Why is the pulse of neck checked instead radial pulse?

While it is common to check the pulse at the wrist (radial pulse), there are instances when the pulse of the neck (carotid pulse) is checked instead. Here are a few reasons why the carotid pulse may be preferred:

1. Ease of Access: The carotid artery is located on the side of the neck and is easily accessible. It can be felt just beneath the skin, making it convenient for healthcare professionals to quickly assess a person's pulse.

2. Accuracy in Emergency Situations: In emergency or critical care situations, checking the carotid pulse may be more reliable compared to the radial pulse. This is because the carotid artery is located closer to the heart and provides a stronger and more consistent pulse. During times of shock or severe blood loss, the radial pulse may be weak or difficult to detect, making the carotid pulse a more reliable indicator of heart rate.

3. Monitoring Vital Signs: The carotid pulse is often used for monitoring vital signs in patients who require continuous observation or critical care. It is especially important in cases where the patient's condition is unstable, as it provides a quick and easy way to assess their heart rate.

4. Assessment of Neurological Conditions: Checking the carotid pulse can provide insights into neurological conditions. For example, a difference in pulse strength or quality between the right and left carotid arteries can indicate a carotid artery blockage or other cerebrovascular issues.

5. Trauma Assessment: In cases of neck trauma or injuries, checking the carotid pulse becomes crucial. It helps healthcare providers determine if there is sufficient blood flow to the brain and if any major arteries have been affected.

It's important to note that while the carotid pulse is useful in certain situations, the radial pulse is still commonly checked for routine pulse assessments and vital signs monitoring in non-emergency settings. Healthcare professionals choose the appropriate pulse point based on the individual's condition and the information they need to obtain.