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Prehospital Emergency Care (Book with CD-ROM)

by: Mistovich, Joseph J.

Prehospital Emergency Care (Book with CD-ROM)

by: Mistovich, Joseph J.

ISBN 13:
9780835957052
ISBN 10:
0835957055
Edition: 1st
Format: Paperback
Copyright: 08/01/1999
Publisher: PRENTICE HALL HEALTH
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Summary

Prehospital Emergency Care provides a comprehensive and student-friendly approach to EMT - Basic education. The author takes great care to provide a foundation for the skills needed to be a successful EMT - Basic. In addition, he offers clinical insight throughout the text so students have a better understanding when performing patient assessment and providing patient care. This book is ideal for the EMT-Basic who wants to go above and beyond the DOT requirements.

Assessment Summaries/Emergency Care Protocols/Algorithms

xvi

Features of This Textbook

xvii

Acknowledgments

Module 1 PREPARATORY

Introduction to Emergency Medical Care

(11)

The Emergency Medical Services System

(2)

A Brief History

(1)

Current Standards

(2)

The EMT-Basic

(7)

Roles and Responsibilities

(2)

Professional Attributes

(1)

Medical Direction

(1)

Quality Improvement

(3)

The Well-Being of the EMT-Basic

(17)

Emotional Aspects of Emergency Care

(4)

Death and Dying

(1)

High Stress Situations

(1)

Stress Management

(2)

Critical Incident Stress Debriefing

(1)

Scene Safety

(7)

Protecting Yourself from Disease

(5)

Protecting Yourself from Accidental Injury

(2)

Enrichment

(4)

Diseases of Concern

(4)

Medical, Legal, and Ethical Issues

(10)

The Scope of Practice

(1)

Legal Duties

(1)

Ethical Responsibilities

(1)

Issues of Patient Consent and Refusal

(3)

Advance Directives

(1)

Types of Consent

(2)

Refusing Treatment

(1)

Other Legal Aspects of Emergency Care

(4)

More About the Duty to Act

(1)

Abandonment and Negligence

(1)

Confidentiality

(1)

Special Situations

(3)

The Human Body

(31)

Anatomical Terms

(2)

Body Systems

(20)

The Musculoskeletal System

(9)

The Respiratory System

(4)

The Circulatory System

(4)

The Nervous System

(2)

The Endocrine System

(1)

The Skin

(1)

Enrichment

(8)

The Digestive System

(2)

The Urinary System

(1)

The Reproductive System

(6)

Baseline Vital Signs and History Taking

(13)

Baseline Vital Signs

(7)

Breathing (Respiration)

(1)

Pulse

(2)

Skin

(2)

Pupils

(1)

Blood Pressure

(2)

Vital Sign Reassessment

(1)

The Sample History

(4)

Preparing to Lift and Move Patients

(9)

Body Mechanics

(3)

Four Basic Principles

(1)

Posture and Fitness

(1)

Communications and Teamwork

(1)

General Guidelines for Lifting and Moving

(5)

The Power Lift

(1)

The Squat Lift

(2)

One-Handed Carrying Technique

(1)

Stair-Chair Technique

(1)

Reaching

(1)

Pushing and Pulling

(2)

Module 2 AIRWAY

Airway Management, Ventilation, and Oxygen Therapy

(36)

Respiratory System Review

(4)

Anatomy of the Respiratory System

(2)

Mechanics of Breathing

(1)

Respiratory Physiology

(1)

Airway Anatomy in Infants and Children

(1)

Airway Assessment

(8)

Opening the Mouth

(1)

Opening the Airway

(1)

Suction Equipment and Technique

100

(3)

Airway Adjuncts

103

(3)

Assessment of Breathing

106

(2)

Adequate Breathing

107

(1)

Inadequate Breathing

107

(1)

Techniques of Artificial Ventilation

108

(8)

Basic Consideration

108

(1)

Mouth-to-Mouth Ventilation

109

(1)

Mouth-to-Mask Ventilation

110

(1)

Bag-Valve-Mask Ventilation

111

(3)

Flow-Restricted, Oxygen-Powered Ventilation Device (FROPVD)

114

(1)

Automatic Transport Ventilator

115

(1)

Oxygen Delivery

116

(6)

Oxygen Cylinders

116

(1)

Safety Precautions

116

(1)

Pressure Regulators

117

(1)

Oxygen Humidifiers

117

(1)

Oxygen Administration Procedures

117

(1)

Terminating Oxygen Therapy

118

(1)

Transferring the Oxygen Source: Portable to On-Board

118

(1)

Oxygen Delivery Equipment

119

(3)

Special Considerations in Airway Management and Ventilation

122

(6)

A Patient with a Stoma or Tracheostomy Tube

122

(2)

Infants and Children

124

(1)

Patients with Facial Injuries

124

(1)

Foreign Body Airway Obstruction

124

(1)

Dental Appliances

124

(4)

Module 3 PATIENT ASSESSMENT

Scene Size-Up

128

(18)

Determine Scene Safety

129

(9)

Obtain Dispatch Information

130

(1)

Take Body Substance Isolation Precautions

130

(1)

Consider Scene Characteristics

131

(6)

Protect the patient

137

(1)

Protect Bystanders

137

(1)

Control the Scene

138

(1)

Determine the Nature of the Problem

138

(3)

Determine the Mechanism of Injury

139

(1)

Determine the Nature of the Illness

140

(1)

Determine the Number of Patients

141

(1)

Gain Scene Control and Establish Rapport

141

(5)

Achieve a Smooth Transition of Care

142

(1)

Reduce the Patient's Anxiety

142

(1)

Maintain Control

143

(3)

Patient Assessment

146

(70)

Components of the Patient Assessment: An Overview

147

(3)

Scene Size-up

150

(1)

Initial Assessment

150

(3)

Form A General Impression of the Patient

153

(2)

Determine if the Patient Is Ill or Injured

153

(1)

Obtain the Chief Complaint

154

(1)

Identify Immediate Life Threats

154

(1)

Establish In-Line Stabilization

155

(1)

Position the Patient for Assessment

155

(1)

Assess Mental Status

155

(3)

Asses the Level of Responsiveness

156

(2)

Document the Level of Responsiveness

158

(1)

Assess the Airway

158

(1)

Determine Airway Status

158

(1)

Open the Airway

158

(1)

Indications of Partial Airway Occlusion

159

(1)

Assess Breathing

159

(2)

Assess Rate and Quality of Breathing

159

(2)

Assesses Circulation

161

(3)

Assess Pulse

161

(1)

Identify Major Bleeding

162

(1)

Assess Perfusion

162

(2)

Establish Patient Priorities

164

(1)

Focused History and Physical Exam

165

(2)

Focused History and Physical Exam---Trauma Patient

167

(1)

Reevaluate the Mechanism of Injury

168

(1)

Significant Mechanisms of Injury

169

(1)

Trauma Patient with Significant Mechanism of Injury or Critical Finding

169

(15)

Continue Spinal Stabilization

169

(1)

Consider an Advanced Life Support Request

170

(1)

Reconsider the Transport Decision

170

(1)

Reassess Mental Status

170

(1)

Perform a Rapid Trauma Assessment

171

(9)

Assess Baseline Vital Signs

180

(1)

Obtain a SAMPLE History

180

(1)

Prepare the Patient for Transport

181

(1)

Provide Emergency Care

182

(1)

Trauma Score

182

(2)

Trauma Patient with No Significant Mechanism of Injury or Critical Finding

184

(1)

Perform a Focused Trauma Assessment

184

(1)

Obtain Baseline Vital Signs and SAMPLE History

184

(1)

Sometimes Perform a Rapid Trauma Assessment

185

(1)

Focused History and Physical Exam---Medical Patient

185

(1)

Unresponsive Medical Patient

186

(6)

Perform a Rapid Medical Assessment

187

(3)

Assess Baseline Vital Signs

190

(1)

Position the Patient

191

(1)

Obtain a SAMPLE History

191

(1)

Provide Emergency Care

192

(1)

Make a Transport Decision

192

(1)

Responsive Medical Patient

192

(2)

Assess Patient Complaints: OPQRST

192

(1)

Obtain a SAMPLE History

193

(1)

Perform a Focused Medical Assessment

193

(1)

Assess Baseline Vital Signs

193

(1)

Provide Emergency Care

193

(1)

Make a Transport Decision

193

(1)

Detailed Physical Exam

194

(1)

When to Perform a Detailed Physical Exam

195

(1)

How to Perform a Detailed Physical Exam

195

(12)

Perform the Detailed Physical Exam

196

(10)

Reassess Vital Signs

206

(1)

Continue Emergency Care

206

(1)

Ongoing Assessment

207

(1)

Purposes of the Ongoing Assessment

207

(2)

Detect Any Change in Condition

208

(1)

Identify Any Missed Injuries or Conditions

208

(1)

Adjust the Emergency Care

209

(1)

Repeat the Initial Assessment

209

(1)

Reassess Mental Status

209

(1)

Reassess the Airway

209

(1)

Reassess Breathing

209

(1)

Reassess Circulation

209

(1)

Reestablish Patient Priorities

210

(1)

Reassess and Record Vital Signs

210

(1)

Repeat the Focused Assessment for Other Complaints

210

(1)

Check Interventions

210

(1)

Note Trends in Patient Condition

211

(1)

Communication and Documentation

211

(5)

Assessment of Geriatric Patients

216

(19)

Effects of Aging on Body Systems

217

(3)

The Cardiovascular System

218

(1)

The Respiratory System

218

(1)

The Musculoskeletal System

218

(1)

The Neurological System

218

(1)

The Gastrointestinal System

219

(1)

The Renal System

220

(1)

The Integumentary System

220

(1)

Assessment of the Geriatric Patient

220

(5)

The Scene Size-up

220

(1)

The Initial Assessment

221

(1)

The Focused History and Physical Exam; The Detailed Physical Exam

222

(2)

Emergency Medical Care and Ongoing Assessment

224

(1)

Special Geriatric Assessment Findings

225

(10)

Assessment Finding: Chest Pain or Absence of Chest Pain

225

(1)

Assessment Finding: Shortness of Breath

226

(2)

Assessment Finding: Altered Mental Status

228

(2)

Assessment Finding: Signs of Trauma or Shock

230

(1)

Assessment Finding: Environmental Temperature Extremes

231

(1)

Assessment Finding: Geriatric Abuse

231

(4)

Communication

235

(12)

Components of an Emergency Communications System

237

(2)

Base Station

237

(1)

Mobile Transmitter/Receivers

237

(1)

Portable Transmitter/Receivers

237

(1)

Repeaters

237

(1)

Digital Equipment

238

(1)

Cellular Telephones

238

(1)

Broadcast Regulations

238

(1)

System Maintenance

239

(1)

Communicating within the System

239

(3)

Ground Rules for Radio Communication

240

(1)

Dispatch

240

(1)

Medical Personnel

241

(1)

Interpersonal Communications

242

(2)

Taking Charge

242

(1)

Communicating with the Patient

243

(1)

Special Circumstances

243

(1)

Enrichment

244

(3)

Radio Codes

244

(1)

Times

244

(1)

Radio Terms

244

(3)

Documentation

247

(11)

Reasons for Documentation

249

(1)

Medical Uses

249

(1)

Administrative Uses

249

(1)

Legal Uses

249

(1)

Educational and Research Uses

249

(1)

The Prehospital Care Report

249

(4)

PCR Formats

249

(1)

PCR Data

250

(3)

Legal Concerns

253

(2)

Confidentiality

253

(1)

Refusal of Treatment

253

(1)

Falsification

254

(1)

Special Situations

255

(3)

Multiple-Casualty Incidents

255

(1)

Special Reports

255

(3)

Module 4 MEDICAL, BEHAVIORAL, AND OBSTETRICS/ GYNECOLOGY

General Pharmacology

258

(11)

Administering Medications

259

(1)

Medications Commonly Administered by the EMT-B

260

(1)

Medications Carried on the EMS Unit

260

(1)

Medications Prescribed for the Patient

260

(1)

Medication Names

260

(1)

Routes of Administration

261

(1)

Medication Forms

262

(1)

Essential Medication Information

263

(1)

Indications

263

(1)

Contraindications

263

(1)

Dose

264

(1)

Administration

264

(1)

Actions

264

(1)

Side Effects

264

(1)

Key Steps in Administering Medication

264

(2)

Obtain an Order from Medical Direction

264

(1)

Select the Proper Medication

265

(1)

Verify the Patient's Prescription

265

(1)

Check the Expiration Date

265

(1)

Check for Discoloration or Impurities

265

(1)

Verify the Form, Route, and Dose

265

(1)

Documentation

266

(1)

Reassessment Following Administration

266

(1)

Sources of Medication Information

266

(3)

Respiratory Emergencies

269

(24)

Breathing Difficulty

271

(9)

Assessment and Care: Breathing Difficulty

271

(5)

Metered Dose Inhalers

276

(4)

Breathing Difficulty in the Infant or Child

280

(4)

Breathing Difficulty in the Infant or Child: Assessment and Care

280

(4)

Enrichment

284

(9)

Assessing Breath Sounds

284

(1)

Conditions That Cause Breathing Difficulty

284

(9)

Cardiac Emergencies

293

(19)

Circulatory System Anatomy and Physiology

295

(5)

The Heart

295

(1)

The Cardiac Conduction System

296

(1)

The Blood Vessels

297

(2)

The Blood

299

(1)

Blood Pressure

299

(1)

Inadequate Circulation

300

(1)

Cardiac Compromise

300

(3)

Assessment and Care: Cardiac Compromise

300

(1)

Nitroglycerin

301

(2)

Enrichment

303

(9)

Conditions That May Cause Cardiac Emergencies

303

(9)

Automated External Defibrillation

312

(21)

Cardiac Arrest

314

(2)

The Chain of Survival

314

(2)

Automated External Defibrillation

316

(3)

Types of Defibrillators

316

(2)

Analysis of Cardiac Rhythms

318

(1)

When and When Not to Use the AED

319

(1)

Recognizing and Treating Cardiac Arrest

319

(6)

Assessment and Care: Cardiac Arrest

319

(1)

Performing Defibrillation

320

(4)

Transporting the Cardiac Arrest Patient

324

(1)

Providing for Advanced Cardiac Life Support

325

(1)

Special Considerations for the AED

325

(4)

Safety Considerations

325

(1)

AED Maintenance

325

(1)

Training and Skills Maintenance

326

(1)

Medical Direction and the AED

326

(3)

Enrichment

329

(4)

The Electrocardiogram

329

(1)

Energy Levels of Defibrillators

330

(1)

Cardiac Pacemakers

330

(1)

Automatic Implantable Cardioverter Defibrillators

330

(3)

Altered Mental Status---Diabetic Emergencies

333

(15)

Altered Mental Status with Unknown History

335

(2)

Assessment and Care: Altered Mental Status with Unknown History

335

(1)

Conditions That May Cause an Altered Mental Status

336

(1)

Altered Mental Status with a History of Diabetes

337

(3)

Assessment and Care: Altered Mental Status with a History of Diabetes

338

(2)

Oral Glucose

340

(1)

Enrichment

340

(8)

Conditions That May Cause an Altered Mental Status in the Diabetic Patient

340

(8)

Altered Speech, Sensory, or Motor Function: Stroke Emergency

348

(13)

Neurologic Deficit Resulting from Nontraumatic Brain Injury

349

(4)

Assessment and Care: Altered Mental Status with Loss of Speech, Sensory, or Motor Function

349

(4)

Stroke and Transient Ischemic Attack

353

(4)

Stroke

353

(2)

Transient Ischemic Attack (TIA)

355

(2)

Enrichment

357

(4)

Causes of Stroke

357

(4)

Seizures and Syncope

361

(13)

Seizure

362

(7)

Assessment and Care: Altered Mental Status and Seizure

363

(6)

Syncope

369

(2)

Enrichment

371

(3)

Types of Seizures

371

(3)

Allergic Reaction

374

(16)

Allergic Reaction

376

(14)

Causes of Allergic Reaction

376

(1)

Assessment and Care: Allergic Reaction

377

(5)

Epinephrine Auto-Injector

382

(8)

Poisoning Emergencies

390

(18)

Poisons and Airway Management

392

(1)

Ingested Poisons

392

(3)

Assessment and Care: Ingested Poisons

392

(3)

Activated Charcoal

395

(1)

Inhaled Poisons

395

(3)

Assessment and Care: Inhaled Poisons

397

(1)

Injected Poisons

398

(1)

Assessment and Care: Injected Poisons

399

(1)

Absorbed Poisons

399

(2)

Assessment and Care: Absorbed Poisons

400

(1)

Enrichment

401

(7)

Food Poisoning

401

(2)

Carbon Monoxide Poisoning

403

(2)

Poisonous Plants

405

(1)

Poison Control Centers

405

(3)

Drug and Alcohol Emergencies

408

(16)

Drug and Alcohol Emergencies

409

(7)

Assessment and Care: Drug and Alcohol Emergencies

410

(6)

Managing a Violent Drug or Alcohol Patient

416

(1)

Enrichment

416

(8)

Drug Withdrawal

418

(1)

The Alcoholic Syndrome

418

(2)

The Withdrawal Syndrome

420

(1)

Special Considerations for PCP and Cocaine

420

(4)

Acute Abdominal Pain

424

(14)

Abdominal Structure and Function

425

(1)

Acute Abdominal Pain

426

(6)

Assessment and Care: Acute Abdominal Pain

428

(4)

Conditions That May Cause Acute Abdominal Pain

432

(6)

Appendicitis

432

(1)

Pancreatitis

432

(2)

Cholecystitis

434

(1)

Intestinal Obstruction

434

(1)

Hernia

434

(1)

Ulcer

434

(1)

Esophageal Varices

435

(1)

Abdominal Aortic Aneurysm (AAA)

435

(1)

Vomiting and Diarrhea

435

(3)

Environmental Emergencies

438

(30)

Heat and Cold Emergencies

439

(2)

Regulation of Temperature

439

(2)

Exposure to Cold

441

(10)

Generalized Hypothermia

442

(1)

Local Cold Injury

443

(2)

Assessment and Care: Cold-Related Emergency

445

(6)

Exposure to Heat

451

(10)

Hyperthermia

451

(4)

Assessment and Care: Heat-Related Emergency

455

(6)

Bites and Stings

461

(1)

Assessment and Care: Bites and Stings

461

(1)

Enrichment

462

(6)

Heat Cramps

462

(1)

Snakebite

462

(1)

Insect Bites and Stings

463

(1)

Marine Life Bites and Sting

464

(4)

Drowning, Near-Drowning, and Diving Emergencies

468

(14)

Water-Related Emergencies

469

(8)

Near-Drowning and Drowning

470

(1)

Safety Measures in Water-Related Emergencies

471

(1)

Possible Spine Injury

472

(1)

Resuscitation

472

(1)

Assessment and Care: Water-Related Emergencies

473

(4)

Enrichment

477

(5)

Deep-Water Diving Emergencies

477

(5)

Behavioral Emergencies

482

(17)

Behavioral Problems

484

(2)

Behavioral Change

484

(1)

Psychiatric Problems

484

(1)

Violence

485

(1)

Dealing with Behavioral Emergencies

486

(8)

Basic Principles

486

(1)

Techniques for Treating Behavioral Emergency Patients

487

(1)

Assessment and Care: Behavioral Emergencies

488

(4)

Restraining a Patient

492

(2)

Legal Considerations

494

(5)

Consent

494

(1)

Refusal of Care

495

(1)

Using Reasonable Force

495

(1)

Police and Medical Direction

495

(1)

False Accusations

496

(3)

Obstetric and Gynecological Emergencies

499

(30)

Childbirth and Obstetric Emergencies

501

(21)

Anatomy of Pregnancy

501

(1)

Stages of Labor

502

(1)

Assessment and Care: Predelivery Emergency

503

(4)

Assessment and Care: Active Labor and Normal Delivery

507

(6)

Assessment and Care: Active Labor with Abnormal Delivery

513

(2)

Assessment and Care: The Newborn Infant

515

(7)

Gynecological Emergencies

522

(2)

Assessment and Care: Gynecological Emergency

522

(2)

Enrichment

524

(5)

More About Predelivery Emergencies

524

(5)

Module 5 TRAUMA

Mechanisms of Injury: Kinetics of Trauma

529

(19)

The Kinetics of Trauma

530

(3)

Mass and Velocity

530

(1)

Acceleration and Deceleration

531

(1)

Energy Changes Form and Direction

531

(1)

Impacts

532

(1)

Mechanisms of Injury

533

(11)

Vehicle Collisions

533

(9)

Falls

542

(1)

Penetrating Injuries

542

(2)

Blast Injuries

544

(1)

The Golden Hour

544

(4)

Bleeding and Shock

548

(21)

The Circulatory System

550

(1)

The Heart, Blood Vessels, and Blood

550

(1)

Perfusion

550

(1)

External Bleeding

550

(7)

Severity

550

(1)

Types of Bleeding

550

(2)

Assessment and Care: External Bleeding

552

(1)

Methods of Controlling External Bleeding

553

(3)

Bleeding from the Nose, Ears, or Mouth

556

(1)

Internal Bleeding

557

(1)

Severity

557

(1)

Assessment and Care: Internal Bleeding

557

(1)

Shock (Hypoperfusion)

558

(4)

Assessment and Care: Shock (Hypoperfusion)

558

(4)

Enrichment

562

(7)

Hemophilia

562

(1)

More about Shock

562

(7)

Soft Tissue Injuries

569

(22)

The Skin

571

(1)

Closed Soft Tissue Injuries

571

(2)

Contusions

571

(1)

Hematomas

571

(1)

Crush Injuries

571

(1)

Assessment and Care: Closed Soft Tissue Injuries

572

(1)

Open Soft Tissue Injuries

573

(8)

Abrasions

573

(1)

Lacerations

573

(1)

Avulsions

574

(1)

Amputations

574

(1)

Penetrations/Punctures

574

(1)

Crush Injuries

575

(1)

Assessment and Care: Open Soft Tissue Injuries

576

(5)

Dressings and Bandages

581

(4)

Dressings

581

(1)

Bandages

581

(1)

Pressure Dressings

582

(1)

General Principles of Dressing and Bandaging

582

(3)

Enrichment

585

(6)

Other Soft Tissue Injuries

585

(6)

Burn Emergencies

591

(19)

The Skin: Structure and Function Review

593

(1)

Airway, Breathing, and Circulation

593

(1)

Classifying Burns by Depth

593

(2)

Superficial Burns

594

(1)

Partial Thickness Burns

594

(1)

Full Thickness Burns

594

(1)

Determining the Severity of Burn Injuries

595

(6)

Body Surface Area Percentage

595

(1)

Burn Injury Location

596

(1)

Age and Preexisting Medical Conditions

596

(2)

Assessment and Care: Burn Injuries

598

(3)

Chemical Burns

601

(1)

Electrical Burns

602

(2)

Enrichment

604

(6)

Circulatory System

604

(1)

Respiratory System

604

(1)

Renal System (Kidneys)

604

(1)

Nervous and Musculoskeletal Systems

604

(1)

Gastrointestinal System

604

(6)

Musculoskeletal Injuries

610

(24)

Musculoskeletal System Review

611

(2)

The Muscles

611

(1)

Tendons and Ligaments

612

(1)

The Skeletal System

612

(1)

Injuries to Bones and Joints

613

(2)

Mechanism of Injury

613

(1)

Assessment and Care: Bone or Joint Injuries

613

(2)

Basics of Splinting

615

(19)

General Rules of Splinting

617

(3)

Splinting Equipment

620

(2)

Hazards of Improper Splinting

622

(1)

Splinting Long Bone Injuries

622

(2)

Splinting Joint Injuries

624

(1)

Traction Splinting

624

(1)

Splinting Specific Injuries

624

(10)

Injuries to the Head

634

(17)

Anatomy of the Skull and Brain

635

(2)

The Skull

635

(1)

The Brain

636

(1)

Types of Head Injury

637

(7)

Scalp Injuries

637

(1)

Skull Injuries

637

(1)

Brain Injuries

637

(1)

Assessment and Care: Head Injuries

638

(6)

Enrichment

644

(7)

More about Brain Injuries

644

(7)

Injuries to the Spine

651

(38)

The Anatomy and Physiology of Spine Injury

653

(13)

The Nervous System

653

(1)

The Skeletal System

654

(1)

Assessment and Care: Spine Injury

655

(11)

Guidelines for Immobilization

666

(16)

Tools

666

(1)

Immobilization Techniques

667

(15)

Special Considerations

682

(4)

Helmets

682

(2)

Infants and Children

684

(2)

Enrichment

686

(3)

Neurogenic Shock (Spinal Shock)

686

(3)

Eye, Face and Neck Injuries

689

(21)

Anatomy of the Eye, Face and Neck

691

(2)

The Eye

691

(1)

The Face

691

(1)

The Neck

691

(2)

Eye, Face, and Neck Injuries

693

(17)

Assessment and Care: Eye, Face, and Neck Injuries

693

(1)

Injuries to the Eye

694

(7)

Injuries to the Face

701

(4)

Injuries to the Neck

705

(5)

Chest, Abdomen, and Genitalia Injuries

710

(27)

The Chest

712

(10)

Anatomy of the Chest

712

(1)

Chest Injuries

712

(2)

Assessment and Care: Chest Injuries

714

(8)

The Abdomen

722

(5)

Anatomy of the Abdominal Cavity

722

(2)

Abdominal Injuries

724

(1)

Assessment and Care: Abdominal Injuries

724

(3)

The Genitalia

727

(2)

Enrichment

729

(8)

Conditions That May Result from Chest Injury

729

(8)

Agricultural and Industrial Emergencies

737

(11)

Response to Agricultural and Industrial Emergencies

738

(2)

Assessment and Care: Agricultural and Industrial Emergencies

738

(2)

Characteristics of Agricultural Accidents

740

(6)

Mechanisms of Injury

741

(1)

Stabilizing and Shutting Down Agricultural Equipment

741

(3)

Agricultural Storage Devices

744

(1)

Injuries from Livestock

745

(1)

Industrial Rescue

746

(2)

Module 6 INFANTS AND CHILDREN

Infants and Children

748

(43)

Dealing with Caregivers

750

(1)

Dealing with the Child

750

(18)

Developmental Characteristics

750

(2)

Anatomical Differences

752

(2)

Airway and Breathing Problems in Infants and Children

754

(2)

Assessment and Care: Respiratory Emergencies

756

(12)

Medical Problems Common to Infants and Children

768

(7)

Seizures

768

(1)

Altered Mental Status

768

(2)

Poisonings

770

(1)

Fever

771

(1)

Shock (Hypoperfusion)

771

(1)

Near-Drowning

772

(2)

Sudden Infant Death Syndrome

774

(1)

Trauma in Infants and Children

775

(5)

Trauma and the Infant's or Child's Anatomy

776

(1)

Child Abuse and Neglect

777

(3)

Infants and Children with Special Needs

780

(2)

Tracheostomy Tubes

780

(1)

Home Artificial Ventilators

781

(1)

Central Lines

781

(1)

Gastrostomy Tubes

782

(1)

Shunts

782

(1)

Taking Care of Yourself

782

(1)

Enrichment

783

(8)

Pediatric Respiratory Emergencies

783

(2)

Infectious Diseases

785

(1)

Pediatric Field Scoring

785

(1)

Infant and Child Car Seats in Trauma

786

(1)

Four-Point Immobilization of an Infant or Child

787

(4)

Module 7 OPERATIONS

Moving Patients

791

(19)

Lifting and Moving Patients

792

(6)

Emergency Moves

793

(1)

Urgent Moves

794

(1)

Nonurgent Moves

795

(3)

Packaging for Transportation

798

(9)

Equipment

798

(8)

Patient Positioning

806

(1)

Enrichment

807

(3)

Packaging Patients for Air Transport

807

(3)

Ambulance Operations

810

(21)

Driving the Ambulance

812

(2)

Laws, Regulations, and Ordinances

812

(1)

Driving Excellence

812

(2)

Warning Devices

814

(1)

Colors and Markings

814

(1)

Warning Lights and Emergency Lights

814

(1)

Using Your Siren

815

(1)

Using Your Air Horn

815

(1)

Phases of an Ambulance Call

815

(9)

Daily Pre-Run Preparation

815

(2)

Dispatch

817

(1)

En Route to the Scene

817

(1)

At the Scene

818

(2)

En Route to the Receiving Facility

820

(2)

At the Receiving Facility

822

(1)

En Route to the Station

822

(1)

Post Run

822

(2)

Air Medical Transport

824

(3)

When to Request Air Medical Transport

825

(1)

Information Needed When Requesting Air Medical Transport

825

(1)

Setting Up a Landing Zone

825

(2)

Enrichment

827

(4)

Changing Conditions

827

(1)

Carbon Monoxide in Ambulances

828

(3)

Gaining Access and Extrication

831

(15)

Planning Ahead

832

(1)

Dispatch

832

(1)

Location

832

(1)

Motor Vehicle Collisions

833

(1)

Sizing Up the Scene

833

(4)

Personal Protective Equipment

833

(1)

Scene Safety

833

(1)

Locating All Patients

834

(1)

Vehicle Safety

834

(3)

Gaining Access

837

(1)

Residential Access

837

(1)

Motor Vehicle Access

837

(1)

Extrication

838

(2)

The Role of the EMT-B

838

(1)

Caring for the Patient

839

(1)

Enrichment

840

(6)

Stabilizing a Vehicle

840

(1)

Extricating a Patient

841

(5)

Hazardous Materials Emergencies

846

(19)

Identifying Hazardous Materials

847

(8)

What Is a Hazardous Material?

847

(4)

Placards and Shipping Papers

851

(1)

Using Your Senses

851

(1)

Resources

852

(2)

Training Required by Law

854

(1)

Guidelines for Hazardous Materials Rescues

855

(5)

General Rules

855

(1)

Incident Management

855

(4)

Emergency Procedures

859

(1)

Enrichment

860

(5)

Radiation Emergencies

860

(5)

Multiple-Casualty Incidents

865

(14)

Multiple-Casualty Incidents

866

(3)

Establishing Incident Management

867

(1)

Positioning Arriving Vehicles

868

(1)

Triage

869

(5)

Initial Assessment

869

(1)

Priority Levels

869

(2)

Treatment

871

(1)

Staging and Transportation

872

(1)

Communications

873

(1)

Follow-Through

873

(1)

Reducing Stress

873

(1)

Disaster Management

874

(1)

Enrichment

874

(5)

Requirements of Effective Disaster Assistance

874

(1)

Warning and Evacuation

874

(1)

Disaster Communications Systems

874

(1)

The Psychological Impact of Disasters

875

(4)

Module 8 ADVANCED AIRWAY ELECTIVE

Advanced Airway Management

879

(42)

Airway and Respiratory Anatomy and Physiology

881

(3)

Airway Anatomy

881

(2)

Airway Anatomy in Infants and Children

883

(1)

Basic Airway Management

884

(1)

Oropharyngeal Suctioning

884

(1)

Orotracheal Intubation

885

(11)

Advantages

885

(1)

Indications

885

(1)

Body Substance Isolation

886

(1)

Equipment

886

(3)

Sellick's Maneuver (Cricoid Pressure)

889

(1)

Endotracheal Tube Insertion in an Adult

890

(5)

Complications

895

(1)

Orotracheal Intubation in Infants and Children

896

(4)

Indications in Infants and Children

896

(1)

Anatomical Considerations

896

(1)

Equipment for Infants and Children

897

(1)

Endotracheal Tube Insertion in an Infant or Child

898

(2)

Nasogastric Intubation in Infants and Children

900

(2)

Indications

900

(1)

Contraindications

900

(1)

Equipment

900

(1)

Insertion

900

(2)

Complications

902

(1)

Orotracheal Suctioning

902

(2)

Indications

902

(1)

Suctioning Technique

902

(2)

Complications

904

(1)

Enrichment

904

(17)

Alternative Intubation Techniques

904

(3)

Alternative Advanced Airway Adjuncts

907

(14)

Appendix 1 Basic Life Support

921

(14)

Introduction

921

(1)

Basic Life Support

921

(9)

Obstructed Airway Emergencies

930

(5)

Appendix 2 National Registry Skill Sheets

935

Glossary

GL-1

Index

IN-2

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Prehospital Emergency Care (Book with CD-ROM)

Prehospital Emergency Care (Book with CD-ROM)

9780835957052

0835957055

Summary

Table of Contents

Supplemental Materials

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Amazon no longer offers textbook rentals. We do!

Prehospital Emergency Care (Book with CD-ROM)

Prehospital Emergency Care (Book with CD-ROM)

9780835957052

0835957055

Summary

Table of Contents

Supplemental Materials

Write a Review

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