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New vital sign proposed to predict hemorrhage

Researchers develop easy to use, portable and inexpensive device to predict hypovolemia from hemorrhage by noninvasive monitoring of vascular tone

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Monitoring the effectiveness of chest compressions during cardiac arrest resuscitation is another potential application of the device.

Photo by Greg Friese

ORLANDO, Fla. — Vascular tone, measured with a noninvasive, peripherally placed device, was proposed as a new vital sign to predict hemorrhage at the American Heart Association’s Scientific Sessions 2015.

Researchers from the University of Michigan developed a device, which can be placed on a patient’s finger, to continuously monitor vascular tone. An abstract presented by Sardar Ansari, PhD at the Resuscitation Science Symposium, described an animal study using the portable polyvinylidene fluoride-based sensor to detect hemorrhage.

The researchers concluded the prototype sensor’s measurement of vascular tone is able to detect hemorrhage. The waveform morphology is a reflection of vascular tone. The amplitude of the wave is the vascular resistance from a measure of a blood vessel’s diameter.

The device may have applications for monitoring other patient conditions. For example, the device may help clinicians distinguish septic shock from hypovolemic shock. Sepsis causes vasodilation while hypovolemia causes vasoconstriction.

Monitoring the effectiveness of chest compressions during cardiac arrest resuscitation is another potential application of the device. Adequate compressions would demonstrate a different type of waveform if perfusion is adequate.

Greg Friese, MS, NRP, is the Lexipol Editorial Director, leading the efforts of the editorial team on Police1, FireRescue1, Corrections1 and EMS1. Greg served as the EMS1 editor-in-chief for five years. He has a bachelor’s degree from the University of Wisconsin-Madison and a master’s degree from the University of Idaho. He is an educator, author, national registry paramedic since 2005, and a long-distance runner. Greg was a 2010 recipient of the EMS 10 Award for innovation. He is also a three-time Jesse H. Neal award winner, the most prestigious award in specialized journalism, and the 2018 and 2020 Eddie Award winner for best Column/Blog. Connect with Greg on LinkedIn.