ABCDE Assessment

Question 1

Airway

Answer 1

Assessment
Unresponsive patient
Added sounds
Snoring, wheeze, stridor
Accessory muscles use
Irregular respiratory pattern
Interventions
Head tilt chin lift
Jaw thrust
Suction
Oral airway application
Nasal airway application
Advanced airway interventions (endotracheal intubation, surgical airway, etc.)

Question 2

Breathing

Answer 2

Assessment
Look

Respiratory rate (Apnea/Bradypnea/Tachypnea), symmetry, effort, SpO2, color
Listen
OXYGEN LEVELS

Talking: sentences, phrases, words
Air entry, wheeze, silent chest other added sounds
Feel

Central trachea, percussion, expansion
Interventions
Consider ventilation with BVM (Bag-Valve-Mask Ventilation)
Consider ventilation with BVM
Position upright if struggling to breath (be careful in trauma patient)
Specific treatment like β agonist for wheeze, chest drain for pneumothorax

Question 3

Circulation

Answer 3

Assessment
Look at color
Examine peripheries
Pulse, BP & CRT
Hypotension (late sign)
Decreased urine output

Question 4

Disability

Answer 4

Assessment
AVPU (Alert, responds to Voice, responds to Pain, 
Unresponsive) or GCS
bloof glucose 
Pupil size/response
Posture
Pain relief

Question 5

Exposure

Answer 5

Remove clothes and examine head to toe, including patients front and back.
Look for hemorrhage, rashes, swelling, sores, syringe drivers, catheter, etc.
Keep the patient warm.
Maintain dignity