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

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  • Опубликовано: 1 ноя 2024

Комментарии • 171

  • @orcaartist
    @orcaartist 4 года назад +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  4 года назад +13

      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 4 года назад +2

      @@DrJamesGill thanks for the answer!

  • @damngoodjob1
    @damngoodjob1 4 года назад +251

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

  • @KarunaSatoriASMR
    @KarunaSatoriASMR 4 года назад +42

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

  • @SgtAndrewM
    @SgtAndrewM 4 года назад +126

    You're a national treasure doc

  • @MC-Juggernaut
    @MC-Juggernaut 4 года назад +63

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

  • @DrPeterVenkman383
    @DrPeterVenkman383 4 года назад +51

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

  • @ED-yz6jn
    @ED-yz6jn 4 года назад +68

    That kind of notification which gave the smile

    • @DrJamesGill
      @DrJamesGill  4 года назад +15

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

    • @sam317kolasky9
      @sam317kolasky9 4 года назад +2

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

    • @DrJamesGill
      @DrJamesGill  4 года назад +9

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

  • @authorontranth5990
    @authorontranth5990 4 года назад +33

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

  • @almc1566
    @almc1566 4 года назад +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!

  • @candychis
    @candychis 4 года назад +7

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

  • @alishbanaz6793
    @alishbanaz6793 4 года назад +6

    His videos are very relaxing and cosy

  • @elliottmellor4459
    @elliottmellor4459 4 года назад +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 :)

  • @johnk3700
    @johnk3700 4 года назад +4

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

  • @billysitompul2704
    @billysitompul2704 4 года назад +37

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

    • @DrJamesGill
      @DrJamesGill  4 года назад +11

      Sounds like a Pavlovian response

    • @mebarak06
      @mebarak06 3 года назад +1

      Love him.💚

  • @chrisstevens3567
    @chrisstevens3567 4 года назад +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  4 года назад +1

      Well, every little helps I suppose !

  • @mebarak06
    @mebarak06 3 года назад +2

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

  • @HaydnG266
    @HaydnG266 4 года назад +41

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

    • @aldorfc7287
      @aldorfc7287 4 года назад +4

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

    • @ellamcgrady8856
      @ellamcgrady8856 4 года назад +8

      @@aldorfc7287 no❤️

    • @litterbug1483
      @litterbug1483 Год назад

      Masks don't protect against air born viruses

  • @maximumeffort4745
    @maximumeffort4745 4 года назад +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😄

  • @evanpitchers584
    @evanpitchers584 4 года назад +12

    You need a Purell endorsement

    • @DrJamesGill
      @DrJamesGill  4 года назад +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

  • @JasonTheOneAndOnly
    @JasonTheOneAndOnly 4 года назад +20

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

    • @DrJamesGill
      @DrJamesGill  4 года назад +7

      You’ll never forget that 😊

  • @marcoa5564
    @marcoa5564 4 года назад +11

    Dr. Gill o Brasil te ama. 🇧🇷💚

  • @j.v.santos3101
    @j.v.santos3101 4 года назад +1

    Doctor Gill calms me down.

  • @Iamab123
    @Iamab123 3 года назад

    I absolutely love dr Gill’s voice 🥰🥰

  • @alexavazquez9629
    @alexavazquez9629 10 месяцев назад +2

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

  • @miguelnunez9669
    @miguelnunez9669 4 года назад +7

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

  • @psychicbyinternet
    @psychicbyinternet 4 года назад +5

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

  • @jaclynrachellec
    @jaclynrachellec 4 года назад +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 4 года назад +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 4 года назад +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.

  • @seandoyle9192
    @seandoyle9192 4 года назад +11

    Don’t forget to like the video folks !

    • @DrJamesGill
      @DrJamesGill  4 года назад +3

      Please ans thank you from me too 😊

  • @stermandr4000
    @stermandr4000 4 года назад +5

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

  • @therobotnoob8066
    @therobotnoob8066 4 года назад +10

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

  • @charmainesayi
    @charmainesayi 4 года назад +6

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

    • @DrJamesGill
      @DrJamesGill  4 года назад +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

  • @coltonmiller4821
    @coltonmiller4821 4 года назад +2

    So excited

  • @Beverley617
    @Beverley617 4 года назад +3

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

    • @YvieT81
      @YvieT81 4 года назад

      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  4 года назад +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 4 года назад

      @@DrJamesGill Thankyou keep up the good work!

  • @careymxsmith-thomas8134
    @careymxsmith-thomas8134 2 года назад +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  2 года назад

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

  • @tastethejace
    @tastethejace 4 года назад +2

    Dat Purell shot

  • @cilliandaly2785
    @cilliandaly2785 4 года назад

    Doctor, I love you, truly.

  • @brandonmoucatel9630
    @brandonmoucatel9630 4 года назад +3

    Nice Dr. G

  • @GutiTheJ
    @GutiTheJ 4 года назад +6

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

    • @Gingerjuli
      @Gingerjuli 4 года назад

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

    • @finng3283
      @finng3283 4 года назад

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

    • @No1SlapFIGHTFan
      @No1SlapFIGHTFan 4 года назад

      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 4 года назад

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

  • @BadPabda
    @BadPabda 3 года назад

    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.

  • @aldorfc7287
    @aldorfc7287 4 года назад

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

  • @dcrazypersiancat
    @dcrazypersiancat 3 года назад

    Brought to you by Purell!

  • @MrEma256
    @MrEma256 3 года назад

    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 года назад

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

  • @Abderrahmane_CHIKH
    @Abderrahmane_CHIKH 4 года назад +3

    We need a long video 😢😢😢

  • @jebreelfadhl9249
    @jebreelfadhl9249 4 года назад +1

    Thank you

  • @bryan731
    @bryan731 4 года назад +4

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

  • @marynayakdj
    @marynayakdj 4 года назад

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

    • @DrJamesGill
      @DrJamesGill  4 года назад

      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 😊

  • @john2737
    @john2737 4 года назад

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

  • @alyssastern6073
    @alyssastern6073 2 года назад

    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?

  • @tommasobarba29
    @tommasobarba29 3 года назад

    Big fan from Rome

  • @dicein6
    @dicein6 4 года назад

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

  • @Enoch-Root
    @Enoch-Root Год назад

    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?

  • @leah8613
    @leah8613 4 года назад +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  4 года назад +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  4 года назад

      We explain more in the Understanding BP video
      Understanding Blood Pressure Numbers - Clinical Skills
      ruclips.net/video/rLEbOjWgmvE/видео.html

  • @LoganDC100
    @LoganDC100 4 года назад +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  4 года назад +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 😊
      ruclips.net/video/rLEbOjWgmvE/видео.html
      Hope it helps

    • @LoganDC100
      @LoganDC100 4 года назад +1

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

    • @dougspizman6751
      @dougspizman6751 4 года назад +1

      @@LoganDC100 ahhh good point.

  • @samueljackwilliams4647
    @samueljackwilliams4647 4 года назад

    the watch tan is incredible

  • @gemmasalmon9667
    @gemmasalmon9667 4 года назад +2

    Sponsored by Purell 🤲🏻

  • @diquesianda7523
    @diquesianda7523 4 года назад +1

    Examination completo please....ralaxing asmr

  • @drache6538
    @drache6538 3 года назад +1

    Just saying the dinosaur fabric pockets are really cute

    • @DrJamesGill
      @DrJamesGill  3 года назад +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 😜)

  • @rafa199945
    @rafa199945 4 года назад

    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

  • @drawingablankesq
    @drawingablankesq 4 года назад

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

    • @DrJamesGill
      @DrJamesGill  4 года назад +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 4 года назад

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

  • @tastethejace
    @tastethejace 4 года назад

    What's the reason for doing both arms?

  • @LuggTyler
    @LuggTyler 4 года назад +2

    Buzzin

    • @DrJamesGill
      @DrJamesGill  4 года назад +2

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

  • @chanyang8259
    @chanyang8259 4 года назад +7

    I keep hoping he says pieceopaper, regardless of the circumstance

    • @aldorfc7287
      @aldorfc7287 4 года назад

      Loved when he said that tingles lol

  • @blueomega2853
    @blueomega2853 4 года назад +3

    I would get nervous and probably increase my pulse

  • @evildwagon7118
    @evildwagon7118 4 года назад

    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?

  • @susieenglish302
    @susieenglish302 4 года назад +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  4 года назад +11

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

    • @DrJamesGill
      @DrJamesGill  4 года назад +8

      Regularly wiping it down 🤓

    • @rascalragdoll182
      @rascalragdoll182 3 года назад +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.

  • @mountainhermit1519
    @mountainhermit1519 4 года назад +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 4 года назад

      Any cures? Yeah go to the hospital.

    • @mountainhermit1519
      @mountainhermit1519 4 года назад +1

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

    • @DrJamesGill
      @DrJamesGill  4 года назад +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 4 года назад

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

  • @medecinturc
    @medecinturc 3 года назад

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

    • @DrJamesGill
      @DrJamesGill  3 года назад +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 года назад

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

    • @medecinturc
      @medecinturc 3 года назад

      Mr.gill, im waiting your response 😢

    • @DrJamesGill
      @DrJamesGill  3 года назад

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

    • @medecinturc
      @medecinturc 3 года назад

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

  • @nataliajot4036
    @nataliajot4036 30 минут назад

    Maciczak hopak czynom kocham badanie kwiat lotos gamy ❤

  • @lowbudgetcontent8858
    @lowbudgetcontent8858 4 года назад +10

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

    • @Omni315
      @Omni315 4 года назад

      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 4 года назад +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 4 года назад

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

  • @joelopez7459
    @joelopez7459 4 года назад +1

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

    • @DrJamesGill
      @DrJamesGill  4 года назад

      A manual or an automatic one?

    • @joelopez7459
      @joelopez7459 3 года назад +1

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

    • @DrJamesGill
      @DrJamesGill  3 года назад

      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 года назад

      @@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 года назад

      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

  • @williamwinder5011
    @williamwinder5011 3 года назад

    Apparently the highest recorded blood pressure was 370/360

  • @Vgy926
    @Vgy926 4 года назад

    Who asked him to do a blood pressure assessment?

  • @sylikon
    @sylikon 4 года назад +1

    Dino pockets? :D

    • @DrJamesGill
      @DrJamesGill  4 года назад +1

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

  • @blumpth
    @blumpth 4 года назад +2

    Magically disappearing watch 0:51

  • @nonbinaryrussia
    @nonbinaryrussia 4 года назад +1

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

    • @DrJamesGill
      @DrJamesGill  4 года назад +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 4 года назад +1

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

  • @GleichsamHD
    @GleichsamHD 4 года назад +2

    What is on the shirt? Dinosaurs?

    • @DrJamesGill
      @DrJamesGill  4 года назад +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! 🦖🦕

  • @half-pintasmr1075
    @half-pintasmr1075 4 года назад

    You forgot the pitapaper!!!!!

  • @tipupalit9911
    @tipupalit9911 Месяц назад

    Hand condition is not heart level...

  • @bernif3804
    @bernif3804 4 года назад

    Where’s the putapitapaper on him?

  • @Ronnie7X
    @Ronnie7X 3 года назад

    why the mr robot font tho?

    • @DrJamesGill
      @DrJamesGill  3 года назад

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

    • @Ronnie7X
      @Ronnie7X 3 года назад

      @@DrJamesGill aha

  • @TheKraetos
    @TheKraetos 4 года назад

    Im surprised he got to keep his shirt

  • @KPSinghCardiosonologist
    @KPSinghCardiosonologist 3 года назад

    MATTER OF 5 MINUTES

    • @DrJamesGill
      @DrJamesGill  3 года назад

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

  • @runs6237
    @runs6237 4 года назад +2

    You didn‘t putapitofpaper

  • @PSG-zw1tb
    @PSG-zw1tb 4 года назад +2

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

  • @Mr2legit2quitt
    @Mr2legit2quitt 4 года назад

    The masks will make you red in the face

  • @stanrix
    @stanrix 4 года назад +2

    I know you are lip-syncing.

    • @DrJamesGill
      @DrJamesGill  4 года назад

      Huh?

    • @stanrix
      @stanrix 4 года назад +1

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