While performing cardiopulmonary resuscitation (CPR) on a 5-year-old child, the nurse palpates for a pulse. Which of the following sites is best for checking the pulse during CPR in a 5-year-old child?
- Femoral artery.
- Carotid artery.
- Radial artery.
- Brachial artery.
The Correct Answer and Explanation is :
The correct answer is 2. Carotid artery.
During cardiopulmonary resuscitation (CPR) on a 5-year-old child, the carotid artery is the best site for checking the pulse. Here’s an explanation:
Why the Carotid Artery?
The carotid artery is one of the major arteries that supply blood to the brain. In an emergency situation like CPR, it is crucial to check a pulse at a site that is both accessible and effective for assessing circulation. In children around the age of 5, the carotid artery is typically the easiest and most reliable site to check for a pulse when performing CPR, as it is a central artery and is easier to palpate compared to peripheral arteries.
Alternative Sites:
- Femoral artery: While this is another major artery, it is typically used in cases where the carotid pulse is difficult to feel, but it is less commonly recommended for routine pulse checks during CPR in a child of this age. The femoral artery can be difficult to palpate, especially if the child is in a supine position or if there is significant body fat or clothing obstructing access.
- Radial artery: This artery is found at the wrist, and while it is a commonly used site for pulse checks in adults and older children, it is not ideal in a 5-year-old. In children, especially when they are not fully conscious, peripheral pulses like the radial pulse may be weak or absent, making it difficult to assess circulation accurately.
- Brachial artery: The brachial artery is commonly used to assess pulse in infants (under the age of 1) and is found inside the upper arm. However, it is not the best option for a 5-year-old child during CPR, as it is more challenging to palpate effectively in older children.
Conclusion:
When performing CPR on a 5-year-old child, checking the carotid pulse is the most effective and reliable method for confirming the presence of a heartbeat.