What should be done if the patient does not have a radial pulse?

If a patient does not have a radial pulse, it indicates that the heart is not effectively pumping blood to the extremities, which can be a sign of a critical condition. Assessing for the presence and quality of a brachial pulse is a crucial next step because it allows the responder to evaluate the patient's circulation more comprehensively. The brachial pulse, located in the upper arm, can provide important information about the adequacy of blood flow to the vital organs, especially in cases where peripheral pulses may not be palpable due to shock or other conditions.

Assessing the brachial pulse helps in determining the severity of the patient's condition and informs subsequent actions, such as whether or not to initiate CPR. It is a critical part of the assessment process, particularly in children or infants, where the brachial pulse may be more reliable than the radial pulse. This assessment is consistent with protocols that emphasize a thorough evaluation of circulation before making treatment decisions.

Other options, while related to emergency response, do not address the immediate need for pulse assessment. Starting CPR is appropriate only if the patient is unresponsive and not breathing. Administering intravenous fluids may be necessary in certain situations, but it is not a first-line action in this scenario without further