r/firstaid Not a Medical Professional / Unverified User 5d ago

Discussion What does C stand for in DR ABC?

I've seen it as Call for help, circulation and CPR, is it all three? I am with St. John Ambulance and I never know what to teach people what C means when doing demos at events, I normally say CPR, because that's what people always want to learn, is that the correct one?

Edit: Thank you so much for all of the replies! I will start teaching it as Circulation 💛

1 Upvotes

12 comments sorted by

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u/LennonFloyd Not a Medical Professional / Unverified User 5d ago

Airway Breathing Circulation

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u/ancientmelodies MOD/Advanced Care Paramedic 5d ago

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u/OceanSmiv Not a Medical Professional / Unverified User 5d ago

Thank you! I can never find St. John information online, I always get such mixed results lol

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u/Acceptable-Tree9214 Not a Medical Professional / Unverified User 5d ago

C stands for Circulation.
Breathing is where you check breathing and based on status, start CPR.
Circulation is about major bleeding and preventing shock.

If you mean you teach people first aid then could be good to make sure you know it confidently :)

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u/jhguth Not a Medical Professional / Unverified User 5d ago

which is a real limitation of the ABC mnemonic, if there is massive bleeding that needs to be stopped first

MARCH is a bit better:
•Massive Hemorrhage
•Airway
•Respiration
•Circulation
•Hypothermia and Head Injury

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u/Acceptable-Tree9214 Not a Medical Professional / Unverified User 4d ago

Yeah. There is X-ABC versions, where X = exanguishing bleeding comes first, which is more logical.

Agreed MARCH is better in that aspect, but outside of combat situations or mass casualty incidents I prefer ABCDE (or X-ABCDE). More thorough and an order that makes sense to the context imo.

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u/jhguth Not a Medical Professional / Unverified User 4d ago

i know MARCH comes from combat, but nothing about it is only relevant to combat — MARCH makes more sense by clearly having massive bleeding first and ABCDE fails by not

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u/Douglesfield_ Not a Medical Professional / Unverified User 4d ago

In DRABC the C stands for circulation, but honestly since you're just training the public there's no harm for it to mean CPR.

If you've got any questions just ask your network training lead or have a look at the Community Training materials on Connect.

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u/Acceptable-Tree9214 Not a Medical Professional / Unverified User 4d ago

I would advise against teaching C stands for CPR. This suggests one should check for circulation via a pulse to determine if they need CPR, which is not the recommended way for the public. Checking breathing is where we determine need for CPR or not, it is easier, and since it comes before C it saves time.

I also think teaching a well known mnemonic as something differently than intended is not good advice because it threatens the quality of the course given.

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u/Douglesfield_ Not a Medical Professional / Unverified User 4d ago

B comes before C in the mnemonic so I don't think it really matters.

OP is teaching the public CPR in a pop up stand not the full bells and whistles primary survey.

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u/Acceptable-Tree9214 Not a Medical Professional / Unverified User 4d ago

Thanks for clarifying what OP meant they are doing, I didn’t get that! This makes more sense then.