You are part of a rescue team that has been called to the crash of a small compact vehicle with the vehicle of upper middle class. It was a front-side collision with a strong deflection of a small compact vehicle to the area of the driver´s cab. Driver is wedged with injuries incompatible with life, passenger was extracted by FRS, lying on the ground. What will be your first 3 steps?
You follow the ABCDE approach which eliminates life-threatening situations in order that causes the death of the patient.
Stabilization of the cervical spine, securing the airway and breathing are way more important than peripheral vein cannulation, administration of infusion, measurement of blood pressure and oxygen saturation, which refer to letter C (circulation).
Securing the airway and breathing is more important than GCS scoring which comes as letter D in the ABCDE acronym (D = disabilities = neurological examination).