[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-317075-105":59,"doc-detail-317075-en":123},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":116,"head_meta":118,"extra_data":120,"updated_unix":122},105,"en","the-abcde-approach-resuscitation-council-uk-underlying-principles-and-first-steps","The ABCDE Approach - Resuscitation Council UK - underlying principles and first steps","","Guidance for assessing and treating all deteriorating or critically ill patients using the ABCDE approach, emphasizing a shared, systematic method from initial rapid “Look, Listen and Feel” to ongoing reassessment. The document outlines underlying principles such as addressing life-threatening problems first, monitoring treatment effects, recognizing when extra help is needed early, and applying effective team-based interventions. It also specifies communication practices via SBAR/RSVP and provides structured first steps, including safety checks, rapid patient appraisal, CPR when indicated, and early monitoring and IV access.",{"@graph":69,"@context":115},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/the-abcde-approach-resuscitation-council-uk-underlying-principles-and-first-steps/317075/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/the-abcde-approach-resuscitation-council-uk-underlying-principles-and-first-steps/317075.png","ImageObject",300,407,{"name":92,"@type":93},"Blitz","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-26","2026-09-20",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",12,{"@type":107,"mainEntity":108},"FAQPage",[109],{"name":110,"@type":111,"acceptedAnswer":112},"How should early team communication and reassessment be handled?","Question",{"text":113,"@type":114},"Use effective communication such as SBAR or RSVP, and reassess regularly, remembering it can take a few minutes for interventions to work before reassessing.","Answer","https://schema.org",{"og:url":83,"og:type":117,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":119,"canonical":83},"index,follow",{"doc_id":121,"site_id":62},317075,1790106432,{"code":4,"msg":5,"data":124},{"doc_id":121,"user_id":125,"nickname":92,"user_avatar":126,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":127,"file_id":128,"file_url":129,"file_type":130,"file_size":131,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":39,"language":132,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":133,"faqs":134,"seo_title":135,"seo_description":67,"update_tm":136,"read_time":46},24464137899374,"https://us-avatar.wpscdn.com/davatar_3d24733baf745e90a7e4bdd5f77d97b2","The ABCDE Approach   \nAuthors  \nResuscitation Council UK  \npublished October 2015, reviewed May 2021, updated July 2024  \nView PDF  \nUnderlying principles   \nThe approach to all deteriorating or critically ill patients is the same. The underlying principles are:  \n1. Use the Airway, Breathing, Circulation, Disability, Exposure (ABCDE) approach to assess and treat the patient.  \n2. Do a complete initial assessment and re-assess regularly.  \n3. Treat life-threatening problems before moving to the next part of assessment.  \n4. Assess the effects of treatment.  \n5. Recognise when you will need extra help. Call for appropriate help early.  \n6. Use all members of the team. This enables interventions (e.g. assessment, attaching monitors, intravenous access) to be undertaken simultaneously.  \n7. Communicate effectively-use the Situation, Background, Assessment, Recommendation (SBAR) or Reason, Story, Vital signs, Plan (RSVP) approach.  \n8. The aim of the initial treatment is to keep the patient alive, and achieve some clinical improvement. This will buy time for further treatment and making a diagnosis.  \n9. Remember – it can take a few minutes for treatments to work, so wait a short while before reassessing the patient after an intervention.  \nFirst steps   \n1. Ensure personal safety. Wear apron and gloves as appropriate.  \n2. First look at the patient in general to see if the patient appears unwell.  \n3. If the patient is awake, ask “How are you?” If the patient appears unconscious or has collapsed, shake him and ask “Are you alright?” If he responds normally, he has a patent airway, is breathing and has brain perfusion. If he speaks only in short sentences, he may have breathing problems. Failure of the patient to respond is a clear marker of critical illness.  \n4. This first rapid ‘Look, Listen and Feel” of the patient should take about 30 sand will often indicate a patient is critically ill and there is a need for urgent help. Ask a colleague to ensure appropriate help is coming.  \n5. If the patient is unconscious, unresponsive, and is not breathing normally (occasional gasps are not normal) start CPR according to the resuscitation guidelines. If you are confident and trained to do so, feel for a pulse to determine if the patient has a respiratory arrest. If there are any doubts about the presence of a pulse start CPR.  \n6. Monitor the vital signs early. Attach a pulse oximeter, ECG monitor and anon-invasive blood pressure monitor to all critically ill patients, as soon as possible.  \n7. Insert an intravenous cannula as soon as possible. Take bloods for investigation when inserting the intravenous cannula.  \nAirway (A)   \nAirway obstruction is an emergency. Get expert help immediately. Untreated, airway obstruction causes hypoxia and risks damage to the brain, kidneys and heart, cardiac arrest, and death.  \n1. Look for the signs of airway obstruction   \n Airway obstruction causes paradoxical chest and abdominal movements (‘see-saw’ respirations) and the use of the accessory muscles of respiration. Central cyanosis is a late sign of airway obstruction. In complete airway obstruction, there are no breath sounds at the mouth or nose. In partial obstruction, air entry is diminished and often noisy.  \n In the critically ill patient, depressed consciousness often leads to airway obstruction.  \n2. Treat airway obstruction as a medical emergency   \n Obtain expert help immediately. Untreated, airway obstruction causeshypoxaemia (low PaO2) with the risk of hypoxic injury to the brain, kidneysand heart, cardiac arrest, and even death.  \n In most cases, only simple methods of airway clearance are required (e.g. airway opening manoeuvres, airways suction, insertion of an oropharyngeal or nasopharyngeal airway) . Tracheal intubation may be required when these fail.  \n3. Give oxygen at high concentration   \n Provide high-concentration oxygen using a mask with oxygen reservoir. Ensure that the oxygen flow is sufficient (usually 15 L min-1) to pr","cbCaiqFoDiHPR8Au","https://ap.wps.com/l/cbCaiqFoDiHPR8Au","pdf",75351,"English","# Underlying principles\n## First steps\n# Airway (A)\n## Look for airway obstruction signs\n## Treat airway obstruction as a medical emergency\n## Give oxygen at high concentration\n# Breathing (B)\n## Look, listen and feel for respiratory distress\n## Count respiratory rate and assess respiration pattern","[{\"question\":\"How should early team communication and reassessment be handled?\",\"answer\":\"Use effective communication such as SBAR or RSVP, and reassess regularly, remembering it can take a few minutes for interventions to work before reassessing.\"}]","The ABCDE Approach - Resuscitation Council UK - underlying principles and first steps | PDF",1789928471]