The Second Task Force Report on Blood Pressure Control in Children does emphasize blood pressure measurement in a quiet environment, using a proper size cuff, and using appropriate technique. Ideally, BP should be measured in a quiet setting in a relaxed child, with several measurements taken at each. This scenario is nearly impossible in the emergency department, as demonstrated in a previous retrospective study that indicated that although BP was elevated in 52% of children who underwent triage blood pressure measurement in the ED, the measurement was repeated in the in only 38%.