How to Check a Pulse During CPR
Cardiopulmonary resuscitation, or CPR, can involve administering both rescue breathing and chest compressions if the victim is not breathing and does not have a pulse. Properly checking for the victim's pulse is an important part of both your initial assessment and ongoing monitoring of the patient while performing CPR.
- Difficulty:
- Moderately Easy
Instructions
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1
Locate the carotid artery on the neck of the victim after you have evaluated breathing and given two rescue breaths if needed. The carotid artery can be felt on both sides of the adam's apple. You should always check the pulse on whatever side is closest to you. Do not reach across the patient's neck to check pulse as you could block the airway with your hand.
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2
Place two fingers on the carotid artery. Do not press too hard or you might not be able to feel the pulse. Always use your fingers when checking a pulse, be sure not to use your thumb. Your thumb has a pulse of its own and you might confuse this with the pulse of the patient.
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3
Move your fingers around until you can feel the pulse easily.
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4
Perform chest compressions only if there is no pulse present. Never perform chest compressions on a victim who has a pulse even if the pulse is weak.
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5
Check the pulse every minute while performing rescue breathing. This is approximately one pulse check for every 12 rescue breaths given.
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1
Tips & Warnings
Always check for the carotid artery pulse on the neck not for the radial pulse on the wrist unless the victim has severe wounds or injuries to the neck that would interfere with pulse checking. When a body goes into shock it shuts down blood flow to the extremities including the pulse in the wrist so radial pulse is not reliable during medical emergencies.
