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Updated: Dec 3, 2025

An Educational Video Demonstration of How to Prone a Critically Ill Intubated Patient
Published on: November 30, 2022
Heel Pressure Injuries in the Adult Critical Care Population
Barbara Delmore1, Elizabeth A Ayello2
1Department of Plastic Surgery, Center for Innovations in the Advancement of Care (CIAC), Hansjӧrg Wyss, NYU Langone Health, 545 1st Avenue, Greenberg Hall, SC1-160, New York, NY 10016, USA.
Abstract:
Patients in critical care units have a multitude of diseases and conditions that contribute to their illness and as such are susceptible to comorbid conditions such as heel pressure injuries. Prevention is a key strategy to avoid heel pressure injury occurrence. Risk factor identification can help a clinician identify those patients at risk for a heel pressure injury requiring timely prevention strategies. The purpose of this article is to raise awareness regarding the critical care patient's vulnerability to heel pressure injuries and strategies that can help avoid their occurrence or expedite their healing if occur.
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Assessment:
1. Clinical Evaluation:
History:
Assessing Blood pressure in the Leg
Preparation:
Pre-Procedural Guidelines for Assessing Blood Pressure
Special considerations while measuring blood pressure
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.

