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It looks like (modified) ABCDE still leads …
@RogerStenning Can you share why it is surprising and not?
I trained ABCDE in civilian first aid courses back in the 80s, joined the reserves (the Territorial Army as was, not the Army reserve) in the 90s where it was also taught (with variation for traumatic injuries, mostly battlefield related, this before MARCH became an international thing), and back to civilian courses, where it was once again ABCDE. Even in the professional courses I’ve taken (HSE at Work), it’s ABCDE, and not MARCH, which is surprising in some ways, and in others, not so much).
I was an EMT 40 years ago and just completed an EMT class this past month. We were taught what @RussPrecthi said. That is what I use. I am going to take the Tactical Civilian Casualty Care class in August if we are back to face2face training and I know that they teach the MARCH framework.
Active paramedic and trauma instructor here with 35+ years experience. I use ABCDE with modifications every day when taking care of people. The trick is to change it based on the needs of the situation. You are supposed to change it to “CABDE” when life-threatening hemorrhage or cardiac arrest is present. To your point, you don’t worry about A and B first when heavy bleeding is present or if no blood is circulating. Otherwise, you use ABCDE.
That’s why getting training is so critical. People can’t just follow an acronym blindly for best results. You have to know how to adjust based on the needs of the patient. There are no cookbook situations!
Maybe it’s obvious, but having investigate deeper things are not easy …
I would appreciate to get feedback on:
what traum scheme you have been teached
which you find useful / pratical
which you used already and what are your leason learnedSome useful links:
https://en.wikipedia.org/wiki/Tactical_combat_casualty_care#Tactical_Field_Care_(TFC)
https://en.wikipedia.org/wiki/ABC_(medicine)
https://firstcareprovider.org/race and https://firstcareprovider.org/posterTo start:
ABCDE
MARCH, reason: getting air into the body (“AB” is useless if the casualty bleeds to death; someone can survive a couple of minutes without fresh air but major bleeding may end a life within 30 seconds)
FCP’s CARE, leason learned: need much more realistic training to do this automatically without need to think what’s the next stepAppreciating your reports from the field – thanks!
Excellent post, SilverFox. I’m very glad to have you around EDCF.
I’ve read of a couple of DSD Charger-related failures. In your opinion, is that a reliable charger to use if you have a couple of different sizes of cells? I understand I shouldn’t mix and match cell sizes/capacities while charging. I also have a new-gen Pila charger (thanks, JSB!) that I’ve been using. Is this better than the DSD?
Thank you.
:bow: :bow: Tom, for that!! I’ve been fortunate to not having an “adverse event” (Except for a few tossed on the coals of the BBQ out in the desert. ;D ) Bunch of Newton-Meters in a small package!
Larry
Ted Andkilde said: ↑
Bold 9900 here, but I’m Canadian, so it’s pretty much a requirement 🙂I’m on my buddy’s BES server, the Outlook integration is rock solid.
The high end handsets are excellent tools, they completely misjudged the market with all the cheap consumer devices they tried to float though, hopefully they pull through their funk before the Wall Street {censored}s destroy the company and it gets pieced off to its buzzard competitors at the great patent fire sale…
Cheers, Ted
Click to expand…
Have you played with the 9930 or a variant of that phone? This is what RIM should have come out with a few years ago. Awesome keyboard and touch screen. Best comboSent from my Galaxy Nexus using Tapatalk 2
Blackberry Tour, Verizon, with an extended battery.
There’s your BB user.
Click to expand…Bold 9900 here, but I’m Canadian, so it’s pretty much a requirement 🙂
I’m on my buddy’s BES server, the Outlook integration is rock solid.
The high end handsets are excellent tools, they completely misjudged the market with all the cheap consumer devices they tried to float though, hopefully they pull through their funk before the Wall Street {censored}s destroy the company and it gets pieced off to its buzzard competitors at the great patent fire sale…
Cheers, Ted
