I needed one for school. It's a good beginner at least until you can afford another one if needed.

Blood pressure cuff works, and stethoscope works. Stethoscope does not have a bell, only the diaphragm. The pictures in the product do not show all the essential components of a stethoscope. The cuff does not have a strap for the meter to clip on to.

The EMT jump bag in the rescue truck stores a Littman scope and a super silky nice cuff. I did NOT expect that in a cheap set, and did not receive one. There are things I like about this but I'm afraid I'm just not going to keep it, for this low price. Springing for a little better kit - or separate scope - might be the way to go if you are using this frequently.

EDIT: customer service contacted me so I added a star back. I was pretty hasty and critical in my assessment. For the price this works as an occasional use entry level BP set. I wish I had others to compare to! The cuff works and you can get by with this scope for quick BP.

The scope head is super cheap plastic as other reviewers have picked up. The audio works for BP but not much more. The ear tips are hard plastic and only one size. Note you'll have to do some bending to make this comfortable for even a minute! Don't bend the tubes (of course) but try the springy piece of metal that connects the two. Also rotating the tubes so the ear buds face forward a bit (instead of facing each other straight to the side) makes a huge difference in the sound!

The cuff seems decent and is reasonably comfortable. The d-ring design means you will be either taking it apart each time or sliding up the arm. I find it large enough to slide up the arm without difficulty, there's a block to keep it from falling back out of the ring, and the d-ring makes it much easier to use on myself. The cuff doesn't have artery markers like the video and instructions show and taking readings from different locations changes the results. The monometer has a decent multi-way clip on it but nowhere on the cuff to actually clip it so it just sort of dangles from the top. The dial is easy to read but i wish just a little larger. The valve makes it tricky to release air at a steady pace and actually see where it is when the pulse sounds resume.

Side note, i see why people buy the automatic ones now. I asked a paramedic his opinion of this set and after he stopped laughing said he didn't even know when the last time he took a manual BP was. Faster and more accurate to use the machines. Well, my service still uses the old ways.

I bought this pressure cuff and stethoscope to use in my nursing assistant class in which we we required to measure blood pressure accurate to +/- 10 mmHg of our instructor's measurement, and they held up very nicely. They were comparable in accuracy to a 40 dollar combo that the class was selling, which pleasantly surprised me. Here are some pros and cons that I encountered while using them.

PROS:
1. Like I said, the value. These will have no problem with accuracy or sound. I was able to clearly make out the systolic and diastolic sounds.
2. The cuff is slightly more comfortable to put onto someone and is easier to get a tight fit in comparison to other cuffs.

CONS:
1. The only major downside that I encountered was the flimsy air valve. It is really hard to have precise control over how much air was being let out because of how flimsy the knob was. Even a slight turn would sometimes release air too fast to measure, forcing me to redo the measurement.

In conclusion, I believe that this cuff and stethoscope combination is a great starting kit and is comparable in value to kits way pricier than the low price that Paramed charges.

I needed this for school and it works very well.