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ABCDE

McSwain, Norman E Jr. nmcswai at tulane.edu
Tue Oct 6 14:51:10 BST 2009


Memory is a strange thing as to what we remember and what we forget.
This meeting stands out in my mind and the conversation when we were
looking for something with a "D' that represented assessment of the
mental status. I remember the inside of the room but I do not remember
the exact date. I believe that it Dr Charles 'Chuck' Aprahamian that
brought up DISABILITY as the "D". Other words were discussed but this
one stuck. Others surgeons in the room, of course. included the founder
of ATLS, Dr Paul 'Skip' Collicutt.

The "E" for exposure was easier.

Norman

Norman McSwain MD
Professor - Tulane Univ. SOM
Trauma Director - Charity Hospital
504 988 5111

-----Original Message-----
From: trauma-list-bounces at trauma.org
[mailto:trauma-list-bounces at trauma.org] On Behalf Of Bjorn, Pret
Sent: Tuesday, October 06, 2009 8:11 AM
To: Trauma-List [TRAUMA.ORG]
Subject: RE: ABCDE

Drs. Safar and Elam are credited with the earliest versions of
conventional CPR in the 1950's.  Safar's obituary, as well as many other
(perhaps derivative?) web references, mention his publication of a book
entitled "The ABC of Resuscitation" in 1957.  This would be the earliest
published use of the term that I can find -- except that I can't exactly
find it.  There may be a copy or two preserved in some library archive
in Pennsylvania; but if it's included in any formal bibliography
accessible via the internet, I'm not seeing it.

As for D, E, F, G, H, and I (and surely more), these amendments to the
mnemonic vary significantly by source, user, and curriculum.  Dr.
Mattox' assertion that ATLS gave rise to the traumacentric iterations is
as credible and functional as any.

Pret Bjorn, RN
Bangor, ME USA

-----Original Message-----
From: trauma-list-bounces at trauma.org
[mailto:trauma-list-bounces at trauma.org] On Behalf Of Gross, Ronald
Sent: Tuesday, October 06, 2009 4:27 AM
To: Trauma-List [TRAUMA.ORG]
Subject: RE: ABCDE

As Dr. McSwain said earlier, the ABCs did indeed originate from the ATLS
course, originally developed in Nebraska in 1978-9 as I remember it, and
brought forward by the ACS COT in 1980.  In fact, I think that Dr.
McSwain was one of the original instructors and so he would be the guy
to give us all the history lessons!
Ron
________________________________________
From: trauma-list-bounces at trauma.org [trauma-list-bounces at trauma.org] On
Behalf Of PAUL FROST [paulrachel at btopenworld.com]
Sent: Tuesday, October 06, 2009 3:52 AM
To: Trauma-List [TRAUMA.ORG]
Subject: Re: ABCDE

I'd always thought that ABC that it had come out of CPR algorithms;
surprised to hear that it is much earlier than that. Its a wonderful
mnemonic  I wonder who thought of it and when?

--- On Mon, 5/10/09, KMATTOX at aol.com <KMATTOX at aol.com> wrote:

From: KMATTOX at aol.com <KMATTOX at aol.com>
Subject: Re: ABCDE
To: trauma-list at trauma.org
Date: Monday, 5 October, 2009, 11:55 PM

First, I do believe that ABC of resuscitation existed long before Dr.
Peter
 Safar, although he did make significant contributions.    LONG  before
.
   As I reacall the D and E, was an  outgrowth of the ATLS committee of
the
ACS during the late 1980s.

k





In a message dated 10/5/2009 5:36:13 P.M. Central Daylight
 Time,
paulrachel at btopenworld.com writes:


Assuming the ABC mnemonic was coined by Peter Safar who  suggested D (di
sability) and E (Exposure) in the ABCDE protocol for  trauma?
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