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Acker 2015 SIPA: heart rate in bpm divided by cuff systolic pressure in mm Hg, rounded to two decimals. Elevated if the ratio exceeds the age-band cutoff: 1.22 (ages 4-6), 1.0 (7-12), or 0.9 (13-16). Ages 4-16 only; not for infants or adults 17 and older. Not a diagnosis of shock and not the adult shock-index greater-than-0.9 rule. magent does not measure vitals.

last updated: Oct 6, 2026 · type: http · x402 v2

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