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Effective URL: https://www.ekohealth.com/spotlight/emergency-medicine-doctor-wireless-stethoscope-ppe-screen-patients?utm_source=Klaviyo&...
Submission: On January 26 via api from US — Scanned from DE
Effective URL: https://www.ekohealth.com/spotlight/emergency-medicine-doctor-wireless-stethoscope-ppe-screen-patients?utm_source=Klaviyo&...
Submission: On January 26 via api from US — Scanned from DE
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THIS WEBSITE USES COOKIES We use cookies to personalise content and ads, to provide social media features and to analyse our traffic. We also share information about your use of our site with our social media, advertising and analytics partners who may combine it with other information that you’ve provided to them or that they’ve collected from your use of their services. [#OOI_PERSONAL_INFORMATION#] Use necessary cookies only Allow all cookies Show details OK Use necessary cookies only Allow selection Allow all cookies Necessary Preferences Statistics Marketing Show details Cookie declaration [#IABV2SETTINGS#] About Necessary (12) Preferences (6) Statistics (21) Marketing (112) Unclassified (7) Necessary cookies help make a website usable by enabling basic functions like page navigation and access to secure areas of the website. The website cannot function properly without these cookies. NameProviderPurposeExpiryType__cflb [x2]aly.jst.ai my.jst.aiRegisters which server-cluster is serving the visitor. This is used in context with load balancing, in order to optimize user experience. 1 dayHTTP__cfruidZendeskThis cookie is a part of the services provided by Cloudflare - Including load-balancing, deliverance of website content and serving DNS connection for website operators. SessionHTTP__zlcstoreZendeskThis cookie is necessary for the chat-box function on the website to function.PersistentHTML_ce.cchCrazyeggStores the user's cookie consent state for the current domainSessionHTTPce_asset_waitingwww.ekohealth.comThis cookie is part of a bundle of cookies which serve the purpose of content delivery and presentation. 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NameProviderPurposeExpiryTypeprCyberAgentPending2 yearsHTTPc.gifMicrosoftPendingSessionPixel_ce.gtldCrazyeggPendingSessionHTTPce_successful_csp_checkwww.ekohealth.comPendingPersistentHTMLklaviyoOnsiteKlaviyoPendingPersistentHTMLpassed-road-blockwww.ekohealth.comPending9 daysHTTPpersist:friendbuy-msdk-06192019-rootstatic.fbot.mePendingPersistentHTML [#IABV2_LABEL_PURPOSES#] [#IABV2_LABEL_FEATURES#] [#IABV2_LABEL_PARTNERS#] [#IABV2_BODY_PURPOSES#] [#IABV2_BODY_FEATURES#] [#IABV2_BODY_PARTNERS#] Cookies are small text files that can be used by websites to make a user's experience more efficient. The law states that we can store cookies on your device if they are strictly necessary for the operation of this site. For all other types of cookies we need your permission. This site uses different types of cookies. Some cookies are placed by third party services that appear on our pages. You can at any time change or withdraw your consent from the Cookie Declaration on our website. Learn more about who we are, how you can contact us and how we process personal data in our Privacy Policy. Please state your consent ID and date when you contact us regarding your consent. Cookie declaration last updated on 11.01.22 by Cookiebot Use code NEWYEAR for $50 off all stethoscopes Don't miss a beat Join our newsletter to unlock your holiday offer. First Name Email Address Thank you! Use code HOLIDAY on your next order for all stethoscopes. Oops! Something went wrong while submitting the form. Products Eko CORE Digital Attachment $249 3M Littmann CORE Digital Stethoscope $349 Eko DUO ECG + Digital Stethoscope $399 Eko Connect SDK & API Accessories All Products → Platform Eko Platform: Overview Eko Platform: Essentials Plan Eko Platform → Eko Platform: Plans & Pricing Eko AI Eko Telehealth Eko Dashboard Eko Clinic Eko Home Eko Academy Solutions Integrations Telehealth EMS & Critical Care COVID-19 & Infection Control Specialists & Generalists Home Care Hearing Loss Education Students All Solutions → Resources Academy Case Studies Front Lines New! Provider Spotlights Clinical Research Eko Blog Newsroom Webinars & White Papers All Resources → Support DashboardShop 1 Products Eko CORE Digital Attachment $249 3M Littmann CORE Digital Stethoscope $349.99 Eko DUO ECG + Digital Stethoscope $399 Eko Connect SDK & API Accessories Shop All Products → Platform Eko Platform: Overview Eko Platform: Essentials Plan Eko Platform → Solutions Integrations Telehealth EMS & Critical Care COVID-19 & Infection Control Specialists & Generalists Home Care Hearing Loss Education Students All Solutions → Resources Support Center Getting Started Academy Case Studies Front Lines New! Provider Spotlights Clinician Research Eko Blog Newsroom Webinars & White Papers All Resources → Support ShopRequest a Demo Resources / Provider Spotlights WIRELESS STETHOSCOPES FOR COVID-19 Dr. Pali, an emergency medicine doctor looks for COVID-19 solutions to using his stethoscope with PPE and found the Eko CORE Attachment. EMERGENCY DOCTOR LOOKS FOR COVID-19 SOLUTIONS, FINDS EKO CORE ATTACHMENT Shop wireless stethoscopes → As soon as the first cases of COVID-19 hit California, Emergency Physician Michael Pali saw a big problem. Donning and doffing personal protective equipment without a mistake was hard enough, but it would be impossible to use a traditional stethoscope without reaching under his mask or visor, contaminating his face every time. He immediately went online and started researching solutions. He looked for days. A device that would let him auscultate in person, but without having to touch his face did not seem to exist. Then he saw the Eko CORE Attachment on Instagram. > “I thought, oh my gosh, this could be great! I don’t even have to use the > earpieces to auscultate.” That’s exactly what Dr. Pali did. He attached the Eko CORE to his analog stethoscope's chestpiece and bought AirPods that sent the heart and lung sounds directly to his ears, using wireless technology. With the Eko app now able to run in the background, Dr. Pali’s CORE starts picking up sound the moment he turns it on. “I put the AirPods on, turn on the Eko CORE, and keep my phone in my pocket. I introduce myself and let the patient know I’ll be listening to their heart and lungs with the CORE and hold it up. They think that’s pretty cool. It’s so much safer because I’m not touching my face to listen. I’m not touching my phone. It’s all in my ears.” ADAPTATION IN THE FRONTLINE FIGHT As a physician in the San Francisco Bay Area, Dr. Pali was on the front lines of the fight against COVID-19 from the beginning. As the first cases reached California, even before international travel restrictions went into effect, his hospital was in overdrive, preparing. Then the handful of cases surged. "At the end of February, beginning of March it was probably the worst I ever saw it", Pali said. "We didn’t know who was coming in who was COVID-19 positive or not. Our hospital, at the beginning, was hit the hardest. A couple of our staff members got it too. It was really stressful." In those first weeks, hospitals ran through PPE quickly. They even adopted a measure they thought would cut risk when auscultating patients: disposable stethoscopes. At Dr. Pali’s hospital, each patient was assigned one of the yellow, disposable stethoscopes. Just one problem. “You cannot hear. Not only are they terrible in quality, but they are a risk for you to actually use because you have to reach under your mask to put them on,” Pali explained. “Even if you saw a patient’s yellow stethoscope hanging by their bedside and it’s theirs, you’re not about to pick up that and put it in your ears.” Dr. Pali wasn’t about to put himself at risk or settle for substandard exams. Instead, with the help of Eko, he adapted and innovated. > “There is no other solution or better solution than Eko. How else would you do > it? The Eko is indispensable.” Once he got his setup working perfectly, he shared the solution with friends and colleagues. A little peace of mind for frontline workers with the weight of the world on their shoulders. THE PROBLEM OF PATIENT CONTACT COVID-19 is testing the healthcare system like never before. It’s presented clinicians, administrators, and even the general public with unique challenges. Dr. Pali is acutely aware of a growing ethical challenge as well: the decision to forego an exam because of risk of exposure. “That’s the thing that really doesn’t settle with me. We were always taught the patient comes first and now this is the reverse. We’re being treated like soldiers and of course none of us wants to die, but the patient has become secondary and that’s terrible. We are going to miss things.” According to Dr. Pali whether to have contact with a patient is a dilemma that clinicians are faced with multiple times a day, but that no one is talking about. Each health worker must make that risk calculation for themselves. For Dr. Pali, the answer is always the same. > "I hate not seeing the patient. I know there’s a risk to myself, but I need to > show the patient that there is a physician here that cares. As long as we slow > down and don and doff correctly, we should be all right." THE DANGERS OF TUNNEL VISION In Dr. Pali’s particular hospital, about 10 percent of people who come in test positive for COVID-19. The seasoned Emergency Room physician points out that means 90 percent of people brave enough to come to the hospital during this crisis are suffering from something other than coronavirus. “Some people are giving up on auscultation because it won’t add to the diagnosis of COVID-19. But it would add to the diagnosis of everything else!” He recalled a 14-year-old girl who came in with symptoms of the virus. Listening to the patient with the CORE, he heard bronchial breath sounds. “They sound like Darth Vader—heavy, muffled breaths. And when you ask the patient to say ‘E’ it comes out as an ‘A.’ It’s called egophony, which means the soundwave changes because it’s conducting through solid water.” Normally, Dr. Pali would have gotten her a portable chest X-ray. This early in the crisis, however, he had to do without. “I couldn’t do it because in the middle of the night if you had a PUI, a Patient Under Investigation, they have to wash that machine and it takes one hour to clean. And that patient had to be set up in a negative pressure room to do the X-ray.” Instead, Dr. Pali relied on his hunch that the girl had lower pneumonia. He started her on antibiotics and sent her home. As a precaution, he also ordered a COVID test, which came back negative. Later, his diagnosis was confirmed when the girl was able to get that X-ray. The patient could have gone untreated if she was interviewed over the phone or examined with a disposable stethoscope. “You can’t hear bronchial breath sounds any other way,” Dr. Pali explained. “You have to put the stethoscope up and listen. Our job is to treat the patient but also to keep ourselves safe. And the Eko does both.” REDUCING RISK, OVERCOMING FEAR Hospitals and clinics across the country are reporting an eerie emptiness, even as coronavirus cases continue to climb. Not only are COVID-19 suspects being directed into special units, but fear is keeping people suffering from other things at home. “Now we’re getting people coming in with things like severe anxiety or depression. We have people who are finally scared about their health enough that they overcome their fear of coming to the hospital to see us. Then we have people coming with lights and sirens, crashing and burning. You have no time to do anything for them.” The reality is hard to deal with professionally and emotionally. It’s part of why Dr. Pali has this reassurance for both the public, and colleagues who might not be as far along in their adaptation to the crisis: “If there is any profession right now that can deal with this and adapt quickly, it’s emergency medicine. I’ve seen my colleagues come up with diagnoses and plans and protocols that work, so quickly. We were the first in line to see these people and we were ready to go in January.” As a self-described “technology geek,” Dr. Pali says he will continue to find new ways to improve his practice, now, and after the crisis has ended. “I will definitely use the CORE after this because it’s so small. I don’t have to carry a stethoscope around my neck. It’s a running joke that if you keep a stethoscope around your neck you’re going to lynch yourself at some point during your shift. The Eko paid for itself on the first day.” During these uncertain times, it’s hard to look past the crisis, to a future that doesn’t involve case counts, death tolls, and test kit supply chains. But it’s a thought experiment Dr. Pali has experience with. He knows his actions today will weigh on his conscience tomorrow. “After this is all done I’ll look back and think wow, that was a terrible time. But did I do everything I could to care for my patients? I can say yes.” Shop wireless stethoscopes → Sign up for a Demo A member of our team will respond with one business day. 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