But the lack of pulses could also mean nothing in terms of the quality of CPR... Why not just focus on adequate rate, depth, and recoil?
Why not focus on more than just that if you have the time? It's already assumed you're watching for good rate, depth, and recoil.
Pulse check might increase your index of suspicion on faulty CPR (combined with questionable rate, depth, recoil, fitness of provider, time doing CPR, etc) and of hypovolemic state (combined with skin signs, medical history, environment, ECG rhythm, etc etc).
I try to have my fingers on the neck before CPR is stopped to do the pulse check, so how does that slow the team down?
Especially, when you have everything else taken care of.
It's one thing to take action based on a random assessment that has no evidence base and another to note several common sense findings that could add up to a big picture combined with evidence based assessments.
Edited by AnthonyM83, 27 March 2009 - 05:47 PM.