Blood pressure (BP) is an essential physiological parameter for assessing patient condition. In pre-hospital emergency situations it is measured on the arm over the clothes of the patient, who cannot be undressed.
There is no study proving the reliability of this measurement compared to measurement according to the recommendations (blood pressure cuff).
This lack of proof could lead to misinterpretation when measurement conditions are not optimal.
Patient over 18 years admitted to the emergency department of Grenoble University Hospital
National health insurance coverage or an equivalent form of coverage
Physical or technical inability to collect BP upon the patient's admission at ED (wounds or trauma to the arms)
Technical impossibility to set up the tested sleeve (incompatible arm size)
Patient with a medical contraindication to repeated blood pressure measurements on both arms
Patient who received antihypertensive treatment within the hour prior to measurements
Adult patient (male and female) admitted in the Emergency Department of Grenoble University Hospital will have several series of blood pressure measurement .
Case-control
Prospective
Blood pressure measurement
Other interventionBlood pressure measurements in addition to the standard care at patients admitted in the Emergency department as follow : * 3 measurements of blood pressure on a bare arm being the reference value corresponding to the recommendations on taking blood pressure. * 3 measurements of blood pressure over a speleological (caving) suit sleeve
Difference between the mean of the MAP measured with a sleeve and the mean of the MAP measured on a bare arm
Difference between the mean of the Mean Arterial Pressures (MAP) measured with a sleeve and the mean of the MAP measured on a bare arm.
Difference between the mean of the SBP measurements taken over a speleological (caving) suit sleeve compared to the bare arm
Difference between the mean of the Systolic Blood Pressure (SBP) measurements taken over a speleological (caving) suit sleeve compared to the bare arm
Difference between the mean of the MAP measurements taken with a sleeve and the mean of the MAP measurements taken on the bare arm in a subgroup of hypotensive patients
Difference between the mean of the Mean Arterial Pressure (MAP) measurements taken with a sleeve and the mean of the MAP measurements taken on the bare arm in a subgroup of hypotensive patients
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