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Found on a generic smartwatch listing on Amazon.

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[-] conditional_soup@lemm.ee 53 points 1 year ago* (last edited 1 year ago)

Okay, paramedic here, let me break it down:

Heart rate: this is fine, a little low for running, though. The biggest problem here, imo, is the leading zero. It justooks bad.

Blood pressure: this is all fucked up. The higher number is always first, always, just because of how you read blood pressures. See, you place the stethoscope on the brachial artery and inflate the cuff until you stop hearing the bruit (the "thump" noise) of blood coming through the artery and then a little more again. Then, you start deflating and listening for the first bruit. The pressure at which you hear the first bruit is the systolic pressure, the high number, which is your blood pressure while your heart is contracting. Then, you keep going until you hear the last bruit. That last bruit is the diastolic pressure, the low number, and it represents the pressure in your arteries while your heart is relaxed (not squeezing). It's always written systolic/diastolic, or high/low for the layman. Anyhow, a blood pressure of 36/20 is not something that I would generally consider to be compatible with life. The lower bound for people who are not dying tends to be pretty close to 90-80/something (diastolic is A LOT more loosely goosey than systolic, as a rule. There's much more short term tolerance for weird diastolic numbers). Also, the leading zeroes again, ugh.

The pulse oximetry- The number of the right is the pulse oximetry. If you have an oximetry of 30%, your sensor is fucked and you need to adjust it. Oximeters are really only considered accurate until about 80-85%, below that and they're just basically making shit up. Plus, they're famously inaccurate, and there's all kinds of stuff that interferes with them functioning properly, so a wildly low oximetry is almost always a malfunction. At any rate, functioning, not obviously dying people don't typically have oximetries below 90%, though there are certain diseases and edge cases that are exceptions. If this dude did actually have a blood oxygen sat in the 30% range, he'd be in cardiac arrest. And please, please, please nuke the leading zero.

[-] lom@sh.itjust.works 13 points 1 year ago

Thank you for your insight! We need more of this on Lemmy!

[-] xaera@sh.itjust.works 5 points 1 year ago

If you have an oximetry of 30%, you either have a potential zombie outbreak on your hands, or; your sensor is fucked and you need to adjust it.

Fixed that for you 👍

P.S. Thanks, that was a great read.

[-] Ookami38@sh.itjust.works 26 points 1 year ago

Man I had a blood oxygen reading of 84-about for a couple of years and every time they'd be like, "oh that can't be right sweetie, you wouldn't have walked in here if it was!"

It was right, one corrective surgery later, and I'm 96-98% blood oxygen. Can confirm, 36% is cause for concern.

[-] klenow@kbin.social 19 points 1 year ago

A doctor seeing 36% O2 sat wouldn't be concerned, they'd just pass the patient off to the coroner.

[-] Ookami38@sh.itjust.works 10 points 1 year ago

I'd probably pass the equipment off for examination first, or be wondering how we're in the situation where we're measuring a clearly dead persons blood oxygen lmao

[-] conditional_soup@lemm.ee 3 points 1 year ago

Pulse oximeters lie so much that I generally weight their output very lightly in patient assessment. I've had old oximeters get readings without even being on a patient before. I've picked patients up from clinics where they were losing their shit about the patient's 54% reading. One sensor adjustment later, the patient was reading 93%; still not amazeballs, but also not full metal panic.

I’ve had old oximeters get readings without even being on a patient before.

It was just picking up the environment's oxygen concentration! 🤓

[-] conditional_soup@lemm.ee 5 points 1 year ago

Not sure if you're kidding around here, but it shouldn't ever pick up atmospheric O2 concentration. The way an oximeter works is that it uses a very specific band of light that interacts differently with heme molecules (or hemoglobin protein, I can't fully recall) when they're saturated with something (usually oxygen) vs not saturated with something. That's what it's also called an "O2 saturation" or "O2 sat". You can calculate how much is saturated by how much light is absorbed, and that's what it does and why it won't read atmospheric concentration. It's important to note here that it only reads how much hemoglobin is bound to anything, including both Oxygen and Carbon Monoxide. So, you can asphyxiate from CO poisoning while having an SpO2 of 100%.

[-] hrimfaxi_work@midwest.social 21 points 1 year ago* (last edited 1 year ago)

I wish one of them was a check engine or TPMS warning light

[-] Ookami38@sh.itjust.works 8 points 1 year ago

TPMS icon for the blood pressure. Oil life for blood oxygen, and RPM for heart rate.

[-] hrimfaxi_work@midwest.social 4 points 1 year ago

😂 That's actually great. There's bound to be a gearhead-themed health monitor app already, right? If not, I bet if you made one you'd get several downloads. Dozens, maybe.

[-] Ookami38@sh.itjust.works 2 points 1 year ago

It HAS to exist. With their billions of fallout themed ones, there's got to be one good gearhead skin.

[-] Jaytreeman@kbin.social 10 points 1 year ago

The patient is dead and has been left in the sun

[-] Merlin@lemm.ee 9 points 1 year ago* (last edited 1 year ago)

My concern here is how poorly edited the watch is on everyone’s wrists. The cyclist one is the worse one.

[-] Showroom7561@lemmy.ca 6 points 1 year ago

This has been more and more of a trend on Amazon, unfortunately.

Nearly every listing has poorly photoshopped photos that are either wildly inaccurate or downright misleading.

[-] TurtleTourParty@midwest.social 8 points 1 year ago

I was on drugs to keep my heart rate down after heart surgery and would run with around an 86 BPM heart rate. It was hard.

[-] Showroom7561@lemmy.ca 9 points 1 year ago

Yeah, but I'm sure you had more than 36% blood oxygen! LOL

[-] AttackBunny@kbin.social 7 points 1 year ago

My resting heart rate is comically low. Like 43bpm low. I couldn’t imagine 86bpm as resting. 50 feels fast to me at this point.

Every damn time someone puts one of those stupid heart rate monitors on me they start panicking.

I ended up in the er (not my idea) and once I was back in the room, with the monitor on, every five minutes or so, some nurse would poke their head in “ you feeling ok?” “You sure?” “Your heart rate is really low. You sure you’re ok?”

[-] discodoubloon@kbin.social 4 points 1 year ago

You can barely play jazz at 43bpm. What were you thinking?

[-] AttackBunny@kbin.social 2 points 1 year ago* (last edited 1 year ago)

You CAN, it just won’t sound as good.

I’ll make sure to tell my heart to get its shit together and be less efficient.

[-] ivanafterall@kbin.social 1 points 1 year ago
[-] TurtleTourParty@midwest.social 1 points 1 year ago

Before the surgery they sent me in for a testing procedure and I kept setting off the alarm. It seemed to happen whenever my heart rate dropped below 45bpm. No one seemed concerned though

[-] AttackBunny@kbin.social 2 points 1 year ago

Eventually, both husband and I would say I'm a runner, when they would come in, and that seemed to assuage their concerns. The first handful asked that, and I'd say yes, and they seemed good with that answer. I'm sure a lot of their concern was because I was there for heart things to begin with.

I did also learn that day that the apple watch heart rate was spot on with the one in the hospital. The hospital turned the alarm off pretty quickly since it wouldn't shut up.

I've had other way weirder experiences with nurses freaking about my low heartrate though.

FWIW "normal" heart rates are like 60-100 (and women apparently have higher. I'm a woman) so I can see a wildly low deviation setting some alarm bells off, but if patient isn't even surprised or concerned, that should be a pretty good indication of it being normal for them.

[-] Thepinyaroma@lemmy.world 7 points 1 year ago

36% is impressive considering that blood pressure.

heart flopping around like a fish

[-] ivanafterall@kbin.social 5 points 1 year ago

The monitor is working just fine. He's running on Venus.

[-] Lemmylefty@lemmy.world 3 points 1 year ago

The third digit for the diastolic blood pressure suggests they expect a number over 100.

That would be very bad.

[-] conditional_soup@lemm.ee 1 points 1 year ago

I've seen diastolic over 100 and been relatively unconcerned, but I work in the emergency field. If your primary saw it, they'd have a fit, though.

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this post was submitted on 10 Jul 2023
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