During the primary survey, the accepted trauma care has been historically led by prioritizing
the airway, then breathing, and then , circulation (ABC). In urban trauma centers,
specifically those located in high income environments, these steps are taken simultaneously.
In rural places, or in environments with fewer resources these steps are taken in
sequence. The evidence supporting the systematic ABC approach to injured patients
is based on expert consensus, without much scientific evidence to back up this practice.
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to The American Journal of SurgeryAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Emergency ventilatory management in hemorrhagic states: elemental or detrimental?.J Trauma. 2003; 54: 1048-1055https://doi.org/10.1097/01.TA.0000064280.05372.7C
- Attenuation of hemodynamic responses to laryngoscopy and tracheal intubation during rapid sequence induction: remifentanil vs. lidocaine with esmolol.Minerva Anestesiol. 2010; 76: 188-192
- American heart association and American red cross focused update for first aid: presyncope: an update to the American heart association and American red cross guidelines for first aid.Circulation. 2019; 140 (2019 Dec 10, Epub 2019 Nov 14.PMID: 31722559): e931-e938https://doi.org/10.1161/CIR.0000000000000730
- Shifting priorities from intubation to circulation first in hypotensive trauma patients.Am Surg. 2018 Feb 1; 84: e75-e76
- Circulation first - the time has come to question the sequencing of care in the ABCs of trauma; an American Association for the Surgery of Trauma multicenter trial.World J Emerg Surg. 2018 Feb 5; 13 (PMID: 29441123): 8https://doi.org/10.1186/s13017-018-0168-3.eCollection2018
- Damage control resuscitation committee. Endovascular resuscitation and trauma management (EVTM)-Practical aspects and implementation.Shock. 2021 Dec 1; 56 (PMID: 32080064): 37-41https://doi.org/10.1097/SHK.0000000000001529
- Challenges and opportunities for endovascular treatment of hemorrhage in combat casualty care.Shock. 2021 Dec 1; 56 (PMID: 34797786): 46-51https://doi.org/10.1097/SHK.0000000000001514
Article info
Publication history
Published online: February 15, 2023
Accepted:
February 14,
2023
Received in revised form:
February 9,
2023
Received:
December 8,
2022
Publication stage
In Press Journal Pre-ProofIdentification
Copyright
© 2023 Published by Elsevier Inc.
