Table 5.

Five-second round for rapid evaluation of vital parameters (from A. Bohn, Bundesverband Ärztliche Leiter Rettungsdienst Deutschland (ÄLRD) (www.aelrd.de))

Five-second round	Examination of vital signs (spontaneous movement)
A—Airway	Muffled speech, swollen tongue
B—Breathing	Evaluation of breathing (dyspnea, stridor, wheezing; optional: auscultation, pulse oximetry)
C—Circulation	Evaluation of recap time (preferably forehead or sternum) Pulse (strength, frequency, regularity) and blood pressure
D—Disability	Consciousness, blood glucose measurement
E—Exposure	Inspection of easily visible areas of skin areas and mucous membranes, question patient regarding other symptoms (e.g., nausea, vomiting, headache, feeling of chest pressure, impaired vision, pruritus)
Secondary survey	AMPLE approach Known Allergies, possible elicitors of acute reaction, risk factors (asthma, other pre-existing diseases) Medication Patient history Last meal Events