I am curious to know why some of our medical directives are systolic driven rather than mean arterial pressure driven? 
 
Current research suggests MAP is more accurate than SBP in non-invasive monitoring and better reflects perfusion pressure in shock, is a better indicator of organ perfusion and is a better predictor of post-cardiac arrest outcomes. 
 
Even ACLS recommends a target MAP of 65mmHg for post-cardiac arrest care as opposed to a certain SBP.  
 
Is this a change that OBHG would consider in future iterations of the medical directives? 

This question is timely. The use of MAP within medical directives is currently being reviewed as part of the Comprehensive Medical Directive Review. 

Procedural Sedation,Uncategorized

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