ABC (medicine)
ABC Protocol in Emergency Medicine
Introduction
The ABC protocol, an initialism for Airway, Breathing, and Circulation, is a fundamental mnemonic used in first aid and medical emergencies. It serves as a reminder of the priorities for assessing and treating patients in acute medical and trauma situations.
Historical Development
Originally developed as a memory aid for cardiopulmonary resuscitation (CPR), the ABC protocol has become integral in the care of unconscious or unresponsive patients and is widely employed in various emergency medical contexts.
Components of the ABC Protocol
Airway
- Ensuring that the patient's airway is clear is the first step. It involves checking for any obstructions and, if necessary, opening the airway using techniques like the head-tilt/chin-lift or jaw-thrust maneuver.
Breathing
- After securing the airway, rescuers assess the patient's breathing. This includes observing chest movements, listening for breath sounds, and feeling for air movement.
Circulation
- The final component involves checking the patient's circulation, which includes assessing the pulse and initiating CPR if necessary.

Variations and Evolution
Over time, the ABC protocol has evolved, incorporating additional components such as:
- D for Disability: Assessing neurological function.
- E for Exposure: Ensuring that all injuries are identified without causing further harm or exposure to cold.
Application in Different Scenarios
The ABC protocol is applied in various emergency situations, including:
- First Aid: Used by laypersons in everyday emergencies.
- Pre-Hospital Care: Employed by emergency medical technicians and paramedics.
- Hospital Settings: Used by healthcare professionals in acute care settings.
Training and Education
The protocol is a fundamental part of training for professional rescuers, healthcare providers, and is also included in basic first aid courses available to the general public.
Importance and Impact
Understanding and correctly applying the ABC protocol can significantly impact patient outcomes in emergency situations, making it a critical component of emergency medicine and first aid.
External Links
- [Link to an educational resource on the ABC protocol]
- [Link to a first aid training organization]
References
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