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Article of the Week

Shifting priorities: C-ABC, H-ABC, or X-ABC?

Exsanguinating hemorrhage is the most common cause of preventable traumatic death. For years, the Airway, Breathing, and Circulation (ABC) approach to care has been emphasized in standardized resuscitation training programs such as ATLS and TNCC. However, contemporary data make it clear that prioritizing the management of major bleeding is the best way to improve trauma patient outcomes. 

Subsequently, the current focus is on first controlling massive hemorrhage before moving on to ABC. This approach was initially called C-ABC or H-ABC (H stands for Hemorrhage), but current consensus seems to prefer the term X-ABC (for eXsanguination). Whatever you want to call it, this review article explores the history of the ABCs in resuscitation research.

Alexandra MPB, Martin S. x-ABC versus ABC: shifting paradigms in early trauma resuscitation. Trauma surgery & acute care open. 2025;10(Suppl 1):e001773.

Trauma Happenings

The US Centers for Disease Control's Injury Prevention & Control website

Understanding the scope and impact of unintentional and violence-related injuries is essential to improving prevention efforts. The Centers for Disease Control and Prevention (CDC) offers a range of publicly accessible data systems and interactive dashboards that provide critical insights into injury patterns and mortality trends across the United States. From tracking fatal injury statistics to accessing detailed information through the National Violent Death Reporting System (NVDRS), these tools support data-driven decision-making for clinicians, researchers, and public health professionals alike. Explore these resources at the link below.

Get Ready for Emergency Nursing 2025 in New Orleans

The Emergency Nurses Association (ENA) is hosting Emergency Nursing 2025 from September 17–20, 2025, at the Ernest N. Morial Convention Center in New Orleans. This event will bring together thousands of emergency nurses for top-tier education, networking, and industry insights. Participants will gain new knowledge, reconnect with peers, and earn CE credits through dozens of sessions, an expansive Experience Hall, and social events designed for emergency nursing professionals. 

Whether attending in person or streaming virtually, this conference offers an energizing mix of learning, leadership, and camaraderie. Drop by booth #1116 in the Experience Hall to say hello to the TCAR team and pick up some of our famously fun badge ribbons. See you there!

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Do You Remember the Bionic Man?

A newly developed bionic knee, as described in Science, integrates directly with the femur and leg muscles via a titanium implant and permanent electrodes. This enables above-the-knee amputees to walk and climb with better control and stability. Unlike traditional socket prostheses, this tissue-integrated design improves load bearing, reduces discomfort, and gives users a stronger sense of ownership and control over the limb. Researchers aim to start FDA clinical trials within five years. Check out the photo through the link below.

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