pulse sites

Radial pulse

Most commonly used pulse site for routine vital signs; located at the wrist.

Brachial pulse

Used during CPR of infants; located in the arm.

Carotid pulse

Used during adult CPR and to assess circulation to the brain.

Temporal pulse

Used to assess circulation to the head or when other sites are difficult to access.

Dorsalis pedis pulse

Located on the foot; used to assess circulation to the feet and legs.

Posterior tibial pulse

Used to assess circulation to the feet and legs.

Femoral pulse

Used to assess circulation to the legs and for children.

Popliteal pulse

Used to assess circulation to the lower leg.

Apical pulse

Pulse heard at the apex of the heart; the most accurate pulse measurement.

When to take an apical pulse

When radial pulse is weak or irregular, rate is below 60 or above 100, patient takes cardiac medications, or patient is an infant or child up to age 3.

Pulse deficit

A difference between the apical and radial pulse rates because not every heartbeat is felt at the radial artery.

Atrial fibrillation

A condition in which a pulse deficit may occur.