What is the ABC of First Aid?

health wellness

The ABC of first aid is a mnemonic designed to help people remember how to respond to an emergency situation in which someone is injured. Numerous other mnemonics and variants on the ABC of first aid exist, but it is probably the most useful one for lay people to remember. The letters stand for Airway, Breathing, and Circulation, also referred to as the vital signs. If all of the vital signs are monitored and addressed, a patient has a much better chance of surviving until trained help arrives.

Some emergency services prefer the variant DRABC, to remind people to check for danger in a situation before assisting someone. The DR stands for Danger and Response, and means that people should first examine the environment and then the patient, to ensure that there is not a source of potential physical danger. For example, an unconscious patient next to a live wire should be treated, but not until the live wire has been turned off or the patient can be moved out of the way, to ensure that the responder is not injured as well.

When using the ABC of first aid, the first thing to do is check the patient's airway. If someone's throat is blocked, he or she will be unable to breathe. If the patient is conscious, you can ask the patient to talk to you. If the patient is unconscious, lift his or her chin and tilt the head back. Do this carefully, as you may aggravate spinal and neck injuries by manipulating the head. Sweep the back of the mouth with a finger to check for obstructions if you suspect that someone may have a compromised airway.

Next, check for breathing. Place your face close to the patient's mouth to listen and feel for breathing, or use an object like a mirror. If the patient is breathing, the breath will condense on the mirror. If the patient is not breathing, according to the ABC of first aid, you need to correct the problem before moving on to the next step. Administer rescue breathing and CPR until the patient is breathing again.

Finally, circulation should be checked by monitoring the patient's pulse at the wrist or throat. In addition, check the patient's color. If he or she is pallid or has splotchy areas of color, it suggests that the circulation may be compromised. Try to keep the patient warm. By following the ABC of first aid, you can ensure that the patient's basic needs have been met, allowing you to move on to more general treatment.

If all of the steps of the ABC of first aid are satisfied, responders can move on to a general assessment of the patient, looking at injuries and their severity. Responders constantly check the vital signs while they work on the patient, to ensure that the patient is still stable. The ABC of first aid may diverge here into a plethora of options, depending on the patient's condition. If you are first on the scene and have no medical training, however, just try to focus on the ABC of first aid, and apply pressure to obvious sites of bleeding.

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5
I really need some tips to be used in teams of health emergency first aid. Am much more inspired by the ABC-first aid tip to be used before every thing can be made.
- anon39103
4
An unresponsive victim usually means one who is unconscious or otherwise unable to communicate.
- Sewicked
3
I go along with -ellefagon. I have been an industrial first aid man for over 26 years in class A industries. that means very high hazard. The hardest part for me was not in treating patients, but waiting for accidents to happen. That is basically the stressful part for this type of job. Every scenario of an accident is different, you never know what to expect. You need a certain mindset for this type of job. If you think you have it then by all means go for it!
- carpusdiem
2
Very fine article!

I am Red Cross helper, paid and volunteer for 40 years,

with updates regularly and I can vouch for your advice here.

Two things:

One: most people do not have much emergency response training, so call 911 immediately on your cell, or recruit anyone nearby to get the pros to the site ASAP. Time is life.

Two: "Talk me through it" is a famous joke line, but not in this scenario. Report the crisis and simply *tell* them you are not a response pro, but willing to do anything that might help, if 911 will talk you through it.

They are supposed to be delighted to do so.

If your CPR is sketchy or you are frightened, that's normal, but having a pro there to talk you through it can make all the difference and calm you and save the life of the victim.

In fact, since there are so many things we can do *wrong* when someone is injured, whenever possible, *do* get that help from the pros.

CPR if breathing or heartbeat have stopped is *great* to do - *do it*.

For profuse bleeding, pressing a towel or teeshirt to the wound to slow the loss of blood is great, do it.

Beyond that, be sure or get the pros to advise you or wait till they arrive.

A favorite story: A friend was too tiny and not strong enough to do effective CPR on a larger friend who'd fallen with heart attack, but she was a nurse and knew what to do, so she "drafted" a big strong guy nearby to do it, and coached him through it - she did the breathing and he did more effective chest compressions.. and the victim recovered and went on to enjoy the rest of her vacation. I just thought it was so smart an idea.

Thanks again, Wise Geek

- ellefagan
1
how can you help an unresponsive victim?
- anon18467

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Written by S.E. Smith
Last Modified: 30 July 2009

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