In the ABCDE assessment, the 'D' stands for Disability, focusing on what assessment?

• A. Neurologic status
• B. Vital signs
• C. Fracture assessment
• D. Skin integrity

Answer: (A)

Disability in the ABCDE approach is a quick check of neurological status. After ensuring the airway, breathing, and circulation, you assess brain function to catch rapid changes that could signal brain injury or metabolic issues. This includes evaluating consciousness level (using AVPU or the Glasgow Coma Scale), orientation to person, place, and time, pupil size and reaction, and the ability to move or follow commands. These signs tell you how well the brain is functioning and help guide urgent interventions if a decline is detected. It’s separate from assessing vital signs, bone injuries, or skin integrity, which are addressed in the other steps and areas of the assessment.