The Futility of Orthostatic Measurements

Assess for orthostatic symptoms, not BP changes.

Are you still doing orthostatic measurements (i.e. lying and standing blood pressures or heart rate changes) for assessing volume status and acute volume loss?

Maybe you’ll stop after hearing Anand (@EMSwami) Swaminathan’s investigation into the (lack of) evidence for this widely accepted pseudoaxiomatic urban legend

Assess for orthostatic symptoms, not blood pressure changes.

Posted by Dr Chris Nickson

An oslerphile emergency physician and intensivist suffering from a bad case of knowledge dipsosis. Key areas of interest include: the ED-ICU interface, toxicology, simulation and the free open-access meducation (FOAM) revolution. @Twitter | + Chris Nickson | INTENSIVE| SMACC

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