LOC or ABC first? - page 2

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... Read More

  1. Visit  FlorenceNtheMachine profile page
    0
    Quote from bjaeram

    You have to establish nonresponsiveness before doing CPR or you will get punched in the face by an angry patient. To the person that says you would never do CPR until the monitor showed asystole is very incorrect. They are rarely on the monitor yet when CPR starts in the ER. You don't take the time to put a monitor on a look at the rhythm. No signs of life....go directly to CPR. Then you worry about the monitor and iv's and airways.
    Just to clarify, I didn't say you wouldn't do CPR until the monitor showed asystole. I said "N
    o sane person is going to see asystole on the monitor and start popping ribs without further assessment." There is a big difference in my meaning. More of a patient already on the monitor, and it goes off showing a flat line.
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  3. Visit  skylark profile page
    0
    Quote from FlorenceNtheMachine
    Just to clarify, I didn't say you wouldn't do CPR until the monitor showed asystole. I said "N
    o sane person is going to see asystole on the monitor and start popping ribs without further assessment." There is a big difference in my meaning. More of a patient already on the monitor, and it goes off showing a flat line.
    Agreed.
    Monitor can show a flat line for all sorts of reasons, nobody is going to start CPR without actually looking at the patient first. Most times its just a lead disconnected, presence of artifact, or some other unhelpful technical glitch.
    Asystole is never a true flat line anyway, more a sort of wavy random line, but even then you look at the patient not the monitor : )
  4. Visit  dashingdiva profile page
    0
    ABC should always come first in your assessment. But of course you should not overlook LOC- as this will provide additional cues that will support your ABC assessments.
  5. Visit  brownbook profile page
    3
    Will you all stop it with the ABC'S......a bjaream posted it is now CAB.

    But anyway as someone else posted checking if they are responsive (which you always do first) could be the same as checking their LOC?

    You say potatoe....I say potatoe......you say tomatoe....I say tomatoe.....(I'm showing my age, an old song, comes out better hearing it than typing it).
    SalChina, ♪♫ in my ♥, and Esme12 like this.
  6. Visit  Esme12 profile page
    5
    Technically you always start with "Annie Annie are you ok??? Look listen and feel..."Somebody call 911!!!!"

    But.....regardless of their LOC....if they aren't breathing they aren't leaving.
    TLCfromSC, Pixie.RN, Pets to People, and 2 others like this.
  7. Visit  Esme12 profile page
    2
    Quote from brownbook
    Will you all stop it with the ABC'S......a bjaream posted it is now CAB.

    But anyway as someone else posted checking if they are responsive (which you always do first) could be the same as checking their LOC?

    You say potatoe....I say potatoe......you say tomatoe....I say tomatoe.....(I'm showing my age, an old song, comes out better hearing it than typing it).

    Lets call the whole thing off....!
    ZenLover and cardiacrocks like this.
  8. Visit  Caffeinated RN profile page
    1
    Wow! I was not expecting so many responses! Thank you! I am no longer going crazy. Haha
    Esme12 likes this.
  9. Visit  lillymom profile page
    0
    We are still taught ABC first in school for assessment because the NCLEX will probably not be updated. It all about the NCLEX during school.
  10. Visit  joanna73 profile page
    0
    Always ABC, in real life situations, and to answer NCLEX scenarios. Your patient may have altered LOC for various reasons (delerium, coma) to name a few, but they still have a patent airway.
  11. Visit  cardiacrocks profile page
    0
    You always have your rare situations as well. When someone is hypoglycemic/hyperglycemic, they can lose consciousness and if it's too low you won't be able to wake them. So, in that situation you need to assess their breath, etc. then check BS, you are most likely not going to start chest compression's on this person, just saying. Anyway, I know this is off topic. Basically, when you are taking the NCLEX you need to think like a nurse not an EMT.
  12. Visit  ♪♫ in my ♥ profile page
    2
    It was never LOC before ABC/CAB... at least back to 1981 when I first became an EMT and started teaching CPR.
    scrubsandasmile and Altra like this.
  13. Visit  Meriwhen profile page
    0
    ABCs...and to be honest, you're won't be able to help but notice the patient's LOC--or at least get a general idea of it--as you're checking for airway, breathing and circulation.
  14. Visit  liljd profile page
    0
    nursing theory vs actual practice


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