How should an EMT perform a pulse check?

The method of performing a pulse check is fundamental in assessing a patient's circulatory status. Palpating the radial, carotid, or femoral pulse is an effective approach because these locations provide reliable access to major arteries, allowing the EMT to evaluate the strength and regularity of the pulse.

The radial pulse, located at the wrist, is typically checked when the patient is alert and responsive. However, if the patient is unresponsive or in shock, the carotid pulse, found in the neck, or the femoral pulse in the groin area, are more appropriate as they are larger arteries and are less likely to be influenced by peripheral circulation issues. This technique not only ensures a more accurate assessment of cardiac function but also provides critical information regarding the patient's overall hemodynamic status.

Other methods, like using a pulse oximeter, do not directly assess pulse mechanics and can sometimes give misleading information, especially if peripheral circulation is compromised. Visually inspecting for a heartbeat is insufficient, as it does not provide the tactile confirmation of pulse characteristics. Thus, palpating one of the major arteries remains the most effective and clinically relevant method for performing a pulse check in the field.