International Journal of General Medicine
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The International Journal of General Medicine is an international,
peer-reviewed open-access journal that focuses on general and internal
medicine, pathogenesis, epidemiology, diagnosis, monitoring and treat-
ment protocols. The journal is characterized by the rapid reporting of
reviews, original research and clinical studies across all disease areas.
A key focus is the elucidation of disease processes and management
protocols resulting in improved outcomes for the patient.The manu-
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International Journal of General Medicine 2012:5
Styner crashed in a small aircraft with his family, and they
were admitted to the local hospital. Here, he observed an
inadequacy of the emergency care provided. Emphasizing
the systematic approach to the critically injured patient,
he formed the basis of the Advanced Trauma Life Support
courses. Accordingly, the ABCDE approach is an extension
of the initially described ABC approach for patients in car-
diac arrest to patients experiencing all medical and surgical
The ABCDE approach is a strong clinical tool for the initial
assessment and treatment of patients in acute medical and
surgical emergencies, including both prehospital ﬁrst-aid and
in-hospital treatment. It aids in determining the seriousness
of a condition and to prioritize initial clinical interventions.
Widespread knowledge of and skills in the ABCDE approach
are likely to enhance team efforts and thereby improve patient
The authors would like to thank Gitte Skovgård Jensen for
expert assistance in preparation of the ﬁgures.
The authors report no conﬂicts of interest related to this
1. Thim T, Krarup NH, Grove EL, Lofgren B. ABCDE – a systematic approach
to critically ill patients. Ugeskr Laeger. 2010;172(47):3264–3266.
2. Guly HR. ABCDEs. Emerg Med J. 2003;20(4):358.
3. Featherstone P, Smith GB, Linnell M, Easton S, Osgood VM. Impact of a
one-day inter-professional course (ALERT) on attitudes and conﬁdence
in managing critically ill adult patients. Resuscitation. 2005;65(3):
4. Moretti MA, Cesar LA, Nusbacher A, Kern KB, Timerman S, Ramires JA.
Advanced cardiac life support training improves long-term survival from
in-hospital cardiac arrest. Resuscitation. 2007;72(3):458–465.
5. Rivers E, Nguyen B, Havstad S, et al. Early goal-directed therapy
in the treatment of severe sepsis and septic shock. N Engl J Med.
6. Nolan JP, Soar J, Zideman DA, et al. European Resuscitation Council
Guidelines for Resuscitation 2010. Section 1. Executive summary.
7. Deakin CD, Nolan JP, Soar J, et al. European Resuscitation Council
Guidelines for Resuscitation 2010. Section 4. Adult advanced life
support. Resuscitation. 2010;81(10):1305–1352.
8. Soar J, Perkins GD, Abbas G, et al. European Resuscitation Council
Guidelines for Resuscitation 2010. Section 8. Cardiac arrest in special
circumstances: Electrolyte abnormalities, poisoning, drowning,
accidental hypothermia, hyperthermia, asthma, anaphylaxis,
cardiac surgery, trauma, pregnancy, electrocution. Resuscitation.
9. Koster RW, Baubin MA, Bossaert LL, et al. European Resuscitation
Council Guidelines for Resuscitation 2010. Section 2. Adult basic life
support and use of automated external deﬁbrillators. Resuscitation.
10. Mansﬁeld CJ, Price J, Frush KS, Dallara J. Pediatric emergencies in
the ofﬁce: are family physicians as prepared as pediatricians? J Fam
11. Sempowski IP, Brison RJ. Dealing with ofﬁce emergencies. Step-
wise approach for family physicians. Can Fam Physician. 2002;48:
12. Wheeler DS, Kiefer ML, Poss WB. Pediatric emergency preparedness
in the ofﬁce. Am Fam Physician. 2000;61(11):3333–3342.
13. Toback SL. Medical emergency preparedness in off ice practice.
Am Fam Physician. 2007;75(11):1679–1684.
14. Dick ML, Schluter P, Johnston C, Coulthard M. GPs’ perceived
competence and comfort in managing medical emergencies in southeast
Queensland. Aust Fam Physician. 2002;31(9):870–875.
15. Fuchs S, Jaffe DM, Christoffel KK. Pediatric emergencies in ofﬁce
practices: prevalence and ofﬁce preparedness. Pediatrics. 1989;83(6):
16. Lockey A, Balance J, Domanovits H, et al, eds. Advanced Life Sup-
port. ERC Guidelines 2010 Edition. Belgium: European Resuscitation
17. Safar P, McMahon M. Mouth-to-airway emergency artiﬁcial respiration.
J Am Med Assoc. 1958;166(12):1459–1460.
18. Kouwenhoven WB, Jude JR, Knickerbocker GG. Closed-chest cardiac
massage. JAMA. 1960;173:1064–1067.
19. Safar P, Brown TC, Holtey WJ, Wilder RJ. Ventilation and circulation
with closed-chest cardiac massage in man. JAMA. 1961;176:574–576.
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