Robbie
i have been using a wrist automated p cuff for some time in entrapment
situations. It manages to record to a bp as low as 70-80 systolic but then
often fails; however it does tell me when situation is okay or when I need
to do something. It has big advantages over larger NIBP e.g no cable for
fire brigade to cut, no big box to fall off car roof on to my head, is
applied early with clothes on. I would certainly recommend its use for
entrapments.
When I compared to brachial NIBP there was up to 10 mm Hg difference but
have not compared to invasive monitoring. however, I do not feel that
difference is vital in pre-hospital care. ( I await criticism from the
numbers pedants)
Matthew
Dr Matthew Cooke
Senior Lecturer Accident and Emergency Medicine
Emergency Medicine Research Group (EMeRG),
Division of Primary Care, Public and Occupational Health,
University of Birmingham, UK.
> http://medweb.bham.ac.uk/gp/agp/pages/emerg.htm
and Walsgrave Hospitals NHS Trust, Coventry, UK.
Editor, Pre-hospital Immediate Care, BMJ Specialist Journals
www.prehospimmedicare.com
mailto:[log in to unmask]
-----Original Message-----
From: Robert Coull <[log in to unmask]>
To: [log in to unmask] <[log in to unmask]>
Date: 06 January 1999 14:00
Subject: Re: Automated wrist sphygmomanometers
>I am interested in buying an automated sphig for pre-hospital work.
>
>The wrist based devices are small and would be easier to apply and monitor
>in many situations (and would avoid having to cut peoples sleeves off in
the
>cold to obtain access).
>
>Does anyone have any experience of them or know of any problems related to
>their use (decreased accuracy etc..).
>
>Thanks
>
>Robbie Coull
>BASICS Doctor
>Scotland
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