1. Cuff is placed over the arm
2. The cuff is inflated until the pressure stops blood flowing through the arm
3. The cuff is allowed to deflate gradually until the pressure of blood in the artery is higher than the pressure of the cuff
4. A pulse can now be felt and blood can be heard going through the artery using a stethoscope
5. The pressure at which this first occurs is the SYSTOLIC pressure
6. More air is released from the cuff until the sound of spurting blood disappears and a pulse is no longer detected
7. The pressure at which this first occurs is the DIASTOLIC pressure