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SpotsyMedic · 09-23-2009, 08:27 AM

I found a really interesting article on this by Kelly Grayson, and wondered if any of the rest of you had ever heard of this, or had used it in the field...

http://www.ems1.com/ems-products/Pat...cultated-What/

Sounds logical... I can't wait to try it out. :)

**wvditchdoc** · 09-23-2009, 09:19 AM

Been there, done that. Works well when performed properly....

FF/EMTP1317 · 09-23-2009, 10:29 AM

Interesting.

scribble · 09-23-2009, 03:38 PM

Cool! Why have I never heard of this before?

fishy · 09-23-2009, 03:39 PM

Quote:

Originally Posted by scribble

Cool! Why have I never heard of this before?

Me either. I feel a little dumb right now. Sounds pretty cool! Also I'd like to see the look on the surgeons face next time I roll in with an "auscultated" femur fracture :)

**medic pathetic** · 09-25-2009, 08:50 AM

This is pretty cool!

kojoff · 09-25-2009, 12:41 PM

Never thought of it! I may try it next time I get a chance!

Medic_QT · 09-25-2009, 01:35 PM

I can just see my boyfriend's face (who is also a medic, and I know has NEVER heard of this)..

"I'mma try something crazy, but I gotta know baseline..."

*places stethoscope on leg and knocks, giggling after each knock*

I am going to get the craziest look, and then after I explain--

"This is why you're on the box, and I'm just a big dumb truckie who smashes things." :o)

SpotsyMedic · 09-26-2009, 02:44 PM

Just got off a call, and had a chance to use this technique... and DAMN SAM, it WORKS! LOLOL!!!

It was awesome...

Pt. was a 74 yo F w/osteo who was distracted and missed a single step down into a living room... fell, and was screaming in pain on our arrival. She rated it a "20/10," and was already on percoset for back pain. R leg was shortened and rotated laterally. I initially suspected hip, but she pointed mid-thigh... I doubted that a ground-level fall could produce a Femur fx, but thought this would be a great test of this technique.

I pulled out my digital amplified scope, turned it up, explained what I was going to do, then listened over the pubic symphasis, while I tapped on both the R and L knees... L knee sounded strong and clear... "tap, tap, tap." R knee was muffled and distant.

Immediately pulled traction on her R leg (with immediate pain relief), and placed her in a Hare traction splint. She reported after placing her in the Hare that her pain went from a 20/10, to an "8/10." :) Another pretty good sign that it was a Femur.

Anyway, this technique WORKS.. Try it out on your crew/family and get a feel for what it's supposed to sound like... then you'll notice the difference when you get on-scene. :)

GaHazMedic · 09-26-2009, 04:59 PM

Quote:

Originally Posted by SpotsyMedic

Just got off a call, and had a chance to use this technique... and DAMN SAM, it WORKS! LOLOL!!!

It was awesome...

Pt. was a 74 yo F w/osteo who was distracted and missed a single step down into a living room... fell, and was screaming in pain on our arrival. She rated it a "20/10," and was already on percoset for back pain. R leg was shortened and rotated laterally. I initially suspected hip, but she pointed mid-thigh... I doubted that a ground-level fall could produce a Femur fx, but thought this would be a great test of this technique.

I pulled out my digital amplified scope, turned it up, explained what I was going to do, then listened over the pubic symphasis, while I tapped on both the R and L knees... L knee sounded strong and clear... "tap, tap, tap." R knee was muffled and distant.

Immediately pulled traction on her R leg (with immediate pain relief), and placed her in a Hare traction splint. She reported after placing her in the Hare that her pain went from a 20/10, to an "8/10." :) Another pretty good sign that it was a Femur.

Anyway, this technique WORKS.. Try it out on your crew/family and get a feel for what it's supposed to sound like... then you'll notice the difference when you get on-scene. :)

Just a thought, but wouldn't a fx hip produce identical results if auscultated there. You would have to check each leg individually at the hip to tell if it is in fact a femur and not a hip.

09-23-2009, 08:27 AM	#1
SpotsyMedic Senior Member Join Date: Dec 2008 Location: On the couch in the Day Room. Posts: 414 My Mood: Rep Power: 27	Long Bone Auscultation I found a really interesting article on this by Kelly Grayson, and wondered if any of the rest of you had ever heard of this, or had used it in the field... http://www.ems1.com/ems-products/Pat...cultated-What/ Sounds logical... I can't wait to try it out. :) __________________ "ALS means 'Ain't Lifting Shit'" - NBC train-wreck Trauma Approach stressful situations like a dog... if you can't eat it, lick it, or hump it, just piss on it and walk away.

09-23-2009, 09:19 AM	#2
wvditchdoc Cause I can! Join Date: Apr 2006 Location: Formerly with the Mosul Mafia Posts: 1,445 My Mood: Rep Power: 81	Re: Long Bone Auscultation Been there, done that. Works well when performed properly.... __________________ "Wars begin where you will, but do not end where you please." ~ *Machiavelli* "If a nation expects to be ignorant -- and free ... it expects what never was and never will be." ~ Thomas Jefferson DTA, words to live by.

09-23-2009, 10:29 AM	#3
FF/EMTP1317 Senior Member Join Date: Aug 2006 Location: state of confusion Posts: 4,032 My Mood: Rep Power: 125	Re: Long Bone Auscultation Interesting. __________________ God is great, beer is good, and people are crazy - Billy Currington

09-23-2009, 03:38 PM	#4
scribble Health to the Hazardous! Join Date: Oct 2007 Location: Behind you! Posts: 3,670 Rep Power: 110	Re: Long Bone Auscultation Cool! Why have I never heard of this before? __________________ *I used to be such a nice* girl...** Today’s hollering and screaming traveler-man is brought to you by Delerium™. Remember, when you’re on the Plaza and enraged by the lack of generosity of random passersby, it’s nothing a double-dose of Delerium™ can’t make louder. Ask your imaginary friend if Delerium™ is right for you.

09-25-2009, 08:50 AM	#6
medic pathetic It's just me. Join Date: Apr 2006 Location: In the cabinet behind the normal saline. Posts: 2,973 Blog Entries: 3 My Mood: Rep Power: 113	Re: Long Bone Auscultation This is pretty cool! __________________ "I'm shattered, but it really doesn't matter. My rescue is gonna be here soon."- Coldplay "I love the body. Flesh is so honest, and organs do not lie." ~Candea Core- Starke “It is sometimes an appropriate response to reality to go insane.” -Philip K. Dick FNG: Required dress code Click Here (safe for work.)

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09-25-2009, 12:41 PM	#7
kojoff HEREICOMETOSAVETHEDAY! Join Date: Apr 2006 Location: Longview, TX Posts: 2,176 My Mood: Rep Power: 95	Re: Long Bone Auscultation Never thought of it! I may try it next time I get a chance! __________________ I will be with you when you pass through the waters, and [when you pass] through the rivers, they will not overwhelm you. You will not be scorched when you walk through the fire, and the flame will not burn you. Isaiah 43:2 (Holman Christian Standard Bible)

09-25-2009, 01:35 PM	#8
Medic_QT Spin it like a helicopter Join Date: Feb 2008 Location: I've disowned my place of residence, but it's freezing cold. Posts: 2,401 My Mood: Rep Power: 77	Re: Long Bone Auscultation I can just see my boyfriend's face (who is also a medic, and I know has NEVER heard of this).. "I'mma try something crazy, but I gotta know baseline..." places stethoscope on leg and knocks, giggling after each knock I am going to get the craziest look, and then after I explain-- "This is why you're on the box, and I'm just a big dumb truckie who smashes things." :o) __________________ "Lady, people aren't chocolates. Do you know what they are mostly? Bastards. Bastard coated bastards with bastard filling." -Dr. Cox, "Scrubs" "Running is a big question mark that's there each and every day. It asks you, 'Are you going to be a wimp or are you going to be strong today?'" --Peter Maher PREVENT YOUR OWN LODD!!!!

09-26-2009, 02:44 PM	#9
SpotsyMedic Senior Member Join Date: Dec 2008 Location: On the couch in the Day Room. Posts: 414 My Mood: Rep Power: 27	Re: Long Bone Auscultation Just got off a call, and had a chance to use this technique... and DAMN SAM, it WORKS! LOLOL!!! It was awesome... Pt. was a 74 yo F w/osteo who was distracted and missed a single step down into a living room... fell, and was screaming in pain on our arrival. She rated it a "20/10," and was already on percoset for back pain. R leg was shortened and rotated laterally. I initially suspected hip, but she pointed mid-thigh... I doubted that a ground-level fall could produce a Femur fx, but thought this would be a great test of this technique. I pulled out my digital amplified scope, turned it up, explained what I was going to do, then listened over the pubic symphasis, while I tapped on both the R and L knees... L knee sounded strong and clear... "tap, tap, tap." R knee was muffled and distant. Immediately pulled traction on her R leg (with immediate pain relief), and placed her in a Hare traction splint. She reported after placing her in the Hare that her pain went from a 20/10, to an "8/10." :) Another pretty good sign that it was a Femur. Anyway, this technique WORKS.. Try it out on your crew/family and get a feel for what it's supposed to sound like... then you'll notice the difference when you get on-scene. :) __________________ "ALS means 'Ain't Lifting Shit'" - NBC train-wreck Trauma Approach stressful situations like a dog... if you can't eat it, lick it, or hump it, just piss on it and walk away.