DR stands for Danger/Response, while ABC stands for Airway/Breathing/Circulation.
This refers to the different types of dangerous situations that paramedics encounter daily. For example, cardiac arrest is called “Code Blue,” meaning the patient has no pulse and isn’t breathing, meaning they are in immediate danger if CPR or defibrillation isn’t performed.
This refers to the response of the patient in regards to their behavior when they are found. Is the patient responsive or unresponsive? Are they breathing? Is there a pulse? These questions need to be asked and answered before anything else is done for a quick assessment on what meds or equipment will be required to provide aid.
This is the most significant factor in a person’s survival. If you can’t breathe, nothing else matters because your brain will die within minutes. There are several different ways to open up a patient’s airway and allow them to live again, including using a suction device or an oral airway to keep it open. However, the most crucial step is getting them to a hospital as soon as possible.
This refers to how well or not the patient is breathing. That is after they’ve been rescued and their airway has been opened up. If there are still problems with breathing, it might be better for medics to find alternate ways of making sure the patient gets enough oxygen, such as a bag valve mask or breathing tube.
This refers to the patient’s heartbeat or pulse, which are needed to keep blood circulating throughout their body correctly to breathe and think/react to what is happening around them. Medics may have to start an IV to get enough fluids or medications into the patient to make sure their heart is pumping.
Following are the Steps On How To Perform DR ABC:
Step 1: Recognize The Condition Before It Becomes A Disaster
Recognizing that a disaster is imminent can be difficult, but you know something is wrong. A lack of clarity or lethargy coupled with an increased heart rate could indicate a severe emergency. For example, acute shortness of breath accompanied by chest pain and profuse sweating is a “cardiac event.”
Step 2: Priority Number One Is To Calm The Patient Down
When possible, encourage the patient to take deep breaths. If there are other people in the room, ask them for help getting the patient comfortable and calm. This will be an essential part of managing any potential cardiac event. Once you have a moment to evaluate the patient, it may be necessary to get help from a doctor or nurse.
Step 3: Check For Breathing And Pulse
Make sure that your patient is still conscious and has both a pulse and an open airway. If they are not breathing, start CPR immediately (see steps below). If there is no one around to help, it is okay to perform CPR on your own.
Step 4: If The Chest Does Not Rise And Fall, Begin Chest Compressions
Place your hands one on top of another in the center of the patient’s chest. With your fingers pointing toward their head. Push down (at least two inches) and let up between each compression.
Step 5: If The Patient Is Breathing, Continue Giving Two Breaths
Put your mouth near their face and pinch their nose shut with your fingers to provide you with access to their airway. Please take a deep breath and give the patient two quick breaths into their mouth. Remove your hand from their nose and watch to make sure their chest rises.
Step 6: Continue Giving CPR Until A Medic Arrives OR The Patient Regains A Pulse
Continue with chest compressions and breaths in a cycle. Continue this rhythm until help arrives or the patient’s heart begins beating again. If you lose contact with the patient for any reason, continue performing CPR until they regain consciousness, or someone else takes over for you.
Step 7: Call For Help
If someone else is present, have them call 911. If you are by yourself, contact 911 and ask for an ambulance and a defibrillator if one is available. The operator may give further instructions. It may be best not to leave the patient during this time unless they become unresponsive again or there is another emergency.
Step 8: Look For Trauma Or Other Medical Issues
Be aware that some emergencies are caused by traumatic injuries, such as head injuries or broken bones. If the patient is brought in on a stretcher, have someone move them to their back so you can check for bleeding and broken limbs.
Step 9: Help The Patient Relax If They Are In Pain
If an injury causes their condition, it may be essential to take steps to reduce anxiety levels. This can promote increased blood flow and help manage any injuries they have sustained.
Step 10: Follow Up With The Ambulance Once They Arrive
The paramedics or EMTs will give you further directions about how to help the patient best. It may be best not to leave the patient’s side, but if you are unsure, you can follow up with them at their local hospital or call them for any questions that arise later.
Benefits Of Performing DR ABC in Medical :
The following are some benefits of DR ABC:
1. Identifies Immediate Threats
Medical staff will know exactly where to go during a medical disaster to respond immediately to treat patients in need. Since the approach is straightforward, they will also know exactly what to expect when they get there.
2. Sees What’s Been Missed In a Disaster
The DR ABC practices and drills run by this system allow medical staff to react in emergencies immediately. They will enable them to see what areas of potential disaster preparedness were overlooked. For example, they may find that some staff do not have access to crucial medical equipment or identify an area in need of renovation.
3. Flexibility In Emergencies
Medical responders will know exactly what to expect when they enter an emergency because it has been laid out in the DR ABC system. This allows them the flexibility to organize the medical equipment and supplies they will need to take care of all patients best.
4. Gathers More Supplies
The DR ABC system builds an inventory list of all medical supplies, equipment, and tools within a hospital or department. This means that there is a complete list of what exactly is available during an emergency or even when regular stocking up happens.
5. A Clear Approach To Emergency Response
The DR ABC system provides a straightforward approach to emergency response that medical staff will be familiar with, making them feel comfortable and confident in their work during an emergency. This gives them the ability to function at their best, which allows them to save as many lives as possible.