hypotension

What Is hypotension?

Hypotension, characterized by abnormally low blood pressure, can result in insufficient perfusion of vital organs, potentially leading to organ dysfunction or failure. It may arise from various etiologies, such as hypovolemia, cardiogenic causes, or septic shock. Not to be confused with hypertension, hypotension requires prompt identification and management within the framework of patient assessment protocols like START or SALT to ensure optimal outcomes. In EMS contexts, it is commonly framed alongside structured communication and triage concepts such as START (Simple Triage and Rapid Treatment) or SALT (Sort, Assess, Lifesaving interventions, Treatment/Transport) as shared terminology.

Why hypotension Matters on the Fireground

Timely recognition of hypotension is crucial for preventing progression to shock, which can compromise patient survival. Firefighter/medics must prioritize monitoring blood pressure and other vital signs during assessments to facilitate appropriate interventions. Clear definitions improve handoffs, documentation clarity, and team alignment when multiple providers must prioritize tasks under time pressure.