EM Lens of the Month

POCUS vs Manual Pulse Check:
Which is Faster & More Accurate?

The answer might change how you run your next code…

POCUS vs Manual Pulse Check Infographic

Infographic by Dr Zul Farhan Bin Zulkifli • Endorsed by College of Emergency Physicians Malaysia

SPEED ADVANTAGE

POCUS is

1.39 seconds

FASTER per pulse check

SENSITIVITY

POCUS

99%

vs Manual 62%

SPECIFICITY

POCUS

96%

vs Manual 91%

Manual Palpation vs POCUS

Manual Palpation
  • Slower to assess
  • Less reliable pulse detection
  • Subject to human error
POCUS
  • Faster assessment time
  • Highly accurate and objective
  • Improved decision-making

Clinical Impact

In CPR, every second matters.
Even small time reductions improve coronary and cerebral perfusion, potentially improving patient outcomes.

Study Statistics
7
studies
469
participants
2900+
ultrasound checks
1600+
manual checks

Neto ES, Scapin M, Lazaro-Paulína F, Campbell RL, Molinari DF, Kummer T. (2025).
Duration of resuscitation interruption using point-of-care ultrasound versus traditional manual pulse check: A systematic review and meta-analysis.
The American Journal of Emergency Medicine, 98, 145–152.

DOI: 10.1016/j.ajem.2025.08.049

Endorsed by College of Emergency Physicians, Academy of Medicine, Malaysia

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