How do you properly assess for a pulse in an unconscious adult?

To properly assess for a pulse in an unconscious adult, checking the carotid pulse for at least 5 to 10 seconds is the most effective method. The carotid artery, located in the neck, is one of the strongest and most accessible sites to palpate a pulse, making it suitable for confirming circulation in an unconscious individual. This duration allows for a reliable assessment, ensuring that a transient or weak pulse is not overlooked, which could lead to an inaccurate assessment of the patient’s critical condition.

In contrast, assessing the radial pulse may not be appropriate since it can be difficult to palpate in cases of severe shock or when circulation is compromised. Observing for chest rise and fall primarily assesses breathing rather than circulation, and using a Doppler device, while it offers a valuable method of detecting blood flow, is not practical in immediate life-threatening situations where time is crucial. Thus, checking the carotid pulse remains the standard and most straightforward approach in emergencies.