Pulse Check

Definition: A method used by professional rescuers: Paramedics, Nurses, Doctors, and other trained medical providers, to feel for a heartbeat at the neck or arm and decide whether CPR is needed. Under current American Heart Association guidelines, pulse checks are no longer recommended for parents, bystanders, or other lay rescuers.

Parent Tip: If you find someone unresponsive, do not try to check for a pulse. Instead, look for signs of life: are they breathing normally, moving, or responding when you tap them and shout their name? If they are not breathing or only gasping, start CPR right away and call 911. The AHA changed this guidance because too many lay rescuers either could not find a pulse in a stressful moment and wasted critical time, or mistakenly felt their own pulse in their fingertips and assumed the victim was fine when they were not. Starting CPR on someone who has a pulse rarely causes harm. Not starting CPR on someone who needs it can be fatal.

Why It Matters: Every second matters in cardiac arrest. Survival rates drop by about 10% for every minute that CPR is delayed. The "look for signs of life, then act" approach gets parents and bystanders to start chest compressions faster, which saves lives. Professional rescuers still perform pulse checks because they do it constantly and have the training to do it accurately under pressure, but the rule for everyone else is simple: when in doubt, push.

Related Terms: AED, Chest Thrusts, CPR, Pediatric Vital Signs, Rescue Breathing, Unconsciousness, Vital Signs


Written and reviewed by Jeremy Manke, Firefighter / Paramedic (22 years of emergency service)

← Back to Glossary