What is the correct order of the ABCDE framework in priority-setting?

The ABCDE framework is a systematic approach used in emergency medicine to prioritize care based on the most critical needs of a patient. The correct order is Airway, Breathing, Circulation, Disability, and Exposure.

Starting with Airway is crucial because a clear airway is essential for adequate ventilation and oxygenation. If the airway is compromised, no amount of breathing or circulation can ensure that the patient is adequately oxygenated. Following Airway, Breathing addresses the patient's ability to inhale and exhale effectively. If the breathing is impaired, it can lead to rapid deterioration.

Circulation comes next; it focuses on the heart's ability to pump blood effectively throughout the body. Assessing circulation ensures that vital organs continue receiving adequate blood supply. Disability, typically assessed next, involves determining the patient's neurological status, which can be crucial in cases of head trauma or neurological compromise. Finally, Exposure involves removing clothing to identify any hidden injuries and ensuring the patient is kept warm, which is essential for preventing hypothermia after trauma.

This order reflects the hierarchy of life-threatening conditions, ensuring that immediate interventions are focused on maintaining vital functions before addressing broader medical concerns.