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zooz said:Wouldn't that be the radial pulse? I need to know how to find the brachial pulse (by the elbow).
yup, that is the radial, ....make sure the arm is fully extended...prop the arm to maintain that position...start at the medial side of the elbow (closest to the body) and work across.....if that doesnt do it, try a little lower and try again...good luck
Odd thing I learned in A&P.
Follow the bicep down to where it turns into tendon about an inch or so above the crook of your arm, palpate the medial side you may have to kind of push the muscle over to find it.
In people who have extra fluff you may have to dig around a little to find the artery. Its buried in there.
casi said:Odd thing I learned in A&P.Follow the bicep down to where it turns into tendon about an inch or so above the crook of your arm, palpate the medial side you may have to kind of push the muscle over to find it.
In people who have extra fluff you may have to dig around a little to find the artery. Its buried in there.
Good suggestion! I just found it on myself that way. Found it about an inch above my elbow and then kind of traced it down to the crook, where I'd put the steth.
Carolyn (ginger58) was kind enough to send me this PM and I thought I would share it because it clarifies everything nicely:
ginger58 said:To be sure you understand medial, you need to know that anatomic position is with the palms forward and medial is toward the center. So you're looking for this devious pulse on the side of the 5th finger.Take your right index and third fingers and at or slightly below the crease at your left elbow roll your fingers over the bone and it should be there. Try pressing with less pressure. It also helps to roll the fingers over the bone and then flatten them out instead of trying with the finger tips.
Hope this helps. It's tricky. Carolyn
All this time I was having a horrible time finding the brachial on anybody, then suddenly today my instructor whips out this little gem:
extend your arm (resting)
with the opposite hand, place the index finger squarely in the middle/center of the crease
now add the next two fingers.
now lift your index finger.
it may take a moment, but you should feel your brachial.
zooz
196 Posts
Hello all!
I started my CNA class mid-May and we're just now starting to learn how to take BPs.
What I've been having the most trouble with is finding the brachial pulse. If I'm lucky I can find it (it's usually very faint), but most of the time I can't feel anything. I'm using two fingers and I've tried varying levels of pressure--thinking that I was pressing too hard, or not hard enough---but I can't find any reason why I can't consistently find it.
Any tips? Anyone willing to tell me, step-by-step what they (personally) do to find the brachial pulse? My textbook (Mosby's) and teacher haven't been much help.