The Need for Manual Skills in an Automated World to Obtain Timely Blood Pressures in Trauma Patients.

Szczegóły
Abstrakt

Tytuł:: The Need for Manual Skills in an Automated World to Obtain Timely Blood Pressures in Trauma Patients.
Autorzy:: Farner-Cordell C; Sanford USD Medical Center, Sioux Falls, South Dakota.
Bitton A
Eeten K
Schmidt C
Brenden M
Źródło:: Journal of nursing care quality [J Nurs Care Qual] 2021 Oct-Dec 01; Vol. 36 (4), pp. 346-349.
Typ publikacji:: Journal Article; Review
Język:: English
Imprint Name(s):: Publication: 2003- : Hagerstown, MD : Lippincott Williams & Wilkins
Original Publication: Frederick, MD : Aspen Publishers, c1991-
MeSH Terms:: Algorithms*
Blood Pressure Determination*
Adult ; Blood Pressure ; Humans
References:: Kuo SC, Kuo PJ, Hsu SY, et al. The use of the reverse shock index to identify high-risk trauma patients in addition to the criteria for trauma team activation: a cross-sectional study based on a trauma registry system. BMJ Open. 2016;6(6):e011072. doi:10.1136/bmjopen-2016-011072.
American College of Surgeons. Resources for Optimal Care of the Injured Patient. American College of Surgeons, Committee on Trauma; 2014.
Sanford Health. (2020). Sanford USD Medical Center. https://www.sanfordhealth.org/locations/sanford-usd-medical-center.
Skirton H, Chamberlain W, Lawson C, Ryan H, Young E. A systematic review of variability and reliability of manual and automated blood pressure readings. J Clin Nurs. 2011;20(5/6):602–614. doi:10.1111/j.1365-2702.2010.03528.x.
Davis JW, Davis IC, Bennink LD, Bilello JF, Kaups KL, Parks SN. Are automated BP measurements accurate in trauma patients? J Trauma. 2003;55(5):860–863. doi:10.1097/01.TA.0000092686.91877.de.
Mansoor K, Shahnawaz S, Rasool M, Chaudhry H, Ahuja G, Shahnawaz S. Automated versus manual blood pressure measurement: a randomized crossover trial in the emergency department of a tertiary care hospital in Karachi, Pakistan: are third world countries ready for the change? Open Access Maced J Med Sci. 2016;4(3):404–409. doi:10.3889/oamjms.2016.076.
Damme CD, Luo J, Buesing KL. Isolated prehospital hypotension correlates with injury severity and outcomes in patients with trauma. Trauma Surg Acute Care Open. 2016;1(1):e000013. doi:10.1136/tsaco-2016-000013.
Carrick MM, Leonard J, Slone DS, Mains CW, Bar-Or D. Hypotensive resuscitation among trauma patients. Biomed Res Int. 2016;2016:8901938. doi:10.1155/2016/8901938.
Moore FA, McKinley BA, Moore EE, et al. Inflammation and the host response to injury, a large-scale collaborative project: patient-oriented research core-standard operating procedures for clinical care: III. Guidelines for shock resuscitation. J Trauma. 2006;61(1):82–89. doi:10.1097/01.ta.0000225933.08478.65.
Hanrahan K, Fowler C, McCarthy AM. Iowa Model Revised: research and evidence-based practice application. J Ped Nurs. 2019;48:121–122. doi:10.1016/j.pedn.2019.04.023.
Entry Date(s):: Date Created: 20210108 Date Completed: 20210920 Latest Revision: 20230920
Update Code:: 20240105
DOI:: 10.1097/NCQ.0000000000000539
PMID:: 33416263
: Czasopismo naukowe

Background: Obtaining the first blood pressure (BP) during adult trauma team activations was often delayed. A review of patient charts revealed that the average time to first documented BP was 6.6 minutes when using an automatic BP cuff.
Purpose: The purpose was to determine whether taking the initial BP using a manual cuff decreases the time it takes to obtain the first BP.
Method: The Iowa Model Revised was used as the framework for this project.
Intervention: An algorithm was developed, and staff were educated and validated on their ability to obtain manual BPs. A 2-month practice change pilot was launched on adult full and partial trauma team activations.
Results: It was determined that taking a BP manually during adult trauma resuscitations was more efficient, allowing for earlier determination of patient status.
Conclusion: Obtaining the initial BP manually was 54% more timely and led to an evidence-based practice change.
Competing Interests: The authors declare no conflicts of interest.
(Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.)

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