How to Measure Blood Pressure - Manual Blood Pressure OSCE - Clinical SKills - Dr GIll

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  • Опубліковано 20 вер 2024

КОМЕНТАРІ • 172

  • @orcaartist
    @orcaartist 3 роки тому +35

    Another informative video! Thanks for sharing! 0:53 I’ve not seen this done before. I’m curious about what the width of the measurement means?

    • @DrJamesGill
      @DrJamesGill  3 роки тому +12

      I’d the blood pressure cuff is too narrow - for example with a high BMI patient, then the blood pressure will be artificially increased

    • @orcaartist
      @orcaartist 3 роки тому +1

      @@DrJamesGill thanks for the answer!

  • @damngoodjob1
    @damngoodjob1 3 роки тому +251

    This is all very well, but, any double vision?

  • @SgtAndrewM
    @SgtAndrewM 3 роки тому +126

    You're a national treasure doc

  • @MC-dt6zq
    @MC-dt6zq 3 роки тому +63

    Dr. Gill: I'll need to listen to the pulse in your arm. Would that be okay?
    Patient: No.
    Dr. Gill: Excellent!

  • @KarunaSatoriASMR
    @KarunaSatoriASMR 3 роки тому +42

    I like the intentional use of hand cleaning with the clear asmr sound. You are a legend!

  • @DrPeterVenkman383
    @DrPeterVenkman383 3 роки тому +50

    Dr. Gill: I’m now going to blend effortlessly into this chair....
    Patient: What?
    Dr. Gill: Excellent

  • @billysitompul2704
    @billysitompul2704 3 роки тому +37

    Dr. Gill : Hello, my name is...
    Me : 😴😴

    • @DrJamesGill
      @DrJamesGill  3 роки тому +11

      Sounds like a Pavlovian response

    • @mebarak06
      @mebarak06 3 роки тому +1

      Love him.💚

  • @ED-yz6jn
    @ED-yz6jn 3 роки тому +68

    That kind of notification which gave the smile

    • @DrJamesGill
      @DrJamesGill  3 роки тому +15

      Only short, but it was as much a test to see if the masks had too much of a negative effect

    • @sam317kolasky9
      @sam317kolasky9 3 роки тому +2

      @@DrJamesGill so do the mask give a negative effect on your blood pressure

    • @DrJamesGill
      @DrJamesGill  3 роки тому +9

      🤣🤣 unlikely. I was meaning to see if the masks impacted on the video, ie the audio and things like that

  • @almc1566
    @almc1566 3 роки тому +10

    As with all of these videos, I come here for the ASMR and end up learning something. The blood pressure explanation was particularly good. Thanks!

  • @authorontranth5990
    @authorontranth5990 3 роки тому +33

    Its good to see you back with other people. Thank you for the continuing content, its all superb!

  • @candychis
    @candychis 3 роки тому +7

    Great job Dr. Gill! So glad to see you back out there doing live demonstrations. Love you!!

  • @elliottmellor4459
    @elliottmellor4459 3 роки тому +6

    Watching these videos is really helping me cope with the present circumstances. Not only have you got a really pleasant demeanour, I'm learning medical knowledge too. Thanks Dr Gill :)

  • @chrisstevens3567
    @chrisstevens3567 3 роки тому +7

    I work in finance and these videos help me learn a lot about the medical field and relax at the same time 🤣

    • @DrJamesGill
      @DrJamesGill  3 роки тому +1

      Well, every little helps I suppose !

  • @johnk3700
    @johnk3700 3 роки тому +4

    Doc, just when I thought I couldn’t love you anymore you go and give a masterclass in sartorial excellence.

  • @alishbanaz6793
    @alishbanaz6793 3 роки тому +6

    His videos are very relaxing and cosy

  • @mebarak06
    @mebarak06 3 роки тому +2

    I found you and now I tell all my ASMR friends to watch your videos. We love you Dr. Gill💛💙💛

  • @maximumeffort4745
    @maximumeffort4745 3 роки тому +14

    Dr. Gill, I've honestly learned more medical terms and procedures here (watching your videos) than in high school health class. Keep it up😄

  • @JasonTheOneAndOnly
    @JasonTheOneAndOnly 3 роки тому +20

    My auntie taught me how to do this, she was a surgical nurse.

    • @DrJamesGill
      @DrJamesGill  3 роки тому +7

      You’ll never forget that 😊

  • @marcoa5564
    @marcoa5564 3 роки тому +11

    Dr. Gill o Brasil te ama. 🇧🇷💚

  • @evanpitchers584
    @evanpitchers584 3 роки тому +12

    You need a Purell endorsement

    • @DrJamesGill
      @DrJamesGill  3 роки тому +7

      🤣 that would be nice, but I’m pretty sure that alcohol gel doesn’t need to advertise or endorse anymore. It pretty much sells it’s self

  • @seandoyle9192
    @seandoyle9192 3 роки тому +11

    Don’t forget to like the video folks !

    • @DrJamesGill
      @DrJamesGill  3 роки тому +3

      Please ans thank you from me too 😊

  • @HaydnG266
    @HaydnG266 3 роки тому +41

    Seeing you both with the masks on ... How the times have changed this year

    • @aldorfc7287
      @aldorfc7287 3 роки тому +4

      Biden winning 2020 is defo a year you want to forget jeez

    • @ellamcgrady8856
      @ellamcgrady8856 3 роки тому +8

      @@aldorfc7287 no❤️

    • @litterbug1483
      @litterbug1483 11 місяців тому

      Masks don't protect against air born viruses

  • @j.v.santos3101
    @j.v.santos3101 3 роки тому +1

    Doctor Gill calms me down.

  • @stermandr4000
    @stermandr4000 3 роки тому +5

    I know you are profesional, but thanx for the unitentional asmr bro 👍

  • @therobotnoob8066
    @therobotnoob8066 3 роки тому +10

    When Doctor Gill doesnt say well done to you after a test you know you messed up

  • @careymxsmith-thomas8134
    @careymxsmith-thomas8134 Рік тому +2

    So many physicians incorrectly take blood pressure. Sometimes the cuff is too tight, and other times you're not allowed to sit for the full 5 minutes.

    • @DrJamesGill
      @DrJamesGill  Рік тому

      The sitting still prior to the reading is honestly the hardest thing

  • @jaclynrachellec
    @jaclynrachellec 3 роки тому +20

    Just out of curiosity, you asked which hand was his dominant hand, how do the different arms differ/impact the blood pressure reading? Is it important to always take the pressure on both arms?

    • @dressersonchien2464
      @dressersonchien2464 3 роки тому +2

      That's a good one. May blood pressure be a little more shaking within the dominant hand? ( "Shaking" wtf I wish I was born american not french )

    • @kingtanner2063
      @kingtanner2063 3 роки тому +4

      doesnt answer your question ,but im reading a book for class about the chicago blackhawks hockey team about their upcoming and how they went from worst to first. one manager of the teams name was arthur and he loved his office cold. so cold in fact, when he went to the doctor they had to take hid bp from both arms because they were different. his right arm which was closest to the air conditioning vent was lower than his left away from the air conditioner.

  • @charmainesayi
    @charmainesayi 3 роки тому +6

    If he had a scrub line.. I would totally invest in it✊🏾 I mean which medical student wouldn’t!!?

    • @DrJamesGill
      @DrJamesGill  3 роки тому +2

      I am EXCEPTIONALLY cautious about anything like that - perhaps it is an NHS thing, we are scared of ANY approach to finance which might mean someone could suggest a bias.
      Very much keeping that in mind... watch this space. I'm working on a video to go up in the next two weeks

  • @miguelnunez9669
    @miguelnunez9669 3 роки тому +7

    Cracked up at the hand fart. I need to grow up.

  • @Iamab123
    @Iamab123 3 роки тому

    I absolutely love dr Gill’s voice 🥰🥰

  • @psychicbyinternet
    @psychicbyinternet 3 роки тому +5

    Just curious, do you listen to ASMR for your own benefit as well?

  • @tastethejace
    @tastethejace 3 роки тому +2

    Dat Purell shot

  • @alexavazquez9629
    @alexavazquez9629 9 місяців тому +2

    does it have to be at the level of the heart?

  • @Abderrahmane_CHIKH
    @Abderrahmane_CHIKH 3 роки тому +3

    We need a long video 😢😢😢

  • @cilliandaly2785
    @cilliandaly2785 3 роки тому

    Doctor, I love you, truly.

  • @GutiTheJ
    @GutiTheJ 3 роки тому +6

    You should've taken your sweeeet time taking his pressure, wish there was a loop button on this video

    • @Gingerjuli
      @Gingerjuli 3 роки тому

      right click on video and then there is repeat or something like that

    • @finng3283
      @finng3283 3 роки тому

      Put it in a playlist on its own and you can loop it

    • @No1SlapFIGHTFan
      @No1SlapFIGHTFan 3 роки тому

      He literally did. When I get my blood pressure done they don’t be like “okay I’m going to place to cuff on your artery” and so on.

  • @Derokas
    @Derokas 3 роки тому

    You're a very nice person. Really!! Thank you for the content 😊

  • @BadPabda
    @BadPabda 3 роки тому

    Dr.Gill's top has cute dinosaurs on it and I love it. COVID took many things from us, but at least it gave us this.

  • @coltonmiller4821
    @coltonmiller4821 3 роки тому +2

    So excited

  • @bryan731
    @bryan731 3 роки тому +4

    -So do you have any question?
    - Well, n....
    -THANK YOU VERY MUCH FOR YOUR TIME

  • @brandonmoucatel9630
    @brandonmoucatel9630 3 роки тому +3

    Nice Dr. G

  • @Beverley617
    @Beverley617 3 роки тому +3

    Dr Gill how do you rate automatic blood pressure monitors? are they as accurate as the method you use here?

    • @YvieT81
      @YvieT81 3 роки тому

      Wondering the same. My GP always uses an automatic one, which btw seems to take ages before the pressure comes off again and you kinda feel like your arm is being squeezed off 🥴

    • @DrJamesGill
      @DrJamesGill  3 роки тому +5

      Assuming that the patient doesn’t have a cardiac arrhythmia, then yes they are as accurate.
      Some of the electronic ones are MUCH better than others.
      BUT it is vitally important the students are able to do these manually, as not infrequently the machine just won’t get a reading.
      Plus by doing manually you get more information about the patient, such as the rhythm of the pulse

    • @Beverley617
      @Beverley617 3 роки тому

      @@DrJamesGill Thankyou keep up the good work!

  • @Enoch-Root
    @Enoch-Root Рік тому

    So in the previous video you stated that normal blood pressure range is 90/60 to 120/80. The patient in this video was just slightly above 120 systolic on both measurements, this surprised me as a layman as the patient looked very fit and healthy, also young. You mentioned his blood pressure was fine "for his age". In the previous video on blood pressure you didn't go into how age affects blood pressure and what would be considered normal or healthy for different age ranges, I'm also wonder if gender is another factor that should be taken into account?

  • @john2737
    @john2737 3 роки тому

    Love the videos. I did miss the "Do you have any problems with this arm?" before placing the cuff around the arm though. Lol

  • @tommasobarba29
    @tommasobarba29 3 роки тому

    Big fan from Rome

  • @mountainhermit1519
    @mountainhermit1519 3 роки тому +1

    My blood pressure is 48/83. I have been suffering from headache constantly and lack of concentration.😫It has made my life so difficult. Any cures please?

    • @dougspizman6751
      @dougspizman6751 3 роки тому

      Any cures? Yeah go to the hospital.

    • @mountainhermit1519
      @mountainhermit1519 3 роки тому +1

      @@dougspizman6751 They don’t care about low blood pressure.

    • @DrJamesGill
      @DrJamesGill  3 роки тому +1

      It is a little low. 90/60 is the bottom end of normal. So 83/48 is something that needs to be taken into account, and looked at.

    • @dougspizman6751
      @dougspizman6751 3 роки тому

      @@mountainhermit1519 with those symptoms u got they should......

  • @leah8613
    @leah8613 3 роки тому +1

    What’s the reason for inflating the cuff and feeling for the pulse first rather than going straight in with the stethoscope?

    • @DrJamesGill
      @DrJamesGill  3 роки тому +1

      The pulse disappears when you exceed the systolic pressure.
      So it’s giving you a rough idea of where you’ll be listening to confirm

    • @DrJamesGill
      @DrJamesGill  3 роки тому

      We explain more in the Understanding BP video
      Understanding Blood Pressure Numbers - Clinical Skills
      ua-cam.com/video/rLEbOjWgmvE/v-deo.html

  • @LoganDC100
    @LoganDC100 3 роки тому +1

    I've always wondered, but have never asked. I do get that the diastolic blood pressure is measured by when it, well, pumps through the blood pressure cuff. What I don't get is how you determine the systolic number after that.

    • @DrJamesGill
      @DrJamesGill  3 роки тому +2

      Other way around 😊
      The systolic is when the heart beats, the diastolic is when it relaxes
      We did a post last week explaining exactly that 😊
      ua-cam.com/video/rLEbOjWgmvE/v-deo.html
      Hope it helps

    • @LoganDC100
      @LoganDC100 3 роки тому +1

      @@DrJamesGill Ah. Got it. Thanks. (I'm a lawyer, so consider me clueless. LOL!)

    • @dougspizman6751
      @dougspizman6751 3 роки тому +1

      @@LoganDC100 ahhh good point.

  • @dcrazypersiancat
    @dcrazypersiancat 3 роки тому

    Brought to you by Purell!

  • @diquesianda7523
    @diquesianda7523 3 роки тому +1

    Examination completo please....ralaxing asmr

  • @susieenglish302
    @susieenglish302 3 роки тому +9

    First of all the scrubs are lovely and secondly how are you coping with deaf or hard of hearing patients? I struggle to hear and this period has made everything just more unbearable than usual

    • @DrJamesGill
      @DrJamesGill  3 роки тому +11

      I type out - in large font - on my iPad 👍

    • @DrJamesGill
      @DrJamesGill  3 роки тому +8

      Regularly wiping it down 🤓

    • @rascalragdoll182
      @rascalragdoll182 3 роки тому +1

      I have struggled sticking with it, but I started trying to learn ASL since I’ve noticed more deaf people while working. I work in retail and I can only imagine how frustrating/defeating it must feel to not only be trying understand what someone is saying, but to get them to understand you. Technology helps but having that knowledge would make things easier for both parties.

  • @marynayakdj
    @marynayakdj 3 роки тому

    Can you please make longer videos..?? And if you can upload some more often..!!!! Pleeeease!!! 🙏🙏🙏 thank you!!!

    • @DrJamesGill
      @DrJamesGill  3 роки тому

      Videos can only be as long as is needed for the examination.
      Currently I’m trying to upload every week, but only so much time 😊
      Thanks for the encouragement 😊

  • @samueljackwilliams4647
    @samueljackwilliams4647 3 роки тому

    the watch tan is incredible

  • @jebreelfadhl9249
    @jebreelfadhl9249 3 роки тому +1

    Thank you

  • @aldorfc7287
    @aldorfc7287 3 роки тому

    The legend is back and doing the blood pressure one of my favorites

  • @gemmasalmon9667
    @gemmasalmon9667 3 роки тому +2

    Sponsored by Purell 🤲🏻

  • @dicein6
    @dicein6 3 роки тому

    God dammit this genius never misses with them excellent asmr videos!

  • @drache6538
    @drache6538 3 роки тому +1

    Just saying the dinosaur fabric pockets are really cute

    • @DrJamesGill
      @DrJamesGill  3 роки тому +2

      I don’t often actively tell people they are wrong. However in this case you ARE! Dinosaur pockets are not cute...
      Dinosaur pockets are EPIC!! 🦕 🦖
      (There was a memo, but I understand if you missed it 😜)

  • @MrEma256
    @MrEma256 3 роки тому

    Great video! I've a quick question: if the pressure measured in both arms was significantly different (> 20 mmHg), which one should I consider to manage the patient? I've different resources saying different things, some say I should take the lowest and others the highest🤣

    • @DrJamesGill
      @DrJamesGill  3 роки тому

      If significant variation you need to record both and find out WHY

  • @tastethejace
    @tastethejace 3 роки тому

    What's the reason for doing both arms?

  • @evildwagon7118
    @evildwagon7118 3 роки тому

    You told him that his blood pressure for his age is good.
    What would you say to someone who is 30 and has a constant blood pressure of 90 to 70 with a pulse of 58?

  • @alyssastern6073
    @alyssastern6073 2 роки тому

    Hi Dr. Gill. I have a question about blood pressure. What is the relationship to blood pressure and pulse rate? I am an EMT and I had a patient with a pulse of 232 (obviously emergency) When another EMT went to take their blood pressure, they said 120/80. I couldn't get a BP because the pulse rate fluttered too much for me. I have no idea if it is really possible to get a BP with that pulse rate, and if it makes any sense they would have the most generic BP in a crisis. Does it make any sense to you?

  • @chanyang8259
    @chanyang8259 3 роки тому +7

    I keep hoping he says pieceopaper, regardless of the circumstance

    • @aldorfc7287
      @aldorfc7287 3 роки тому

      Loved when he said that tingles lol

  • @andiputratunggul1150
    @andiputratunggul1150 3 роки тому

    Thank you doc .... i fans you

  • @rafa199945
    @rafa199945 3 роки тому

    Did u became an official doctor? Because I've been watching your videos like years ago and u also are a student 😂 (sorry for my English I don't speak it very well

  • @blueomega2853
    @blueomega2853 3 роки тому +3

    I would get nervous and probably increase my pulse

  • @LuggTyler
    @LuggTyler 3 роки тому +2

    Buzzin

    • @DrJamesGill
      @DrJamesGill  3 роки тому +2

      That would be the air conditioning unit, but I think I managed to reduce it fairly well

  • @drawingablankesq
    @drawingablankesq 3 роки тому

    I've always wondered why you use a digital stethoscope. Is it more accurate?

    • @DrJamesGill
      @DrJamesGill  3 роки тому +2

      I’m able to adjust the volume, so I can still examine a babies chest if they are screaming.
      Also there is a filter built in which reduces rustles
      Finally the screen will display the patients pulse which is really rather useful!

    • @drawingablankesq
      @drawingablankesq 3 роки тому

      @@DrJamesGill that sounds like it's better in almost every regard. It must be significantly more expensive than a traditional stethoscope though correct?

  • @williamwinder5011
    @williamwinder5011 3 роки тому

    Apparently the highest recorded blood pressure was 370/360

  • @tipupalit9911
    @tipupalit9911 8 днів тому

    Hand condition is not heart level...

  • @blumpth
    @blumpth 3 роки тому +2

    Magically disappearing watch 0:51

  • @medecinturc
    @medecinturc 3 роки тому

    What should we do if tension drop 90/60 etc..

    • @DrJamesGill
      @DrJamesGill  3 роки тому +1

      Well it depends on the context. Probably best to say have a chat to your doctor initially.
      Literally could be nothing, or might need intervention. It would depend on the work up

    • @medecinturc
      @medecinturc 3 роки тому

      @@DrJamesGill can we give epi? O think epi can get tension normal

    • @medecinturc
      @medecinturc 3 роки тому

      Mr.gill, im waiting your response 😢

    • @DrJamesGill
      @DrJamesGill  3 роки тому

      If this is yourself, I’d suggest a review with your doctor

    • @medecinturc
      @medecinturc 3 роки тому

      @@DrJamesGill no sir,it's general knowledge. thanks for helping

  • @joelopez7459
    @joelopez7459 3 роки тому +1

    My bro bought one of these and i can't figure out how to use the bloody thing

    • @DrJamesGill
      @DrJamesGill  3 роки тому

      A manual or an automatic one?

    • @joelopez7459
      @joelopez7459 3 роки тому +1

      @@DrJamesGill manual i think, can't wrap it right

    • @DrJamesGill
      @DrJamesGill  3 роки тому

      The manuals can be a touch tricky. Does it have Velcro or is is tuck in (I always found the latter hard to use)

    • @joelopez7459
      @joelopez7459 3 роки тому

      @@DrJamesGill Velcro, it started to get really tight around my arm, tighter than any test before so i ripped it off. It was reading 200 at the time as well...

    • @DrJamesGill
      @DrJamesGill  3 роки тому

      The machines can sometimes have a difficulty reading, but if it got that high, I’d try - at least once to persevere through the pain
      If you’ve can’t get a reading. Speak to your doctor

  • @lowbudgetcontent8858
    @lowbudgetcontent8858 3 роки тому +10

    Has anyone failed to say their name and date of birth?😁

    • @Omni315
      @Omni315 3 роки тому

      I feel I'm about to any time I have to do it. To be fair it's the only time in given a spot quiz on my own birthday

    • @felicityhayward
      @felicityhayward 3 роки тому +1

      This always stresses me out, I always hope they aren't using their real names and dates of birth on videos that get watched by millions of sleepless people.

    • @XSemperIdem5
      @XSemperIdem5 3 роки тому

      @@Omni315 I don't mess it up but I forget how old I am sometimes 😂

  • @Vgy926
    @Vgy926 3 роки тому

    Who asked him to do a blood pressure assessment?

  • @nonbinaryrussia
    @nonbinaryrussia 3 роки тому +1

    I just lost my grandmother. Сейчас я прячусь от жизни в этом видео

    • @DrJamesGill
      @DrJamesGill  3 роки тому +2

      I’m so sorry to hear that. I can’t translate the phrase below, but I hope you have someone to support you through this

    • @СергейИльин-ц1н
      @СергейИльин-ц1н 3 роки тому +1

      Dr James Gill Translation: Now I’m hiding from my life in this video

  • @runs6237
    @runs6237 3 роки тому +2

    You didn‘t putapitofpaper

  • @KPSinghCardiosonologist
    @KPSinghCardiosonologist 3 роки тому

    MATTER OF 5 MINUTES

    • @DrJamesGill
      @DrJamesGill  3 роки тому

      But it can be often overlooked. It’s an important 5 mins

  • @bernif3804
    @bernif3804 3 роки тому

    Where’s the putapitapaper on him?

  • @Ronnie7X
    @Ronnie7X 3 роки тому

    why the mr robot font tho?

    • @DrJamesGill
      @DrJamesGill  3 роки тому

      It was actually the Jurassic Park font first... abs simply because I like it 😊

    • @Ronnie7X
      @Ronnie7X 3 роки тому

      @@DrJamesGill aha

  • @half-pintasmr1075
    @half-pintasmr1075 3 роки тому

    You forgot the pitapaper!!!!!

  • @sylikon
    @sylikon 3 роки тому +1

    Dino pockets? :D

    • @DrJamesGill
      @DrJamesGill  3 роки тому +1

      And I wear them with PRIDE!! Pride I tell you!!
      Everyone knows that the triceratops was basically the medic of the Cretaceous period!

  • @GleichsamHD
    @GleichsamHD 3 роки тому +2

    What is on the shirt? Dinosaurs?

    • @DrJamesGill
      @DrJamesGill  3 роки тому +9

      You know it!
      Someone caught covid, thus they lost their income. They tried to fill some of the gap by seeing scrubs when there was a shortage
      They were open to having dinosaurs on the pockets... and well, the rest is history! 🦖🦕

  • @TheKraetos
    @TheKraetos 3 роки тому

    Im surprised he got to keep his shirt

  • @stanrix
    @stanrix 3 роки тому +2

    I know you are lip-syncing.

    • @DrJamesGill
      @DrJamesGill  3 роки тому

      Huh?

    • @stanrix
      @stanrix 3 роки тому +1

      Haha it was just a lame joke cause I obviously can't see your mouth moving as you speak....

  • @PSG-zw1tb
    @PSG-zw1tb 3 роки тому +2

    Its so sad to see people wearing face masks ... I still cannot get used

  • @Mr2legit2quitt
    @Mr2legit2quitt 3 роки тому

    The masks will make you red in the face