Prehospital emergency care

Description

Cover Title Page Copyright Page Acknowledgments Contents Key Features EMT Skills Preface What’s New in the 10th Edition? About the Authors PART 1 Preparatory/Public Health 1 Emergency Medical Care Systems, Research, and Public Health Introduction The Emergency Medical Services System The EMT Research and EMS Care Public Health 2 Workforce Safety and Wellness of the EMT Introduction Emotional Aspects of Emergency Care Scene Safety Wellness Principles 3 Medical, Legal, and Ethical Issues Introduction The Scope of Practice Issues of Patient Consent and Refusal Other Legal Aspects of Emergency Care 4 Documentation Introduction Functions of the Prehospital Care Report Collection of Data in Prehospital Care Reports Legal Concerns Special Situations Alternative Documentation Methods Medical Abbreviations 5 Communication Introduction EMS Communications System Communicating Within the System Team Communication and Dynamics Therapeutic Communication 6 Lifting and Moving Patients Introduction Body Mechanics for Safe Lifting General Guidelines for Lifting and Moving Lifting and Moving Patients Packaging for Transportation General Guidelines for Carrying a Patient Using a Backboard, Portable Stretcher, or Flexible Stretcher PART 2 Anatomy and Physiology/Medical Terminology 7 Anatomy, Physiology, and Medical Terminology Introduction Anatomical Terms Body Systems Medical Terminology PART 3 Pathophysiology 8 Pathophysiology Introduction Cellular Metabolism Components Necessary for Adequate Perfusion PART 4 Life Span Development 9 Life Span Development Introduction Life Span Development PART 5 Airway Management, Respiration, and Artificial Ventilation 10 Airway Management, Artificial Ventilation, and Oxygenation Introduction Respiration Respiratory System Review Airway Assessment Assessment of Breathing Assessing for Adequate Breathing Making the Decision to Assist Ventilation or Not Techniques of Artificial Ventilation Special Considerations in Airway Management and Ventilation Oxygen Therapy PART 6 Assessment 11 Baseline Vital Signs, Monitoring Devices, and History Taking Introduction Gathering Patient Information Baseline Vital Signs Monitoring Equipment Preparing to Take the History Taking the History 12 Scene Size-up Introduction Take the Necessary Standard Precautions and Other Personal Protection Precautions Determine Scene Safety Determine the Nature of the Problem Determine the Number of Patients 13 Patient Assessment Introduction Part 1: Scene Size-up Part 2: Primary Assessment Form a General Impression of the Patient Assess Level of Consciousness (Mental Status) Assess the Airway Assess Breathing Assess Oxygenation Assess Circulation Establish Patient Priorities Part 3: Secondary Assessment Overview of Secondary Assessment: Anatomical and Body Systems Approaches, Baseline Vital Signs, and History Secondary Assessment: Trauma Patient Reevaluate the Mechanism of Injury Rapid Secondary Assessment: Trauma Patient with Significant Mechanism of Injury, Altered Mental Status, Multiple Injuries, or Critical Finding (Unstable) Modified Secondary Assessment: Trauma Patient with NO Significant Mechanism of Injury, Altered Mental Status, Multiple Injuries, or Critical Finding (Stable) Secondary Assessment: Medical Patient Medical Patient Who Is Not Alert or Is Disoriented, Is Responding Only to Verbal or Painful Stimuli, or Is Unresponsive Responsive Medical Patient Who Is Alert and Oriented Part 4: Reassessment Purposes of the Reassessment Repeat the Primary Assessment Complete the Reassessment PART 7 Pharmacology 14 Pharmacology Medication and Administration Introduction Administering Medications Medications Commonly Administered by the EMT Medication Names Routes of Administration Medication Forms Essential Medication Information Key Steps in Administering Medications Reassessment Following Administration Sources of Medication Information PART 8 Shock and Resuscitation 15 Shock and Resuscitation Introduction Shock Resuscitation in Cardiac Arrest Automated External Defibrillation and Cardiopulmonary Resuscitation Recognizing and Treating Cardiac Arrest Special Considerations for the AED PART 9 Medicine 16 Respiratory Emergencies Introduction Respiratory Anatomy, Physiology, and Pathophysiology Respiratory Distress Pathophysiology of Conditions That Cause Respiratory Distress Metered-Dose Inhalers and Small-Volume Nebulizers Age-Related Variations: Pediatrics and Geriatrics Assessment and Care: General Guidelines 17 Cardiovascular Emergencies Introduction Review of the Circulatory System Anatomy and Physiology Cardiac Compromise and Acute Coronary Syndrome (ACS) Nitroglycerin Age-Related Variations: Pediatrics and Geriatrics Assessment and Care: General Guidelines 18 Altered Mental Status, Stroke, and Headache Introduction Altered Mental Status Stroke Headache 19 Seizures and Syncope Introduction Seizure Syncope 20 Acute Diabetic Emergencies Introduction Understanding Diabetes Mellitus Acute Diabetic Emergencies Assessment-Based Approach: Altered Mental Status in a Diabetic Emergency 21 Anaphylactic Reactions Introduction Anaphylactic Reaction 22 Toxicologic Emergencies Introduction Poisons and Poisonings Ingested Poisons Inhaled Poisons Injected Poisons Absorbed Poisons Specific Types of Poisoning Poison Control Centers Drug and Alcohol Emergencies Specific Substance Abuse Considerations 23 Abdominal, Hematologic, Gynecologic, Genitourinary, and Renal Emergencies Introduction Acute Abdomen Hematologic Emergencies Gynecologic Emergencies Genitourinary/Renal Emergencies 24 Environmental Emergencies Introduction Heat and Cold Emergencies Exposure to Cold Exposure to Heat Bites and Stings Lightning Strike Injuries High-Altitude Sickness 25 Submersion Incidents: Drowning and Diving Emergencies Introduction Water-Related Emergencies Scuba or Deepwater Diving Emergencies 26 Behavioral Emergencies Introduction Behavioral Problems Dealing with Behavioral Emergencies Legal Considerations PART 10 Trauma 27 Trauma Overview: The Trauma Patient and the Trauma System Introduction The Kinetics of Trauma Mechanisms of Injury The Multisystem Trauma Patient The Golden Period and Platinum Ten Minutes The Trauma System Golden Principles of Prehospital Trauma Care 28 Bleeding and Soft Tissue Trauma Introduction External Bleeding Internal Bleeding Factors That May Increase Bleeding Hemorrhagic Shock Soft Tissue Trauma Closed Soft Tissue Injuries Open Soft Tissue Injuries Dressings and Bandages 29 Burns Introduction The Skin: Structure and Function Review Airway, Breathing, Oxygenation, and Circulation Effects of Burns on Body Systems Assessment and Care of Burns 30 Musculoskeletal Trauma and Nontraumatic Fractures Introduction Musculoskeletal System Review Injuries to Bones and Joints Basics of Splinting Nontraumatic Fractures 31 Head Trauma Introduction Anatomy of the Skull and Brain Head Injury 32 Spinal Column and Spinal Cord Trauma Introduction Anatomy and Physiology of Spine Injury Emergency Care for Suspected Spine Injury Guidelines for Immobilization Special Considerations 33 Eye, Face, and Neck Trauma Introduction Anatomy of the Eye, Face, and Neck Eye, Face, and Neck Injuries Specific Injuries Involving the Eye, Face, and Neck 34 Chest Trauma Introduction The Chest 35 Abdominal and Genitourinary Trauma Introduction The Abdomen Genital Trauma 36 Multisystem Trauma and Trauma in Special Patient Populations Introduction Multisystem Trauma Trauma in Special Patient Populations Assessment-Based Approach: Multisystem Trauma and Trauma in Special Patient Populations PART 11 Special Patient Populations 37 Obstetrics and Care of the Newborn Introduction Anatomy and Physiology of the Obstetric Patient Antepartum (Predelivery) Emergencies Labor and Normal Delivery Abnormal Delivery Care of the Newborn 38 Pediatrics Introduction Dealing with Caregivers Dealing with the Child Assessment-Based Approach to Pediatric Emergencies Airway and Respiratory Problems in Pediatric Patients Specific Pediatric Respiratory and Cardiopulmonary Conditions Other Pediatric Medical Conditions and Emergencies Pediatric Trauma Child Abuse and Neglect Special Care Considerations 39 Geriatrics Introduction Effects of Aging on Body Systems Special Geriatric Assessment Findings Assessment-Based Approach: Geriatric Patients 40 Patients with Special Challenges Introduction Recognizing the Patient with Special Challenges Sensory Impairments Cognitive and Emotional Impairments Paralysis Obesity Homelessness and Poverty Abuse Technology Dependence Airway and Respiratory Devices Vascular Access Devices Ventricular Assist Device (VAD) Renal Failure and Dialysis Gastrointestinal and Genitourinary Devices Intraventricular Shunts Terminally III Patients 41 The Combat Veteran Introduction The Psychophysiology of Stress Response Combat Veterans The Nature of PTSD Assessing and Providing Emergency Care to Combat Veterans: Recommendations for EMTs PART 12 EMS Operations 42 Ambulance Operations and Air Medical Response Introduction Driving the Ambulance Warning Devices Roadway Incident Scene Safety Phases of an Ambulance Call Air Medical Transport Security and Safety 43 Gaining Access and Patient Extrication Introduction Planning Ahead Sizing up the Scene Gaining Access Extrication Specialized Stabilization, Extrication, and Disentanglement Techniques 44 Hazardous Materials Introduction Identifying Hazardous Materials Guidelines for Hazardous Materials Rescues 45 Multiple-Casualty Incidents and Incident Management Introduction Multiple-Casualty Incidents National Incident Management System Triage Disaster Management 46 EMS Response to Terrorism Involving Weapons of Mass Destruction Introduction Weapons of Mass Destruction Prehospital Response to Terrorism Involving WMD Conventional Weapons and Incendiary Devices Chemical Agents Biological Agents Nuclear Weapons and Radiation Appendix 1 ALS-Assist Skills Appendix 2 Advanced Airway Management Appendix 3 Agricultural and Industrial Emergencies Answer Key Glossary A B C D E F G H I J K L M N O P Q R S T U V W X Z Index A B C D E F G H I J K L M N O P Q R S T U V W X Y Z