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Hello, Iamp;#39;m Ann-Marie McLaren. Iamp;#39;m a foot specialist on a wound team in Toronto, Ontario. Iamp;#39;d like to demonstrate how to perform an ankle brachial index using the ankle pressure divided by the brachial pressure. To perform an ankle brachial index, you will need a hand-held Doppler, ultrasound gel and a manual blood pressure cuff. So the next thing is that you actually want to make sure that your patient is lying comfortably and relaxed for about 10 minutes to stabilize their blood pressure. Itamp;#39;s also important to remind your patient not to speak while youamp;#39;re doing the test. You apply the blood pressure cuff to the patientamp;#39;s arm, taking care that you leave enough space so that you can still access your brachial artery. Thatamp;#39;s the brachial artery here. And then, using your hand-held Doppler, weamp;#39;re going to listen for the brachial pulse. and its signal. You can clearly hear the brachial artery signal. Now what we want to do is