> Date: Thu, 7 Jan 1999 14:55:44 -0500
> Subject: Re: Automated wrist sphygmomanometers
> From: Victor Calland <[log in to unmask]>
> To: "INTERNET:[log in to unmask]" <[log in to unmask]>
> Reply-to: [log in to unmask]
> I've had one for GP work for several years. They don't work in shocked
> casualties, or ones that move too much, and they seem inaccurate when used
> on some-one taking calcium antagonists.
>
> But for taking the BP of little old arthritic ladies with overcoat, house
> coat, cardigan, pullover, long sleeved dress, and bangles they are great!
>
Absolutely, as with all technological aids we have to ask does it
improve patient care ?
i.e. tympanic thermometers improve patient care
because you don't have to sit there for minutes with the pt. unable
to talk to you, saving time (and money).
I have found that cheap automatic sphygs take so long
to get a reading that if you can get to the elbow you would be quicker
to take one manually, plus they are so sensitive to movement and
noise i doubt they would be much use. I don't know hoow much use the
NIBP on a dinamap typr machine would be in the prehospital situation,
possibly someone who has used this sort of kit pre-hospital can
enlighten us.
Martyn Hodson,
ADNS Student Sheffield Uni
St. John Ambulance LINKS Sheffield
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writing for myself not the uni. or SJA
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