable stuff. They work well for most patients but for cardiac kids I really want to be able to discern murmurs and rubs that just don't get conducted well through a diaphragm. I would avoid anything marketed as light weight, they seems to also not be great and transmitting those low frequency tones.

    Beyond that I think that the ADC 603/604 is a great value and perfectly adequate as a stethoscope, they are what I used to use when I worked in the fire service (they worked well and were cheap enough that I didn't care that much if they were stolen). Most of the PNP-ACs that I worked with used a littmann classic II pediatric, which is basically the more expensive and slightly nicer quality (though in my opinion about the same for auscultation) version of the 604. Very few used 'cardiac' stethoscopes, with a thin chest wall they just are not as necessary as in adults.
    THANK YOU! This is exactly the insight that I neded.

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