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FFMDC

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  1. I have a 3100 and Classic III, but recently purchased a Cardiology IV for a good friend. 3100 is great, some sounds don't sound right to me and can sometimes make recognition difficult, but I can hear diminished lung sounds much better then with a standard. Classic III is an alright entry level stethoscope, but on occasion I miss some sounds or have trouble hearing lung sounds on certain patients. The Cardiology IV was hands down my favorite stethoscope due to the dual tunable diaphragms which makes it great for pediatric and adult populations. However, with you being in a CVICU, I doubt you see any pediatric patients. You can convert the pediatric side to a standard bell. Each stethoscope has their benefits and some work better for certain people. Ask around and trial a few stethoscopes and find out which one works best for you.
  2. Has anyone working in a burn unit have any insite on the effects of dry chemical fire extinguishers used to extinguish flames on a victim? I want to know if the use of an ABC dry chemical extinguisher creates any complications with the healing of a patient with 2nd and 3rd degree burns. If used on a person, what additional care is required to care for the patient in the burn unit? Scenario encountered: Patient soaked himself in gasoline and ignited himself, bystander extinguished flames using ABC dry chem extinguisher. Patient had 100% 2nd and 3rd degree burns. (I already know survival is extremely unlikely/impossible) So, what complications would be expected and what care considerations would be necessary due to the extinguisher use?

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