Approach to the unresponsive patient

Algorithm of the approach to the unresponsive patient - SSS ABC

We always follow the algorithm SSS ABC while providing first aid to an unresponsive patient. Here is a step-by-step sequence:

S – safety Make sure that you, the patient and any bystanders are safe.
SSS ABC Algorithm (D)
S – stimulate Assess the patient's level of consciousness. Speak loudly to the patient and, if he does not respond, shake his shoulders.
SSS ABC Algorithm
S – shout for help Shout for help loudly.
SSS ABC Algorithm
A – airway Turn the patient face up if necessary. Then tilt his head back and lift the chin to open the airway.
SSS ABC Algorithm
B – breathing To determine whether the patient is breathing normally, look at his chest, listen and try to feel the exhaled airflow on your face. Check for the breathing for 10 seconds. If you have any doubt whether the breathing is normal, act as if the patient is not breathing normally and start CPR.
SSS ABC Algorithm
C – CPR Call EMS and start CPR by chest compressions in an adult patient.
SSS ABC Algorithm

The letter C can also mean circulation, more precisely blood circulation, which we support by the correctly performed CPR.

The following chapters will be dedicated to the detailed description of the individual steps.