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Discussion

100/p

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Don't know what HOTN is, but what is showing off by recording a palpable BP? What is incorrect?

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.

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 ;)).

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.

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.

I guess I don't get what the issue is?

Who's on first?

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.

  • Experts
Dr said EMT was just trying to show off, but that it is incorrect.

That doctor is a tool. SMDH:yawn:

  • Experts

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....

I don't know what the standards for EMT techs are, but in nursing it has to say (systolic)/(diastolic). I once saw a nurse do a BP without a stethoscope because she left her scope in the car, but don't tell anyone!

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