Orthostatic Blood Pressure Measurement


Clinical Indications:


  • Patient situations with suspected blood, fluid loss, or dehydration with no indication for spinal immobilization.
  • Patients ≥ 8 years of age, or patients larger than the Broselow-Luten tape




  • Gather and prepare standard sphygmomanometer and stethoscope.
  • With the patient supine, obtain pulse and blood pressure.
  • Have the patient sit upright.
  • After 30 seconds, obtain blood pressure and pulse.
  • If the systolic blood pressure falls more than 30 mmHg or the pulse rises more than 20 bpm, the patient is considered to be orthostatic.
  • If a patient experiences dizziness upon sitting or is obviously dehydrated based on history or physical exam, formal orthostatic examination should be omitted and fluid resuscitation initiated.