Unresponsive, not breathing; pulse present or absent
Secondary ABCD Survey

• Intubate as soon as possible
• Confirm tube placement; use 2 methods to confirm:
  • Use primary physical exam criteria plus
  • Use secondary confirmation device (end-tidal CO2; EDD)
• Secure tracheal tube (TT):
  • Prevent dislogment with commercially made TT holders, which are recommeded over tape-and-tie approaches
  • If patient is at risk for transport movement, cervical collar and backboard are recommended
• Confirm initial oxygenation and ventilation:
  • End-tidal CO2 monitor
  • Oxygen saturation monitor
• Oxygen, IV, monitor, fluids rhythm-appropriate medications
• Vital signs: Temp, BP, HR, respirations
• Consider differential diagnosis