Date Published

January 29, 2021

Updated For

ALS PCS Version ALS PCS Version 5.2


Need some clarification on when we do pulse checks during medical arrest protocol. Do we perform a pulse check after a no shock advised?


Pulse checks should occur concurrently with each rhythm analysis. They should not occur between 2min pulse/rhythm checks unless there is a change in patient condition (patient moans, begins moving etc.). The reason behind not checking for a pulse between pulse/rhythm checks is that we want to reduce peri-analysis CPR pause. Remember that it takes at least 20 second to regain forward flow after a pause in CPR.



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