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To assess the presence of circulation, check for vital signs such as pulse and blood pressure, which indicate blood flow. Additionally, observe skin color, temperature, and capillary refill time; the skin should be warm, pink, and return to normal color within a few seconds when pressed. Listen for heart sounds and assess for any signs of perfusion deficits, like altered mental status or extremity weakness. Finally, evaluate for any signs of bleeding or shock that may impact circulation.

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