Have a dedicated experienced provider look on PoCUS for a carotid pulse during chest compressions so that as soon as a pause in chest compressions to assess for cardiac rhythm occurs at the end of 2 minutes of compressions, the pulse can be rapidly assessed along with the cardiac rhythm in less than 5 seconds (as opposed to less than 10 seconds as recommended in the guidelines). One study showed that rescuer pulse palpation was only 78% accurate. Even if a pulse is felt, this does not guarantee adequate perfusion to vital organs. Manual pulse checks have been shown to be insensitive, not specific and have poor inter-rater reliability. Pulse checks are only needed if an organized rhythm is seen on the monitor. Intergration of PoCUS into cardiac arrest resuscitation PoCUS pulse checks
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