TY - CHAP M1 - Book, Section TI - Breathing/Pulmonary A1 - Iserson, Kenneth V. PY - 2016 T2 - Improvised Medicine: Providing Care in Extreme Environments, 2e AB - Clinicians are exhorted to always place their stethoscopes directly on a patient’s skin. Yet, when patients are examined in hallways and prehospital settings or in locations where cultural norms prevent patients from disrobing, this rule is often violated. That is not a problem: By applying pressure on the stethoscope head, clinicians can hear all the sounds normally heard on bare skin, through up to two layers of indoor clothing—including double-layered flannel shirts. Of course, inspection and percussion cannot be done through clothing, and clothing-induced acoustic artifacts may create problems.1 SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - accessemergencymedicine.mhmedical.com/content.aspx?aid=1124427012 ER -