JJR512
Forum Deputy Chief
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The other day I was auscultating a BP and heard something weird.
I started to hear a high-pitched ticking or clicking in the 140s. This was a sound similar to what you'd hear if you tap a pen on a desk. But at around 110, I began to hear the more typical low-pitched thumping, which I heard down to 80, so I reported his BP as 110/80.
Pt.'s other vitals were HR of 110-120, RR of 40-54 (double-checked), skin warm, moist, and pink, and eyes PERRL. Complaint was chest pain, overall weakness and "feeling sick", with a fever that at one point was allegedly 105 but was 100.1 for us. This was a twenty-something male.
These vitals were obtained by me inside the house. We had the pt. walk out to the ambulance and the paramedic used the LP12, which obtained a BP of 149/81. Next check several minutes later was a systolic in the low 140s, diastolic remaining pretty much the same. Another BP after that was, if I recall, in the 130s over, again, a low-80 diastolic.
At the first LP12 BP, I thought perhaps it had elevated from walking out to the ambulance, but it never came back down to what I thought I heard. In fact the paramedic administered NTG, per protocol according to him for the chest pain, although he did say he suspected it wasn't going to help; and after the NTG, the systolic only came down into the 120s, with the diastolic continuing to remain in the low-80s.
So my question is what was this higher-pitched sound I heard at first, up in the 140s, and was that his true BP?
I started to hear a high-pitched ticking or clicking in the 140s. This was a sound similar to what you'd hear if you tap a pen on a desk. But at around 110, I began to hear the more typical low-pitched thumping, which I heard down to 80, so I reported his BP as 110/80.
Pt.'s other vitals were HR of 110-120, RR of 40-54 (double-checked), skin warm, moist, and pink, and eyes PERRL. Complaint was chest pain, overall weakness and "feeling sick", with a fever that at one point was allegedly 105 but was 100.1 for us. This was a twenty-something male.
These vitals were obtained by me inside the house. We had the pt. walk out to the ambulance and the paramedic used the LP12, which obtained a BP of 149/81. Next check several minutes later was a systolic in the low 140s, diastolic remaining pretty much the same. Another BP after that was, if I recall, in the 130s over, again, a low-80 diastolic.
At the first LP12 BP, I thought perhaps it had elevated from walking out to the ambulance, but it never came back down to what I thought I heard. In fact the paramedic administered NTG, per protocol according to him for the chest pain, although he did say he suspected it wasn't going to help; and after the NTG, the systolic only came down into the 120s, with the diastolic continuing to remain in the low-80s.
So my question is what was this higher-pitched sound I heard at first, up in the 140s, and was that his true BP?
