Related Experiment Video
Updated: Sep 17, 2025

Integrated Compensatory Responses in a Human Model of Hemorrhage
Published on: November 20, 2016
Prioritizing circulation over airway in trauma patients with exsanguinating injuries: What you need to know
Paula Ferrada1, Juan Duchesne, Mark Piehl
1From the Chair Department of Surgery, Inova Fairfax Medical Campus, Medical Director Perioperative Services IFMC, Division and System Chief for Trauma and Acute Care Surgery, Inova Healthcare System, University of Virginia School of Medicine, Falls Church, VA (P.F.); Department of Surgery, University of Mississippi, Oxford, Mississippi (J.D.); and Department of Surgery, University of North Carolina, Chapel Hill, NC (M.P.).
Abstract:
Hemorrhage remains a leading cause of preventable trauma-related mortality, with early resuscitation and hemorrhage control serving as crucial interventions. Emerging evidence suggests that prioritizing circulation before airway (Circulation, Airway, and Breathing [CAB]) during initial resuscitation in patients with exsanguinating injuries can improve survival by avoiding the deleterious effects of postintubation hypotension. This article reviews current evidence supporting the CAB approach and outlines best practices across prehospital, emergency department, and operative settings. Delaying advanced airway management while focusing on immediate hemorrhage control and blood product resuscitation has been associated with decreased 24-hour and 30-day mortality. This review synthesizes findings from recent multicenter trials and literature supporting the CAB paradigm, with practical recommendations for implementation in trauma care systems.
More Related Videos
Related Concept Videos
Cardiopulmonary Resuscitation II: ACLS Airway Management
Flail Chest-II
Assessment:
1. Clinical Evaluation:
History:
Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care
Pneumothorax-I
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
Cardiopulmonary Resuscitation I: Adult
Arteries of the Head and Neck
The internal carotid arteries supply blood to the anterior portion of the cerebrum. They enter the...

