When checking the pulse on a patient, begin by using the wrist pulse, which is called the radial pulse. If you are unable to locate one at the wrist or if the patient is in severe medical distress, check the carotid pulse. You will gain an accurate reading and it will be easier to find.
To locate the radial pulse, place 2 or 3 fingers over the thumb side of the inner wrist. The tendons run right down the center and the radial pulse is located on the side toward the thumb. Never check for a pulse with your thumb, as your thumb has a significant pulse of its own.
You may need to apply a little pressure with your fingers to feel this pulse. Count the number of heartbeats you feel in a 15-second period, then multiply that number by 4. This will tell you the patient’s pulse in beats per minute.
At the same time, you should evaluate the quality of the pulse. Check your pulse now. It should be regular, bold enough to feel and beating approximately 60-70 times per minute. Now, imagine if that pulse was barely there. That would be described as a weak pulse.
If you’re counting the pulses and it skips a beat, we would consider that irregular. Compared to your pulse, one that feels like it is ready to jump through the patient’s skin would be considered bounding. Being able to describe the quality of the pulse to Aircare Access provides important information about the overall health of your patient.
DEEP VENOUS
THROMBOSIS Deep venous thrombosis (DVTs) is a blood clot that forms deep within a vein. This occurs typically in the legs and is usually caused by lack of movement. It can also occur if the legs have been in an awkward position which reduces or stagnates the flow of blood. These clots can dislodge and become potentially life- threatening if they travel to the lungs This is called a PE or pulmonary embolis..
Air travelers are at risk for DVTs due to potentially limited movement, cramped conditions or dry air onboard the aircraft.
Alcohol consumption can also increase a person’s risk of DVTs by causing dehydration. Travelers who smoke, are pregnant, have cardiac pacemakers or have had recent surgery are also at increased risk for DVTs.
Symptoms
Common symptoms for DVTs are: • swelling, typically below the knee • cramping feeling in the leg • redness and warmth of the extremity
Prevention
Moving around during travel is the best method to prevent DVTs. It is recommended that passengers move or walk at least 10 minutes for every 3 hours they’re in the air. Other prevention methods include minimizing alcoholic or caffeinated beverages, replacing them with water to prevent dehydration, the use of compression stockings and promoting good blood flow by performing isometric exercises while seated. Your doctor may also recommend the use of aspirin to prevent DVTs.
Treatment
DVTs can be diagnosed by gathering medical history and thorough examination. Blood thinners, and sometimes surgery are the treatment of choice. If you suspect a passenger suffering from DVTs, notify the PIC and contact Aircare Access.
50 Circulatory System
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