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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
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pubmed:dateCreated |
1994-12-20
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pubmed:abstractText |
Blood pressure measurements in a moving ambulance can be difficult to obtain. Sirens, engine noise, and road noise can all interfere with the accurate detection of a patient's blood pressure. This study was undertaken to determine the influence of ambulance noise and vibration on auscultated blood pressures. A model was developed that used dynamic pressures to simulate systolic Korotkoff sounds. Forty-nine emergency personnel were asked to obtain blood pressures using the model in both a quiet environment and in a moving ambulance. A total of 485 blood pressure measurements were obtained. Systolic pressures were randomized to two settings: 76 mm Hg and 138 mm Hg. Stationary readings were compared with moving readings using analysis of variance for repeated measures. Systolic blood pressure measurements obtained in the quiet environment averaged 133 +/- 5 mm Hg at the high setting, and 45 +/- 6 mm Hg at the low setting. Systolic blood pressure measurements obtained in a moving ambulance averaged 86 +/- 7 mm Hg at the high setting, and 41 +/- 7 mm Hg at the low setting. The average differences between quiet and moving measurements were 47 mm Hg at the "high" setting (P < .01) and 4 mm Hg at the "low" setting (P > .01). At physiological levels, blood pressures obtained in moving ambulances differ significantly from those obtained in a quiet environment, which may be caused by road noise and ambulance motion.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Nov
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pubmed:issn |
0735-6757
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
12
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
617-20
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:7945600-Ambulances,
pubmed-meshheading:7945600-Auscultation,
pubmed-meshheading:7945600-Bias (Epidemiology),
pubmed-meshheading:7945600-Blood Pressure Determination,
pubmed-meshheading:7945600-Emergency Medical Services,
pubmed-meshheading:7945600-Evaluation Studies as Topic,
pubmed-meshheading:7945600-Heart Sounds,
pubmed-meshheading:7945600-Humans,
pubmed-meshheading:7945600-Models, Cardiovascular,
pubmed-meshheading:7945600-Noise, Transportation,
pubmed-meshheading:7945600-Reproducibility of Results,
pubmed-meshheading:7945600-Systole,
pubmed-meshheading:7945600-Vibration
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pubmed:year |
1994
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pubmed:articleTitle |
Prehospital blood pressures: inaccuracies caused by ambulance noise?
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pubmed:affiliation |
Division of Emergency Medical Services, East Carolina University School of Medicine, Greenville, NC 27858.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Comparative Study,
Controlled Clinical Trial
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