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Related Concept Videos

Assessment of the Cardiovascular System III: Palpation01:27

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Palpation involves feeling the body to evaluate texture, size, consistency, and tenderness for assessing cardiovascular health. The following steps are organized in a head-to-toe order:
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
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The radial pulse, located at the wrist, is often the preferred site for assessing peripheral pulse because of its accessibility and dependability. The process of determining the radial pulse involves several steps:
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Related Experiment Video

Updated: Aug 21, 2025

Author Spotlight: Evaluating Clinicians' Adoption of Ultrasound-Guided Vascular Cannulation Through Simulation Training
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Simulator-Based Metrics for Quantifying Vascular Palpation Skill for Cannulation.

Lydia Petersen1, Zhanhe Liu1, Joe Bible2

  • 1Department of Bioengineering, Clemson University, Clemson, SC 29634, USA.

IEEE Access : Practical Innovations, Open Solutions
|November 16, 2022
PubMed
Summary
This summary is machine-generated.

This study objectively quantifies vascular palpation skills by analyzing finger force and location data. Significant differences between high and low performers suggest these metrics can standardize training for better patient care.

Keywords:
Medical educationpalpationsimulationskill assessment

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Area of Science:

  • Medical Simulation
  • Clinical Skills Assessment
  • Vascular Medicine

Background:

  • Palpation is crucial for clinical diagnosis and treatment.
  • Vascular palpation aids in diagnosing cardiovascular issues and identifying peripheral anatomical landmarks.
  • Objective quantification of vascular palpation skills is lacking.

Purpose of the Study:

  • To objectively quantify differences in vascular palpation skills between high, mid, and low performers.
  • To identify key metrics that differentiate palpation proficiency.
  • To establish a foundation for standardized skills training.

Main Methods:

  • Utilized a simulator for 16 trials under varied conditions (fistulas, skin thickness, vibration intensity).
  • Recorded finger force and location data for 11 high performers, 25 mid performers, and 10 low performers.
  • Analyzed palpation metrics including time, force, and location.

Main Results:

  • Statistically significant differences were observed in time, force, and location metrics between high and low performers.
  • These metrics effectively differentiated palpation skill levels.
  • Simulator data provided objective measures of performance.

Conclusions:

  • Objective metrics derived from simulator data can differentiate vascular palpation skill levels.
  • These metrics hold potential for developing structured and standardized palpation skills training.
  • Improved training may lead to enhanced patient outcomes in vascular assessments.