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The tutorial discusses an upper arm fistula and specifically highlights the anastomosis, where the vein connects to the artery. The artery is located below the anastomosis. It is explained that, during the procedure, practitioners will stick the vein portion of the fistula, and the area closer to the artery exhibits stronger pulsations due to the connection. Viewers are instructed to start at the anastomosis and apply pressure with two fingers to feel the pulse effectively. Many students may initially struggle to detect the pulse, so applying deeper pressure is recommended for better results.