I had a pt who has a very audible brachial pulse! I applied the cuff as normal, inflated the cuff and got the systolic pressure and continued to hear the pulse to past 0! Ok I thought I lost something....Went to recheck on RAC and realized I could hear her brachial pulse faintly in the right arm and strongly on the left arm WITHOUT inflation of the cuff! Based on her previous symptoms, diagnosis, and risk factors; patient had visit with EMT's. BUT this RN requests info from cardiac RN's on why my patient has audible brachial pulses???? HX: CAD, HTN, DM, MI's, Neuropathy.....Can anyone explain what the audible pulse could mean, I have never experienced this and I have had many end stage disease pts...Always trust a littman!!