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First aid
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=== ABCDE and csABCDE general protocol === The '''ABCDE''' method is the general protocol of first aid and implies a quite general view.<ref>{{Cite journal |last1=Thim |first1=Troels |last2=Krarup |first2=Niels Henrik Vinther |last3=Grove |first3=Erik Lerkevang |last4=Rohde |first4=Claus Valter |last5=Løfgren |first5=Bo |date=2012-01-31 |title=Initial assessment and treatment with the Airway, Breathing, Circulation, Disability, Exposure (ABCDE) approach |journal=International Journal of General Medicine |language=English |volume=5 |pages=117–121 |doi=10.2147/IJGM.S28478 |pmc=3273374 |pmid=22319249 |doi-access=free}}</ref> It was initially developed by Dr Peter Safar in the 1950s. But it has received some modifications, improvements and variations that were intended for more specific contexts. For example: it has been completed with improvements from the ATLS (Advanced Trauma Life Support) version of the American College of Surgeons<ref name=":0">{{Cite journal |last1=Schmidt |first1=Oliver I. |last2=Gahr |first2=Ralf H. |last3=Gosse |first3=Andreas |last4=Heyde |first4=Christoph E. |date=2009-03-03 |title=ATLS(R) and damage control in spine trauma |journal=World Journal of Emergency Surgery |volume=4 |pages=9 |doi=10.1186/1749-7922-4-9 |issn=1749-7922 |pmc=2660300 |pmid=19257904 |doi-access=free}}</ref> and the BATLS (Battlefield Advanced Trauma Life Support) version of the British Army.<ref name=":1">{{Cite journal |last1=Hodgetts |first1=T. J. |last2=Mahoney |first2=P. F. |last3=Russell |first3=M. Q. |last4=Byers |first4=M. |date=October 2006 |title=ABC to ABC: redefining the military trauma paradigm |journal=Emergency Medicine Journal |volume=23 |issue=10 |pages=745–746 |doi=10.1136/emj.2006.039610 |issn=1472-0213 |pmc=2579588 |pmid=16988297}}</ref> As a result, the mnemonic of the steps of this protocol is '''ABCDE''', or its improved version '''(cs)ABCDE''' (sometimes called '''xABCDE''', the words in the mnemonic may vary), which represent:<ref>{{Cite web |last=NotSan |title=xABCDE untersuchung Rettungsdienst |url=https://notsan.info/index.php?content_id=8 |website=notsan.info |archive-url=https://web.archive.org/web/20241120112312/https://notsan.info/index.php?content_id=8 |archive-date=November 20, 2024 |language=de}}</ref><ref>{{Cite journal |last1=Certain |first1=Lucas |last2=Rostirola |first2=João Vitor Cerávolo |last3=Pereira |first3=Juliana Silva |last4=Rostirola |first4=Gabriela Cerávolo |last5=Estevam |first5=Barbara Canto |last6=Vieira |first6=Carla Caroline Aguiar |last7=da Silva |first7=Israel |last8=da Silva |first8=Jussara Aparecida Rodrigues |last9=Schevenin |first9=Juliana de Cássia |last10=de Oliveira |first10=Ana Barbara Regiani |last11=Franceli |first11=Amanda Bonamichi |last12=Lisboa |first12=Camila Emanuele Camargo |last13=Benites |first13=Bruno Deltreggia |date=2023-07-01 |title=First immediate transfusion at a prehospital environment in Latin America: A case report |journal=Hematology, Transfusion and Cell Therapy |series=Diversity in Classical Hematology Research |volume=45 |issue=Suppl 2 |pages=S153–S156 |doi=10.1016/j.htct.2021.08.007 |issn=2531-1379 |pmc=10433293 |pmid=34862155}}</ref><br/> —An attached first part (named as "cs" or "x", or in any other way) that will always mention stopping the critical losses of blood and managing with a special and careful treatment to patients with serious damages at the spine that threaten their future mobility: * '''catastrophic-bleeding''' (stopping urgently the massive external bleedings, as it is marked in the BATLS version). * '''spine-protection''' (previous examination of the spine, and careful preventive treatment for its damages, as it is marked in the ATLS version). —The ABCDE protocol itself: *'''Airway''' (clearing airways). *'''Breathing''' (ensuring respiration). * '''Circulation''' (ensuring effective cardiac output).<br />Any '''Defibrillation''' process for a [[Cardiopulmonary resuscitation#Compressions with rescue breaths|cardiac arrest]] (total stop of heartbeat) would be included here, or in 'Disability' (as a double mnemonic 'D'). * '''Disability''' (neurological condition, level of glucose can also be examined). * '''Exposure''' (or 'Evaluate': other questions in an overall examination of the patient, environment).
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