Published Jul 30, 2017
AngelKissed857, BSN, RN
436 Posts
Can someone please explain why an EMT would record a BP on a HOTN pt as 100/P? Dr said EMT was just trying to show off, but that it is incorrect.
meanmaryjean, DNP, RN
7,899 Posts
Don't know what HOTN is, but what is showing off by recording a palpable BP? What is incorrect?
macawake, MSN
2,141 Posts
What on earth is HOTN.. Grrr... Hypotension???
I think the EMT measured the systolic blood pressure by palpation rather than auscultation (no stethoscope/Korotkoff sounds). If you locate the radial pulse, inflate the cuff past the point where the pulse disappears and let air out until you feel/palpate the pulse returning, you get a systolic BP. You can't measure the diastolic pressure this way. So palpated systolic pressure, no diastolic pressure measured. (Not a super exact method, but it can be used, if it's difficult to hear the Korotkoff sounds or you misplaced your stethoscope ).
JKL33
6,952 Posts
Healing Of The Nation Club is a medical cannabis patient organized collective....?
Acronym Definition
HOTN Hooligans of the Night (gaming website)
HoTN Hypotension
I'll assume we're not talking about the healers or the hooligans?
See this is why Google can be so dangerous.
Can't say I've ever used or seen that abbreviation before.
brownbook
3,413 Posts
I win! Well.......actually I Googled it. It does mean hypotension according to Acronym Finder and Google. Allnurses should start a What Does This Acronym Mean game. Players would be honor bound to not Google them.
On a more serious note I thought or assumed it was very hard to hear Korotkoff sounds in an ambulance, isn't that why they would use palpable?
Darn it JKL33 beat me!
Nothing wrong with writing 100/palp that I can see. It's short hand for saying the systolic was palpated @ 100 mmHG. What IS kinda funny is when they say "a hundred over palp", which is the only way I've ever heard them say it. That and what someone's "stats" were.
That Guy, BSN, RN, EMT-B
3,421 Posts
I guess I don't get what the issue is?
roser13, ASN, RN
6,504 Posts
Who's on first?
RNNPICU, BSN, RN
1,300 Posts
If you don't have a stethoscope you can palpate for the systolic pressure and would be recorded as systolic #/p. No showing off, just documented the assessment.
Wuzzie
5,221 Posts
Dr said EMT was just trying to show off, but that it is incorrect.
That doctor is a tool. SMDH:yawn:
traumaRUs, MSN, APRN
88 Articles; 21,268 Posts
Don't know what HOTN is...
However, palpating BP in the back of an ambulance if you don't have an auto BP machine is acceptable practice in some situations....