Are Orthostatic Vital Signs Helpful in the ED?

blood-pressure-monitor-3467664_960_720There is some confusion, disagreement, and misunderstanding surrounding orthostatic vitals in the ED. Older patients have a high rate of incidentally-found positive orthostatic vital signs, typically because of heart-rate changes. So emergency physicians may be reluctant to request orthostatics. However, in patients with syncope or falls, the presence of orthostatic hypotension and of symptoms may actually be helpful. It can help clarify the cause of syncope, potentially help avoid unnecessary testing or hospitalization, and can also help direct treatment and interventions to prevent future syncope or falls. In this episode, Maura Kennedy (@MauraKennedyMD) talks us through a recent paper she authored on orthostatic vitals in older adults in the ED.

The paper we discuss is available here: Kennedy et al. “Recondisering orthostatic vital signs in older emergency department patients” Emerg Med Australas. 2018, June 21. PMID 29931795

You can tweet thoughts or comments to @gempodcast or @MauraKennedyMD

 

This podcast uses sounds from freesound.org by Jobro and HerbertBoland

 

This entry was posted in Cardiology and Pulmonology, Medications and Adverse Drug Events, Neurology and Psychiatry, Trauma. Bookmark the permalink.

One Response to Are Orthostatic Vital Signs Helpful in the ED?

  1. Pingback: LITFL Review 344 | Edwin M. Thames

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