How may I meassure blood pressure with I hear my own heartbeats?

How may I meassure patient's blood pressure with I hear my own heartbeats?

Yes I know how to measure,The problem is that I hear my own heartbeats when I use the stethoscope and I'm afraid of mistaking with the patient's blood flow sounds.

The automated machines aren't always available, and even when they are, they are less accurate and provide less information than a correctly taken manual blood pressure. They are of course a lot more convenient and usually provide a great approximation.

There is no substitute for taking the blood pressure manually. It is not a hard skill to learn, and it gets better with practice. There is no excuse, you need to find someone to practice with, if you are going to be a medical profession this is a skill you will need.

If you are having trouble distinguishing the sound of your patient's heart beat remember you also have the dial to watch, it will start to move with the patients heart rate while the pressure is between the systolic and diastolic blood pressures. You can't use that directly for your measurements but it's a good clue that will help you pick up the sound as you learn.

Unless you're in the third world, automated machines are universally available in a healthcare setting. The exception being some pernickety GP rooms. These days they're as accurate as you need them to be.

I suppose the only example would be if the patient is in extremis and an automated cuff cannot record the blood pressure. In which case, it doesn't really matter if the systolic is 40 or if it's 50. You're still going to resuscitate them.

I can't recall the last time I ever took a manual blood pressure except during a clinical exam towards the start of medical school.

Unless the patient has AF, then the machines are completely useless. Better to go for manual in that case.

They're fine even in fast AF.

Hmm, but

British hypertension society states to use manual at times.

http://bhsoc.org/resources/how-to-measure-blood-pressure/

Unless you're in the third world, automated machines are universally available in a healthcare setting. The exception being some pernickety GP rooms. These days they're as accurate as you need them to be.

I suppose the only example would be if the patient is in extremis and an automated cuff cannot record the blood pressure. In which case, it doesn't really matter if the systolic is 40 or if it's 50. You're still going to resuscitate them.

I can't recall the last time I ever took a manual blood pressure except during a clinical exam towards the start of medical school.

(Unless you're a doctor from the 1600s who measures pulsus paradoxus in an asthma attack)

My madwives still seem pretty keen on them!

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Unless you're in the third world, automated machines are universally available in a healthcare setting. The exception being some pernickety GP rooms. These days they're as accurate as you need them to be.

I suppose the only example would be if the patient is in extremis and an automated cuff cannot record the blood pressure. In which case, it doesn't really matter if the systolic is 40 or if it's 50. You're still going to resuscitate them.

I can't recall the last time I ever took a manual blood pressure except during a clinical exam towards the start of medical school.

(Unless you're a doctor from the 1600s who measures pulsus paradoxus in an asthma attack)