Out-of-hospital use of a pulse oximeter to determine systolic blood pressures.

Abstract:

STUDY OBJECTIVE:Blood pressure (BP) in the out-of-hospital setting is one of the most important diagnostic tools used by emergency medical services (EMS) providers. Conventional methods of palpation and auscultation can be time consuming, and the measurements often are inaccurate because of the adverse working conditions encountered. Pulse oximetry waveform systolic blood pressure (POWSBP) measurement has been used successfully in emergency departments to monitor BP. The objective of this study was to compare the accuracy of field POWSBP measurements obtained by noninvasive electronic BP measurement (NIBPM), auscultation, and palpation in the out-of-hospital environment. DESIGN:Blood pressure measurements used for this study were obtained by POWSBP, NIBPM (PROPAQ model 102; Protocol Systems, Beaverton, Oregon USA), auscultation, and palpation on patients in moving ambulances. Measurement of POWSBP was accomplished by observing the return of the waveform on the pulse oximeter at the time of cuff deflation. The order in which the readings were obtained as well as the arm chosen for measurement were randomized. SETTING AND PARTICIPANTS:Paramedics and emergency medical technicians in an urban, inner-city emergency medical services (EMS) system. MEASUREMENTS AND MAIN RESULTS:Blood pressure measurements were sampled from 69 patients. Regression analysis identified significant correlation between POWSBP and the four methods utilized, with r = 0.92 for NIPBM, r = 0.95 for auscultation, and r = 0.97 for palpation, all significant at p < 0.0001. CONCLUSIONS:The use of POWSBP measurement is a fast, easy, and accurate technique with which to measure systolic BP in the field. It may have special importance for noisy environments and moving vehicles in which conventional methods of auscultation or palpation may be difficult.

journal_name

Prehosp Disaster Med

authors

McCluskey B,Addis M,Tortella BJ,Lavery RF

doi

10.1017/s1049023x00042734

keywords:

subject

Has Abstract

pub_date

1996-04-01 00:00:00

pages

105-7

issue

2

eissn

1049-023X

issn

1945-1938

journal_volume

11

pub_type

杂志文章
  • Hospitalization rates among dialysis patients during Hurricane Katrina.

    abstract:INTRODUCTION:Dialysis centers struggled to maintain continuity of care for dialysis patients during and immediately following Hurricane Katrina's landfall on the US Gulf Coast in August 2005. However, the impact on patient health and service use is unclear. PROBLEM:The impact of Hurricane Katrina on hospitalization ra...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X12000945

    authors: Howard D,Zhang R,Huang Y,Kutner N

    更新日期:2012-08-01 00:00:00

  • Chronic diseases and natural hazards: impact of disasters on diabetic, renal, and cardiac patients.

    abstract:BACKGROUND:Inadequately controlled chronic diseases may present a threat to life and well-being during the emergency response phase of disasters. Chronic disease exacerbations (CDE) account for one of the largest patient populations during disasters, and patients are at increased risk for adverse outcomes. OBJECTIVE:T...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章,评审

    doi:10.1017/s1049023x00005835

    authors: Miller AC,Arquilla B

    更新日期:2008-03-01 00:00:00

  • Future considerations for the medical management of nerve-agent intoxication.

    abstract::The use of chemical warfare agents against civilians and unprotected troops in international conflicts or by terrorists against civilians is considered to be a real threat, particularly following the terrorist attacks on 11 September 2001 against the World Trade Center in New York and against the Pentagon in Washingto...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章,评审

    doi:10.1017/s1049023x00001072

    authors: Aas P

    更新日期:2003-07-01 00:00:00

  • Community collaboration in disaster: the role of voluntary agencies.

    abstract::Although the United States has been impacted by numerous devastating disasters over the last 10 years, there have been only limited efforts between the governmental and non-profit/voluntary organizations to meet the multiple disaster health and mental health needs of the community. Too often, responding organizations ...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:

    authors: Bowenkamp CD

    更新日期:2000-10-01 00:00:00

  • Burden of cardiovascular morbidity and mortality following humanitarian emergencies: a systematic literature review.

    abstract:BACKGROUND:The global burden of cardiovascular mortality is increasing, as is the number of large-scale humanitarian emergencies. The interaction between these phenomena is not well understood. This review aims to clarify the relationship between humanitarian emergencies and cardiovascular morbidity and mortality. MET...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章,评审

    doi:10.1017/S1049023X14001356

    authors: Hayman KG,Sharma D,Wardlow RD,Singh S

    更新日期:2015-02-01 00:00:00

  • Role of the French rescue teams in Diquini Hospital: Port-au-Prince, January 2010.

    abstract::On January 12, 2010, Port-au-Prince, Haiti, was shattered by a violent earthquake that killed or injured thousands of its citizens. Local emergency services became overwhelmed and international assistance was required. French relief teams were deployed to assist local hospitals in caring for the victims. The medical c...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X12001239

    authors: Benner P,Stephan J,Renard A,Petitjean F,Larger D,Pons D,Paklepa B,Deniel C,LeDreff P

    更新日期:2012-12-01 00:00:00

  • Health care workers in danger zones: a special report on safety and security in a changing environment.

    abstract:INTRODUCTION:Violence against humanitarian health care workers and facilities in situations of armed conflict is a serious humanitarian problem. Targeting health care workers and destroying or looting medical facilities directly or indirectly impacts the delivery of emergency and life-saving medical assistance, often a...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X14000934

    authors: Redwood-Campbell LJ,Sekhar SN,Persaud CR

    更新日期:2014-10-01 00:00:00

  • Airway Clearance Using Suction Devices in Prehospital Combat Casualty Care: A Systematic Review.

    abstract::Airway management is at the forefront for combat medics dealing with battlefield trauma. For military service members, compromised airways are the second leading cause of potentially survivable death on the battlefield, accounting for one in ten preventable combat deaths. Effective suction is a critical component of a...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X20001065

    authors: Jain P,Akhter F,Schoppe A,Hood RL,De Lorenzo RA

    更新日期:2020-12-01 00:00:00

  • Peer evaluation of the professional behaviors of emergency medical technicians.

    abstract:INTRODUCTION:Professional behavior is one of the cornerstones of effective emergency medical services (EMS) practice and is a required part of the National Standard Curricula for advanced levels of EMS education. However, peer rating of emergency medical technicians with respect to the 11 categories of professional beh...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/s1049023x00002284

    authors: Brown WE Jr,Margolis G,Levine R

    更新日期:2005-03-01 00:00:00

  • Strategies in evaluation and management of Bam earthquake victims.

    abstract:BACKGROUND:On 26 December 2003, an earthquake measuring 6.5 on the Richter scale occurred in the city of Bam in southeastern Iran. Bam was destroyed completely, > 43,000 people were killed, and 30,000 were injured. The national and international responses were quick and considerable. Many field hospitals were created a...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/s1049023x0000279x

    authors: Emami MJ,Tavakoli AR,Alemzadeh H,Abdinejad F,Shahcheraghi G,Erfani MA,Mozafarian K,Solooki S,Rezazadeh S,Ensafdaran A,Nouraie H,Jaberi FM,Sharifian M

    更新日期:2005-09-01 00:00:00

  • Research and Evaluations of the Health Aspects of Disasters, Part VIII: Risk, Risk Reduction, Risk Management, and Capacity Building.

    abstract::There is a cascade of risks associated with a hazard evolving into a disaster that consists of the risk that: (1) a hazard will produce an event; (2) an event will cause structural damage; (3) structural damage will create functional damages and needs; (4) needs will create an emergency (require use of the local respo...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X16000285

    authors: Birnbaum ML,Loretti A,Daily EK,O'Rourke AP

    更新日期:2016-06-01 00:00:00

  • Reliability of telecommunications systems following a major disaster: survey of secondary and tertiary emergency institutions in Miyagi Prefecture during the acute phase of the 2011 Great East Japan Earthquake.

    abstract:INTRODUCTION:Telecommunication systems are important for sharing information among health institutions to successfully provide medical response following disasters. HYPOTHESIS/PROBLEM:The aim of this study was to clarify the problems associated with telecommunication systems in the acute phase of the Great East Japan ...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X14000119

    authors: Kudo D,Furukawa H,Nakagawa A,Abe Y,Washio T,Arafune T,Sato D,Yamanouchi S,Ochi S,Tominaga T,Kushimoto S

    更新日期:2014-04-01 00:00:00

  • The Asian Tsunami: PAHO disaster guidelines in action in India.

    abstract:INTRODUCTION:On 26 December 2004, an earthquake (9.0 Richter, 10 kilometers below the sea) near Sumatra, Indonesia, triggered a tsunami, which traveled at approximately 800 km per hour to strike the Indian coastline. The disaster response at a 100-bed hospital situated on the beach front (2,028 km from the epicenter) i...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/s1049023x00003939

    authors: Roy N

    更新日期:2006-09-01 00:00:00

  • Epidemiology of pediatric EMS practice: a multistate analysis.

    abstract:OBJECTIVE:To describe the epidemiology of pediatric emergency medical services (EMS) practice in a large patient population from several geographic areas. DESIGN:Retrospective computer analysis of EMS databases from four states using a common data set and analysis system. SETTING:Pennsylvania, Tennessee, Mississippi,...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/s1049023x00042928

    authors: Joyce SM,Brown DE,Nelson EA

    更新日期:1996-07-01 00:00:00

  • Sensation seeking as it relates to burnout among emergency medical personnel: a Texas study.

    abstract:INTRODUCTION:Burnout among emergency medical personnel (EMP) is suspected, but largely unsupported in the literature. An investigation of the phenomenon of burnout and factors contributing to its existence are essential steps in designing effective interventions. RESEARCH QUESTIONS:Three research questions were propos...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:

    authors: Chng CL,Eaddy S

    更新日期:1999-10-01 00:00:00

  • Post-war Kosovo: Part 3. Development and rehabilitation of emergency services.

    abstract::The recent crisis in Kosovo led to nearly complete destruction of a healthcare system serving the needs of approximately 2 million people. Even prior to the crisis, the pre-existing healthcare system had inadequate provisions for the delivery of Emergency Medical Services. More than 440 diverse governmental and non-go...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/s1049023x00043429

    authors: Lis J,Eliades MJ,Benishi D,Koci B,Gettle D,VanRooyen MJ

    更新日期:2001-10-01 00:00:00

  • Are race, age, gender, and insurance status determinants in interhospital helicopter transport time and frequency?

    abstract:OBJECTIVE:To examine the effects of age, race, gender, and insurance status on utilization and times-to-transport (TTT) for interhospital air medical transfers from rural hospitals to tertiary care centers. DESIGN:A retrospective review of interhospital transport records. The TTT was examined as a function of age, ge...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/s1049023x00040565

    authors: Furlong BR,Heller MB,Auble TE

    更新日期:1993-10-01 00:00:00

  • Research issues for nursing and midwifery contributions in emergencies.

    abstract::This special report was prepared as a white paper for the First World Health Organization (WHO) Consultation on Nursing and Midwifery Contributions in Emergencies held in Geneva on 22-24 November 2006. Pertinent issues related to research of nurses and midwives were identified based on prior international conferences....

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X11000124

    authors: Weiner E

    更新日期:2011-04-01 00:00:00

  • Effect of severe acute respiratory syndrome on bystander willingness to perform cardiopulmonary resuscitation (CPR)--is compression-only preferred to standard CPR?

    abstract:OBJECTIVE:The effect of the severe acute respiratory syndrome (SARS) outbreak on the willingness of laypersons to provide bystander cardiopulmonary resuscitation (CPR) using standard CPR (SCPR) or compression-only CPR (CCPR) was evaluated. The preferred type of SCPR in the post-SARS era was assessed. METHODS:A descrip...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/s1049023x00004957

    authors: Lam KK,Lau FL,Chan WK,Wong WN

    更新日期:2007-07-01 00:00:00

  • Mobile Versus Fixed Deployment of Automated External Defibrillators in Rural EMS.

    abstract:INTRODUCTION:There is no consensus on where automated external defibrillators (AEDs) should be placed in rural communities to maximize impact on survival from cardiac arrest. In the community of Stokes County, North Carolina (USA) the Emergency Medical Services (EMS) system promotes cardiopulmonary resuscitation (CPR) ...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X1500014X

    authors: Nelson RD,Bozeman W,Collins G,Booe B,Baker T,Alson R

    更新日期:2015-04-01 00:00:00

  • Prehospital management and fluid resuscitation in hypotensive trauma patients admitted to Karolinska University Hospital in Stockholm.

    abstract:INTRODUCTION:Few previous studies have been conducted on the prehospital management of hypotensive trauma patients in Stockholm County. The aim of this study was to describe the prehospital management of hypotensive trauma patients admitted to the largest trauma center in Sweden, and to assess whether prehospital traum...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/s1049023x00002582

    authors: Talving P,Pålstedt J,Riddez L

    更新日期:2005-07-01 00:00:00

  • Earthquake-Related Orthopedic Injuries in Adult Population: A Systematic Review.

    abstract::Introduction Earthquake-related trauma results in crush injuries and bony- and soft-tissue trauma. There are no systematic reviews analyzing the typical injury patterns and treatments in "Mega-Mass-Casualty" earthquakes. The characterization of an injury pattern specific to disaster type, be it natural or manmade, is ...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章,评审

    doi:10.1017/S1049023X16001515

    authors: Bortolin M,Morelli I,Voskanyan A,Joyce NR,Ciottone GR

    更新日期:2017-04-01 00:00:00

  • The incident command system in disasters: evaluation methods for a hospital-based exercise.

    abstract:OBJECTIVES:No universally accepted methods for objective evaluation of the function of the Incident Command System (ICS) in disaster exercises currently exist. An ICS evaluation method for disaster simulations was derived and piloted. METHODS:A comprehensive variable list for ICS function was created and four distinct...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/s1049023x00002090

    authors: Thomas TL,Hsu EB,Kim HK,Colli S,Arana G,Green GB

    更新日期:2005-01-01 00:00:00

  • Frequent use of emergency medical services by the elderly: a case-control study using paramedic records.

    abstract:OBJECTIVE:To identify the factors that lead to increased use of emergency medical services (EMS) by patients 65 years of age and older in an urban EMS system. METHODS:Retrospective, case-control study of frequent EMS use among elderly patients transported during one year in an urban EMS system. Three distinct groups w...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/s1049023x0000813x

    authors: Tangherlini N,Pletcher MJ,Covec MA,Brown JF

    更新日期:2010-05-01 00:00:00

  • Assessment of Groin Application of Junctional Tourniquets in a Manikin Model.

    abstract:UNLABELLED:Introduction To aid in preparation of military medic trainers for a possible new curriculum in teaching junctional tourniquet use, the investigators studied the time to control hemorrhage and blood volume lost in order to provide evidence for ease of use. Hypothesis Models of junctional tourniquet could perf...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X16000443

    authors: Kragh JF,Lunati MP,Kharod CU,Cunningham CW,Bailey JA,Stockinger ZT,Cap AP,Chen J,Aden JK,Cancio LC

    更新日期:2016-08-01 00:00:00

  • Pneumonia Prevention during a Humanitarian Emergency: Cost-effectiveness of Haemophilus Influenzae Type B Conjugate Vaccine and Pneumococcal Conjugate Vaccine in Somalia.

    abstract:BACKGROUND:Pneumonia is a leading cause of death among children less than five years old during humanitarian emergencies. Haemophilus influenzae type b (Hib) and Streptococcus pneumoniae are the leading causes of bacterial pneumonia. Vaccines for both of these pathogens are available to prevent pneumonia. Problem This ...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X15004781

    authors: Gargano LM,Hajjeh R,Cookson ST

    更新日期:2015-08-01 00:00:00

  • Assessment of hospital disaster preparedness for the 2010 FIFA World Cup using an internet-based, long-distance tabletop drill.

    abstract:INTRODUCTION:The State University of New York at Downstate (SUNY) conducted a web-based long-distance tabletop drill (LDTT) designed to identify vulnerabilities in safety, security, communications, supplies, incident management, and surge capacity for a number of hospitals preceding the 2010 FIFA World Cup. The tableto...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X11006443

    authors: Valesky W,Silverberg M,Gillett B,Roblin P,Adelaine J,Wallis LA,Smith W,Arquilla B

    更新日期:2011-06-01 00:00:00

  • Planning for resilience in hospital internal disaster.

    abstract::This article seeks to clarify the terminology and methods of planning to avert hospital internal disaster. It differentiates "crisis" from "disaster" in the in-hospital setting. Preparedness, as contrasted with mitigation, is meant to reduce the likelihood that a crisis will turn into a disaster. Though there are some...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章,评审

    doi:10.1017/s1049023x00001230

    authors: Sternberg E

    更新日期:2003-10-01 00:00:00

  • Improvised Neonatal Care-Realizing the Gaps in a Disaster Zone.

    abstract::The treatment of newborns in a disaster zone can be extremely challenging. The effects of the disaster combine with local health care disparity to give these neonates little chance of survival in the event of even minor complications. Rescue teams arriving at such locations must be prepared to handle and to aid these ...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/S1049023X15005403

    authors: Mendlovic J,Albukrek D,Dagan D,Merin O,Weiser G

    更新日期:2016-02-01 00:00:00

  • Epidemic and bioterrorism preparation among emergency medical services systems.

    abstract:INTRODUCTION:The purpose of this research was to determine the preparedness of emergency medical services (EMS) agencies in one US state to cope with a massive epidemic event. METHODS:Data were collected primarily through telephone interviews with EMS officials throughout the State. To provide a comparison, nine out-o...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章

    doi:10.1017/s1049023x0000474x

    authors: Maguire BJ,Dean S,Bissell RA,Walz BJ,Bumbak AK

    更新日期:2007-05-01 00:00:00