Dear Clive,
Having found papers like these (see below) I am a little dubious when I see
pulses characterized by 0,+,++,+++. I tend to accept the pulse presence or
absence but the above criteria are a little subjective for my liking. Was
this the quantification scale you were eluding to?

(Call me a skeptic but I also cringe at people who think they can
differentiate between a 4 and 5 degree rearfoot varus!)

Refs.
Lundin M, et al.   Distal pulse palpation: is it reliable? World J Surg.
1999 Mar;23(3):252-5

Magee TR, et al.  Should we palpate foot pulses? Ann R Coll Surg Engl. 1992
May;74(3):166-8.

There are others, but not on hand at the moment.
Hope these help in some small way.

Richard Nankervis

(perhaps Doppler is a better way of quantification?)

----- Original Message -----
From: Clive Chapman <[log in to unmask]>
To: <[log in to unmask]>
Sent: Sunday, 7 November 1999 12:16
Subject: How to palpate pulses and measure their quality


> I know of no system of quantitatively measuring the quality of pulses
> with manual palpation. I am aware from case study papers in JAPMA that
> there is a system in use in the USA.
>
> Will someone please let me know how it is done, and what that system of
> quantitative evaluation is known as?
> --
> Clive Chapman
>



%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%