I don't know where you got this info from, but the current protocol and current ACLS states ABC's are the most important. Airway, Breathing and then circulation. Immediate life threats are to be treated first. If you have an arterial bleed, that takes priority. Stop the bleeding, secure the airway and breathe for them. In that order. Every time.
My career is in EMS. I do this daily and train often.
Because he is referring to military medicine. And he is absolutely right.
I am a SOCM by trade, although I fill/filled various other roles. First, even basic CPR is now CAB and it makes sense. If someone has a massive hemmoraghe why are you going to go stick a nasal in him? The reduction of perfusion is the issue, fix that. Different example if it’s a heart attack....it’s the reduction of perfusion that’s the issue, oxygen to the brain... so circulation, then get the airway so you can bag...and maybe an aed, and with a crash cart then your epis and lidos, and vasopressins or whatever your local preferences are.
Second our (military) priority’s are different then civilian medicine as well as triage.
I can carry a lot weight, probably a lot more than the average man, but I’m not carrying a damn hospital on my back.
As EMS you don’t have to worry about carrying half a dude 3 miles down a mountain to an LZ on the Y (rpg zone). Secondly despite movies, you cant just move about the battlefield god blessing everyone to health and expect to not lose THE FIGHT you are currently in. It doesn’t matter how F’d up the person looks, the priority is to get guns back in the fight.
If it’s just one immediate, have at it. Tourniquets policy’s have been changed like 3 times since I’ve been in. It was three inches above the amputation; then it turned to high and tight, then back to three inches to save more limb. High and tight works. Ever watch and artery slip away from you and disappear? Life over limb baby.
For some of the slower guys, I have them follow something I call PMARCH-P to help them remember when stuff gets stressful.
P-patient on the X
M-massive hemorrhage (big pipes little pipies)
A-airway
R-repirations
C-circulation
H-head/hypothermia
P- pain management and zmist to 9 line.