hi guys, I need help with a blood pressure location

When I was first learning, what I found worked was to pump the cuff up to around 100 and put the scope around #3 and move towards #2 until I heard something. Then once I found the spot I pumped the cuff up the rest of the way to actually take the pressure. Of course that only works if the blood pressure is somewhere around the normal range, but when I was learning, I was practicing on 'normal' people.
 
CritterNurse said:
When I was first learning, what I found worked was to pump the cuff up to around 100 and put the scope around #3 and move towards #2 until I heard something. Then once I found the spot I pumped the cuff up the rest of the way to actually take the pressure. Of course that only works if the blood pressure is somewhere around the normal range, but when I was learning, I was practicing on 'normal' people.
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Sounds like a good plan. I once has a lady who was 110 yrs old, I could not get any sounds on her, had to defer to my more experienced partner.
 
Alright so I'm a newer guy on the crew and I sometimes just can't hear a BP at all. Any good tips/tricks. Of corse I seethe ones already posted I'm just seeing if anyone has any other good ideas.
 
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Get your feet off the floor of the ambulance. Rest your feet on the stretcher undercarriage and put the patients arm in your lap. You'll notice the difference right away.
 
emt11234 said:
Alright so I'm a newer guy on the crew and I sometimes just can't hear a BP at all. Any good tips/tricks. Of corse I seethe ones already posted I'm just seeing if anyone has any other good ideas.
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There's really not much else other than what has already been posted... Taking BPs is a pretty easy, straightforward skill...
 
Make sure you're using the right side of the stethoscope...
 
DEmedic said:
Get your feet off the floor of the ambulance. Rest your feet on the stretcher undercarriage and put the patients arm in your lap. You'll notice the difference right away.
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This reduces road noise 100% and works wonders. I always had trouble till I learned this.

OTOH I always aim to try and get a solid baseline on scene before I move. This way I have an idea what I should be around when I reassess. Obviously if my first pressure is 134/68 and my reassessment pressure by auscultation is 102/50 either my patient is taking a dump or I'm having a hard time hearing.
 
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