 Hi, welcome to nursing school explained today. I'm going to review the Littman master cardiology Stethoscope now this is a stethoscope that is a little bit more on the pricey side. It probably costs somewhere Above $200 to 20 depending on you know if there's a sale going on It is a really good quality stethoscope that will serve you well Especially if you are maybe in a cardiology specialty to pick up those murmurs that might be just very faintly there Or any kind of other vascular sounds such as breweries in any of the arteries What I like about Littman first of all the earpieces fit me really well. They are flexible And just like in this one it comes with with these flexible earpieces, but they also give you additional earpieces So there is a Another set of these flexible earpieces and then there's more of the hard ones So you can choose whichever one works best for you of course, it also comes with a booklet that tells you the basic instructions and On how to use it and how to replace and clean it, which is also very important Now as for the set of scope itself It has a single tubing and then it also has just one surface here for listening And as with any set of scope that has that make sure that you know how to use it because we need to distinguish Between high and low-pitched sounds and the bell and the diaphragm now since we only have one surface here it serves both as the bell and the diaphragm so the The way that you use the stethoscope is to have contact to the skin Make sure the entire surface of the stethoscope covers it if you only touch it slightly or lightly Then it will pick up the more low-pitched sounds Which would be the vascular sounds and the murmurs and if you exert a little bit more pressure Then it picks up the higher pitch sounds Which are the lung and the bowel sounds that we are listening to and then it also comes with this special Adapter here. That's a cover that just goes snaps onto the diaphragm and what this does it serves you it kind of a Narrows in on the diameter of the surface of the stethoscope Which then makes the listening a little bit more pinpoint So this would serve you well to be used in let's say the pediatric population When we want to narrow on different body parts that are smaller as well in patients that are thin or maybe that have large dressings in place, so it really just lets you focus on it It narrows down on the surface area So you can focus on a specific area that you're trying to listen to and then it very easily comes off again In general, I really like the stethoscope Because it is just an excellent quality. It served me well in the clinical setting One downfall it is a little bit on the heavy side So if you tend to wear it around your neck it might start, you know wearing down your neck muscles So think about having a good label there So it doesn't get become legs and just walk off with somebody and you can find it in a dinified later Or maybe use one of those belt buckles that you can use so that you can attach it to your to your scrubs Rather than your neck and prevent any kind of neck pain But in general, I really think that this is a very good quality stethoscope It'll last you a lifetime. Libman also has very good Repair and replacement policies and then make sure that you always refer to your booklet about how to keep it clean And get into the little nooks and crannies here every once in a while to make sure that you prevent your patient from any kind of infection And that you're not contaminating one patient with the other Thanks so much for watching this video on nursing school explained Please also check out the other stethoscopes in my clinical playlist That and my other videos in the clinical playlist that go over different parts of the stethoscope and also different clinical tidbits Thanks for watching. See you soon