What is the best way to assess a patient's pulse rate?

Assessing a patient’s pulse rate is most effectively done by feeling for the pulse at locations such as the wrist (radial pulse) or neck (carotid pulse). This method allows a responder to quickly and accurately gauge the pulse rate by counting the beats over a specific time period, typically 15 or 30 seconds and then multiplying to get the beats per minute.

Palpating the pulse provides immediate tactile feedback and does not require special equipment, making it a practical choice for first responders. It is also important to note that this method permits the responder to feel for the quality and rhythm of the pulse, which are additional vital signs that can indicate a patient’s overall condition.

While other methods can also assess pulse rates, such as listening with a stethoscope or using an automated device, these can be less immediate in emergency situations. Therefore, feeling for the pulse is often preferred for quick assessments in a pre-hospital setting.