How to use DRABC – The Primary Survey
What is DRABC?
The DRABC procedure or the primary survey will allow you to establish what level of first aid you need to administer and if you need to call the emergency services. First aiders split the primary survey into the steps D-R-A-B-C, you can remember this easily by remembering DR ABC.
What does DRABC stand for?
DRABC stands for Danger, Response, Airway, Breathing and Circulation. As a First Aider, when you encounter a casualty you need to do the initial DRABC procedure otherwise known as the primary survey.
What are the main objectives of first aid?
Before even thinking about administering any first aid, it is good to know what you are doing. As a calm and measured first aider, you need to think about the 3P’s… yes another acronym.
First aid is all about:
Preserve life – you are preventing that person from losing their life.
Prevent further injury – you don’t want the casualty to become even more injured. Make sure that the casualty has a good supply of oxygen and that they are in a safe position. Ideally, casualties shouldn’t be moved but if you have no other option maker sure you move them properly and carefully.
Promote recovery – you need to take the relevant steps to promote recovery; whether that is applying bandages or cold compresses or putting them into the recovery position. Continue promoting recovery until the emergency help arrives.
What are the 5 elements of a primary survey (DRABC)?
D – Danger
On the first step of DRABC, you need to determine whether it is safe to approach the casualty and that yourself and anyone else aren’t in a position to also become a casualty. For example; this could be stopping any oncoming traffic, looking out for live electricity, looking out for any places you could fall or trip over.
Once you can confirm there is no potential danger you can begin to assess the casualty.
R – Response
Next, you need to try and get some kind of response from the casualty so the casualty can tell you what is wrong with them. To do this use the AVPU scale which will help you scale the level of response from the casualty.
- A – Alert: first of all is the casualty moving or talking? If not proceed to V.
- V – Voice: Try speaking to the casualty loudly and clearly to see if they respond to speech. Make sure that you are in the casualty’s eye line so that they can see who is talking. If you get no response, proceed to P.
- P – Place: Place your hand on the collarbone of the casualty and carefully but firmly shake them. At this point, you need to continue to speak to the casualty making them aware of who you are. P can also stand for pain if the casualty responds as if they are in discomfort. If they do not show any signs of responsiveness proceed to U.
- U – Unresponsive: at this point, you can assume the casualty is unresponsive.
A – Airways
Now you need to investigate why the casualty is unresponsive by checking their airway. To do this you need to place the casualty on their back and tilt their head back. Place your hand on the chin and forehead and lightly tip back their head. With your fingertips on the chin of the casualty lift their mouth open to open the airways.
B – Breathing
When the airway is open; lookout for any signs of normal breathing for 10 seconds. Look out for if the casualty looks to be breathing abnormally, infrequently or not at all. Start applying CPR if you notice any of these symptoms.
If the casualty is unresponsive but is breathing normally and isn’t in a state where they can be moved without damaging them further put them into the recovery position.
C – Call 999 / Circulation
If you reach this point and the casualty isn’t breathing you need to get someone to call 999 or if you are alone put your phone on speakerphone and do it yourself. Never start CPR until the emergency services have been called. If possible get someone to go and get an AED while you speak to the emergency services and stay with the casualty if you are alone. If you would like to learn how to use an AED, why not attend the AED Training course?
DRABC – D
Some people consider the defibrillation stage as its own step in the DRABC procedure, therefore calling it DRABCD. Using a defibrillator is key to keeping someone alive and you need to take it seriously as a step.
How to Use a Defibrillator (AED)
Take a look at our step by step guide on how to find and use an AED in the event of an emergency here.
First Aid Training Courses
3B Training offers a range of First Aid Courses to choose from. Each training course covers different aspects of first aid for different sizes and types of workplace.
- Emergency First Aid – usually delivered to those who work in a low-risk environment.
- First Aid at Work – delivered to those who work in a medium-high risk environment.
- First Aid Requalification – this course is used to renew an existing First Aid at Work certificate that has expired.
- Paediatric First Aid – designed for those who work with children and babies.