A pulse may be measured in nine sites
1.       Temporal
Where the temporal artery passes over the temporal bone of head. The site is superior (above)  and lateral to (away from the midline of) the eye
2.       Carotid
At the side of the neck where the carotid artery runs between the trachea and the sternocleidomastoid muscle
3.       Apical
At the apex of the heart. In an adult this located on the left side of the chest, about 8cm to the left of the sternum (breastbone) and at the fourth and fifth, or sixth intercostal space (area between the ribs)
Before 4 years of the age the apex is left of the midclavicular line ( MCL); between 4 and 6yrs it is at MCL. For a child 7 to 9 yrs of age, the apical pulse is located at the fourth or fifth intercostal space
4.       Brachial
At the inner aspect of the biceps muscle of the arm or medially in the ante cubital space
5.       Radial
Where the radial artery runs along the radial bone, on the thumb side of the inner aspect of the wrist
6.       Femoral
Where the femoral artery passes alongside the inguinal
7.       Popliteal
Where the popliteal artery passes behind the knee
8.       Posterior tibial
On the medial surface of the ankle where the posterior tibial artery passes behind the medial malleolus
9.       Pedal (Dorsalis Pedis)
Where the dorsalis pedis artery passes over the bones of the foot, on an imaginary line drawn from the middle of the ankle to the space between the big and second toes .
The radial site is most commonly used in adults. it is easily found in most people and readily accessible.
Reasons for using specific Pulse Site

Pulse site
Reason for Use
Readily accessible
Used when radial pulse is not accessible
Used during cardiac arrest/ shock in adults Used to determine circulation to the brain
Routinely used for infants and children up to 3 yrs of age
Used to determine discrepancies with radial pulse
Used to measure blood pressure
Used during cardiac arrest for infants
Used in cases of cardiac arrest] shock
Used to determine circulation to a leg
Used to determine circulation to the lower leg
Posterior tibial
Used to determine circulation to the foot
Dorsal Pedal
- Used to determine circulation to the foot



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notes.nursium.com: PULSE SITES
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