SP 04 Bob Page

(1:00:58) From Boy Scout to CCEMT-P and nationally known EMS educator Bob Page shares a lot of cool info for the newbie. Learn which part of your stethoscope to use for a BP. What the ATLS says about the relationship between radial pulse and BP is. A cool gadget you can get to help you learn breath and heart sounds.

In 1993, years before EMS services carried 12 Lead ECGs, Dr Zalenski wrote a paper about how 15 Lead was 23% more sensitive than at 12 Lead, which was only 50% sensitive. Bob literally wrote the book on 12-Lead ECG for Acute and Critical Care Providers and we talk about 15 lead alot in very powerful ways.

Our podcast teaches you interesting and useful stuff on a regular basis, but in this episode you can literally learn something that can save someone’s life.

Listener Questions

Timothy Clemans: What would you change to EMS education?

Dandude: What are some “must knows” for EMS about stethoscopy? What the hell is a 15 lead EKG? How do you feel about EMS reading and interpitating 12 leads, (or 15)?

Gerald Byrnes: Got a EMT-B in New Mexico over the summer, then moved to Tempe, Arizona. In addition to learning a slightly wider SOP in NM than National Registry standard he also started learning to read 12-lead. people in AZ seem startled when they learn he’s learning to read 12-leads. Am I going a bit overboard and becoming “that guy” or is it just a bit of an attitude difference between states with different Basic Scopes of Practice? What are good resources for practice assements,12-lead and stethoscopy since I have no patients?

Concerning stethoscopes:
1. For the listeners who may have suffered some hearing damage in past years from things like roof-mounted sirens, firing rifles without hearing protection, helicopter rotor blades and such, is any particular scope better than another?
2. Are expensive scopes always the best?
3. What are the benefits/drawbacks to a pressure sensitive stethoscope head versus a dual-headed scope?
4. Short of attending one of your “Stethoscopy for Dummies” courses, are there any resources we can use in the meantime to brush up on our skills? The seminar handout on your site looks like a good place to start…


Bob’s Website, Multi-lead Medics
Pinnacle Medical Technology
The Sounds and Arrythmia TUTOR for educators.
The Guardian
Littmann Cardiology III
Flip Cam
12-Lead ECG for Acute and Critical Care Providers
Littmann’s Lesson’s in Auscultation
Zalenski RS, Cooke D, Rydman R, Sloan EP, Murphy DG. Assessing the diagnostic value of an ECG containing leads V4R, V8 and V9: the 15-lead ECG. Ann Emerg Med. 1993;22:786-793.

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5 thoughts on “SP 04 Bob Page”

  1. Hopefully Mr. Page will see this or this could be forwarded.

    For the 15 lead and the back lead locations, for placement, have you considered using the rib angles for the surface anatomy instead of counting the intercostal spaces themselves?

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