LOC or ABC first? - page 4

by Caffeinated RN

I feel like this is a silly question, but it is a topic that recently came up in class (I am just about to finish nursing school), and it is driving me off-the-wall CRAZY! We all know that our ABCs are paramount to our... Read More


  1. 0
    Quote from Pets to People
    You completely skipped over PULSE/HEART BEAT. If they are breathing you do not then check their BS lol aka BG, you check thier pulse! You know, ABC, not AB then BG. If you check their ABC and they are within normal range and they are unconcious then you could check BG.

    If a pt is unconcious, for whatever reason, and they are completely unresponsive, you check airway, then breathing THEN pulse. You give them only rescue breaths if they have a heart beat but no respiration and rescue breaths and chest compressions if they have no resp and no beat.
    Yea, I know that, hence the fact that I put RARE situation. I know all about the ABC's. Gesh, I am a Registered Nurse not an idiot, gesh.
  2. 0
    [QUOTE=Pets to People;7201806]
    Quote from FlyingScot
    Except to the person you start chest compressions on who was really just asleep.

    QUOTE]

    This wouldn't happen unless you skipped C and so didn't check the persons pulse before starting chest compressions :/ It would be pretty important to make sure their heart isn't actually beating before you start pumping on their chest lol
    Really?!! I didn't know that.
  3. 0
    If a patient is symptomatic with a HR of less than 60 it is appropriate to start chest compressions. Thought I'd throw that one in there
  4. 1
    Quote from brithoover
    If a patient is symptomatic with a HR of less than 60 it is appropriate to start chest compressions. Thought I'd throw that one in there
    Only with peds, not with adults.

    Only pulseless adults get compressions. Symptomatic bradycardia gets you an ambulance ride, external pacer pads, and probably some atropine...

    PALS vs ACLS
    turnforthenurseRN likes this.
  5. 0
    Quote from ♪♫ in my ♥
    Only with peds, not with adults.

    Only pulseless adults get compressions. Symptomatic bradycardia gets you an ambulance ride, external pacer pads, and probably some atropine...

    PALS vs ACLS
    Oh yeah I have peds only brain..sorry bout that!
  6. 0
    I'm a newly licensed AEMT and ABC is always first, in any situation. LOC can be determined while you're assessing airway. breathing, and circulation. Typically you are speaking to your patient, so their level of consciousness quickly becomes apparent.
  7. 0
    I assess LOC while doing my ABC. That's what I have learned, and it works faster in emergent situations.
  8. 0
    Quote from brithoover
    If a patient is symptomatic with a HR of less than 60 it is appropriate to start chest compressions. Thought I'd throw that one in there
    I'm pretty sure that's only on infants. Even if a person is symptomatic and has a heartbeat of 30, you don't start compressions unless they are pulse less, at least with adults.
  9. 0
    Quote from SweetMelissaRN
    I'm pretty sure that's only on infants. Even if a person is symptomatic and has a heartbeat of 30, you don't start compressions unless they are pulse less, at least with adults.
    It's for peds in general, not just infants... check out PALS.

    The only adults who get compressions are those without a pulse.
  10. 0
    OP is still in nursing school.
    "It's whatever the instructor says is correct".:***:


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