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AUGUST 24, 2023

Circulation First for Rapidly Bleeding Trauma Patients: Time to Change the Paradigm?

By Sharmila Dissanaike, MD, and Paula Ferrada, MD
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Sharmila Dissanaike, MD

The Advanced Trauma Life Support (ATLS) and its iconic Airway–Breathing–Circulation (ABC) algorithm have long been a gold standard in trauma resuscitation—a cornerstone for training many generations of physicians and others who care for the injured patient. This “one good way,” by virtue of repetition and standardization, has helped ensure major injuries are not missed, nor lifesaving steps