From the very first time I was faced with the responsibility of possibly having to respond to an emergency when I was a young boy scout (at age 11) to just yesterday when I was an emergency clinician at the Pet Emergency Clinic, the immediate goal was "to make everything ready".
The object of this review is to convey new scientific information and resultant practical techniques applicable to the care of the severely injured patient. One near death, severely injured patient is then briefly presented to exemplify A – airway, B-breathing C- cardiovascilar, D – disability, E – everything else techniques that contributed to her recovery.
When a patient first arrives we have all been taught the ABCs of emergency care. We know that the assurance of a clear airway is paramount and the first thing we should all do, and then we move one to B and assure breathing is adequate. Then we move on to C (for cardiovascular) and assess and ensure the heart is pumping and pumping adequately... This process is termed vertical resuscitation and is a "step by step" process that is completed in a "priority of need" sequence.
Review the common pathophysiology – Cause – Affect of the reasons cardiopulmonary arrest occurs in clinical practice and then review the current views on basic and advanced cardiac life support and provide my personal views on the subject based on over 35 years of clinical and some years of experimental research experience.