A (1) – Advanced airway procedures: Reserved for those skilled at these procedures: Tracheal
(intubation), or Perilaryngeal tube (LMA, King, I-gel, etc)
B (2) – Breathing: assessed, assured, and secured. Be sure whichever tube is placed is causing
chest rise, apply supplemental O2, then secure the device. Monitor CO2 once intubated.
Exhaled CO2 is an effective means for measuring ET placement and the quality of CPR.
C (3) – Circulatory interventions: Establish or confirm vascular access and begin cardiac
pharmacology. What is the cardiac rhythm? Hint: in cardiac arrest the first medication is always a
vasopressor such as Epinephrine. Then Epi may be administered every 3-5 minutes.
D (4) – Disability: check for neurologic function: Assess for responsiveness, level of consciousness
and pupil dialation.
— AVPU: Alert, Voice, Painful, Unresponsive
injury, unusual marking, or medic alert bracelets.