Review on PARAMED Aneroid Sphygmomanometer – Manual Blood Pressure Cuff With Universal Cuff 8.7 - 16.5" And D-Ring – Carrying Case In The Kit – Pink – Stethoscope Not Included by Randy Albright

7/25 UpdateLike others have said, I had some concerns about accuracy so I decided to calibrate the gauge to check for accuracy so I built a simple calibration stand to measure the pressure applied to the cuff in inches of water and compared that to what the supplied gauge was saying. I've attached the data and you can see the accuracy is about 1% which is outstanding and should put to rest any concerns of accuracy. This solidifies this as a definite buy for any purpose, including professional EMT use. IMHO----- Original ---Many years ago I was an EMT and this cuff appears to be as good as any of the ones I used in the field. Time will tell if the stitching will hold but I find it hard to believe there will be problems for personal use. The twin tube design is extremely convenient and even allows the user to take their own BP (and I am 6'2" with long arms).I am not sure what some of the other reviewers are talking about when it comes to pumping up the cuff. It is expected that it will take a few pumps to get the needle to start moving. The thumb bleed screw is typical for these kinds of cuffs and is easy to use an provides excellent control for release of pressure.As far as accuracy, it appears to be very accurate and compares well to the Omron automatic unit I own.As far as size, I used it on my arms, 15" (38cm) circumference, and my wife's arms, 10" (25cm), with room to spare on either side of these measurements.Overall I would highly recommend this cuff for either home use or as a primary or back up cuff for EMT use.