B/p?

[emt101188]

Why might I hear a B/P all the way to 00 and how would i treat it?

 

[Melclin]

Why might I hear a B/P all the way to 00 and how would i treat it?

Full spinal immobilization and control their resps with a BVM.

Also, wiki "Korotkoff sounds". Typically the diastolic is recorded at the point of the fifth korotkoff but in the absence of a fifth, the fourth is recorded as the diastolic. I suppose some people might knock off 10mmHg.

Thats what I've been doing anyway. Especially the spinal immobilisation. Very important.

 

[emt101188]

why the spinal immobilization?

 

[mikie]

after they're fully immobilized, transport the patient standing upside down until their pressure comes back up

 

[Shishkabob]

why the spinal immobilization?

He's being facetious.


On some people, you'll 'hear their bp' all the way down. The trick is noticing when the tone changes, and THAT will be your diastolic.


You have no reason to treat a patient when you hear their BP all the way down.

 

[Akulahawk]

He's being facetious.


On some people, you'll 'hear their bp' all the way down. The trick is noticing when the tone changes, and THAT will be your diastolic.


You have no reason to treat a patient when you hear their BP all the way down.

The tone change should be pretty distinct. Record that sound as your diastolic, but consider noting that you heard sounds all the way down. If that's the only "problem" you have with a patient, there's nothing to treat. It's likely benign/normal for that person.

 

[Melclin]

Full spinal immobilization and control their resps with a BVM.

Also, wiki "Korotkoff sounds". Typically the diastolic is recorded at the point of the fifth korotkoff but in the absence of a fifth, the fourth is recorded as the diastolic. I suppose some people might knock off 10mmHg.

Thats what I've been doing anyway. Especially the spinal immobilisation. Very important.

Taking the piss: RED

Serious advice: BLUE