C-ABC: cash before care in a private emergency department?

Stephen S Teo and Vijay Manivel
Med J Aust 2018; 209 (11): . || doi: 10.5694/mja18.00840
Published online: 10 December 2018

In 2010 the American Heart Association recommended a change from ABC (airway, breathing, chest compressions) to CAB (chest compressions, airway, breathing), which was confirmed in their 2015 guidelines.1 Interestingly, over the past 10–15 years there has also been a shift in the algorithm for trauma with the addition of “C” as a prompt for the assessment, management and resuscitation of the patient with Catastrophic haemorrhage, taking precedence over ABC and giving rise to C-ABC.2

  • Stephen S Teo1,2
  • Vijay Manivel3,4

  • 1 Western Sydney University, Sydney, NSW
  • 2 Blacktown and Mt Druitt Hospitals, Sydney, NSW
  • 3 Nepean Hospital, Sydney, NSW
  • 4 Norwest Private Hospital, Sydney, NSW


Competing interests:

Vijay Manivel is employed as a consultant emergency physician in a private hospital setting.


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