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To Peds Emergency group:

Curious if your institution does manual or automatic BP's on trauma patients or children in shock?  There is some evidence in the adult literature that automatic blood pressures are not as accurate as manual BP's in hypotensive trauma patients (see below).  Does your institution have a policy?   Do you have a personnel preference and why?

Are Automated Blood Pressure Measurements Accurate in Trauma Patients?
James W. Davis, MD, FACS, Ivan C. Davis, MS, Lynn D. Bennink, BSN, John F. Bilello, MD, FACS,
Krista L. Kaups, MD, FACS, and Steven N. Parks, MD, FACS
The Journal of TRAUMA? Injury, Infection, and Critical Care  2003: Volume 55 Number 5  Pages 860-863

Dennis Heon, MD, FAAP
Assistant Professor
Department of Emergency Medicine and Pediatrics
New York University Medical Center
Bellevue Hospital Center

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