Oddly, at least a decade ago, at least one Bay Area hospital stroke protocol required manual BP readings with a sphygmomanometer. And the patient had an art line.
Not sure if they didn’t have the equipment for art blood pressure or what, but good BP readings were important. And they had all the fancy equipment. Patient presented with an ischemic stroke, and was getting a stent + thinners, so anything problematic was likely due to something immediately life threatening.
They didn’t want an automatic cuff system because it could cause something to burst with the pressure ramp up. At least that is what the surgeon said.
Source: I was the EMT-B on his clinicals who stayed with the patient in the OR while he got stented and took readings every 5 minutes because none of the nurses were ‘current’ on the manual cuff. or so they said. I was pretty fresh, and was pretty good at it at the time, but I think they were just making excuses now haha. I held his hand through the procedure to help calm him down too, which seemed
to help a lot.
Patient 20 something that day. Emergency Rooms are quite an experience. I volunteered for Halloween Night, which added to it I’m sure.
PS. Watching the Dr install the arterial catheter (or maybe it was a port?) in the ER was wild. Literal stream-of-blood-shooting-across-the-room-and-spraying-on-the-wall wild. Never seen anything like it before or since. I was glad I had my safety glasses on.