The Basic Emt: Comprehensive Prehospital Patient Care

, by McSwain, Norman E.; Paturas, James L.

Note: Supplemental materials are not guaranteed with Rental or Used book purchases.

ISBN: 9780323011167 | 0323011160
Cover: Hardcover
Copyright: 3/1/2001

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Here is the essential EMT training tool! Like the outstanding first edition, it offers thorough background information and encourages critical thinking skills, and presents the physical skills of the EMT in a user-friendly "skill sheet" format. Extensive new information has been added on stroke, CPR, AEDs, substance abuse, and more. The text's entire approach to emergency treatment has been drafted into an integrated series of algorithms throughout the text, allowing you to see the big picture as you learn about each part of the process.

Section One Introduction to EMS

(255)

Introduction to EMS

(17)

Emergency Medical Provider

(1)

Emergency Medical Service System

(1)

Health Care Delivery System

(2)

Common EMS System Variables

(6)

Future of EMS

(1)

Future of the EMT

(1)

EMS System Challenges

(5)

Roles/Responsibilities of the EMT

(11)

Emergency Medical Services System

(1)

Communication

(2)

Roles and Responsibilities

(2)

Professional Attributes

(1)

Professional Ethics

(1)

Certification and Licensure

(1)

Professional Organizations

(3)

Medical/Legal Principles

(11)

Medical Control

(1)

Prehospital Medical Record Documentation

(1)

Consent for Medical Care and Transportation

(2)

Consent in the Incompetent Adult Patient

(1)

Surrogate Consent

(1)

Providing Treatment at a Possible Crime Scene

(1)

EMT's Scope of Practice

(1)

Right to Receive Care Without Interruption

(1)

Right to Receive Appropriate Care

(1)

Organ Donation

(3)

EMS Medical Director

(11)

EMS Medical Director

(1)

Medical Direction

(8)

Well-Being of the EMT

(21)

Assess Scene for Hazards

(1)

Body Substance Isolation

(1)

Overview of Special Scenes

(5)

Death and Dying

(1)

Dealing with the Dying Patient and Family Members

(2)

EMT's Reaction to Emergencies

(1)

EMT's Family and Friends

(1)

Understanding Stress

(9)

Infection Control

(12)

Importance of Body Substance Isolation

(1)

Common Infectious Diseases

(1)

Guidelines for Bloodborne Pathogen Protection

(2)

Methods for Personal Protection for the EMT

(6)

The Human Body

(27)

Medical Terminology

(1)

Musculoskeletal System

(7)

Body Systems

(10)

Body Cavities

105

(8)

Assessment

113

(37)

Patient Assessment

117

(1)

General Impression and Plan of Action

117

(1)

Scene Survey

118

(2)

Initial Patient Assessment

120

(6)

Rapid Focused History and Physical Examination

126

(11)

Baseline Vital Signs

137

(1)

Signs Versus Symptoms

137

(1)

Pulse

138

(2)

Ventilations

140

(1)

Blood Pressure

141

(1)

Skin Color and Temperature

142

(1)

Level of Consciousness

142

(2)

Pupil Reaction

144

(1)

SAMPLE History

144

(1)

Vital Signs Review

145

(5)

Management of Shock

150

(27)

Anatomy and Physiology

153

(6)

Pathophysiology

159

(6)

Assessment

165

(2)

Management

167

(10)

Airway Management and Ventilation

177

(35)

Anatomy and Physiology

180

(4)

Assessment

184

(2)

Management

186

(26)

Advanced Airway Management Skills

212

(23)

Anatomy and Physiology

215

(1)

Pathophysiology of Airway Compromise

216

(1)

Assessment: Indications for Endotracheal Intubation

216

(1)

Management

217

(14)

Advance Directives

231

(4)

Scene Size-up and the EMS Call

235

(20)

Types of EMS Calls

238

(2)

Citizen Access and Communication

240

(1)

Dispatching the Ambulance

241

(1)

En Route to the Scene

241

(2)

At the Scene

243

(4)

Bioethical Considerations

247

(2)

Transportation Considerations

249

(1)

Emergency Department

249

(2)

Continuum of In-hospital Care

251

(4)

Section Two Nontraumatic Emergencies

255

(146)

General Pharmacology

257

(15)

Overview of the Use of Medications by the EMT

258

(1)

Medication Names

259

(1)

Forms of Medications

259

(2)

Drug Dynamics

261

(2)

Reading Labels and Prescriptions

263

(1)

Specific Medications

264

(1)

Assessment and Management

264

(8)

Respiratory Emergencies

272

(16)

Respiratory System

275

(1)

Pathophysiology

275

(7)

Management

282

(6)

Cardiovascular Emergencies

288

(18)

Anatomy

291

(1)

Physiology

292

(4)

Pathophysiology

296

(1)

Assessment

297

(1)

Management

298

(2)

Automated External Defibrillation

300

(6)

Early Defibrillation

306

(17)

Sudden Cardiac Death

307

(3)

Automated External Defibrillator

310

(5)

Postresuscitation Care

315

(1)

Maintenance of the AED

315

(1)

Maintaining AED Skills

315

(8)

Altered Mental Status

323

(12)

Causes of Altered Mental Status

324

(6)

Assessment of the Patient with Altered Mental Status

330

(5)

Allergies

335

(8)

Anatomy and Physiology

336

(1)

Pathophysiology

337

(1)

Assessment

338

(1)

Management

339

(4)

Toxic Emergencies: Poisoning and Overdose

343

(12)

Poison Control Centers

344

(1)

Anatomy and Physiology

345

(1)

Assessment

346

(2)

Management

348

(2)

Substance Abuse

350

(5)

Behavioral Emergencies

355

(17)

Behavior

356

(1)

Behavioral Emergencies

357

(1)

Magnitude of Mental Health Problems

357

(1)

Assessment of Behavioral Emergencies

358

(3)

Primary and Secondary Psychologic Crises

361

(7)

Medicolegal Considerations

368

(1)

Management and Emergency Medical Treatment

369

(3)

Obstetric and Gynecologic Emergencies

372

(29)

Anatomy and Physiology

373

(6)

Pathophysiology

379

(2)

Assessment

381

(1)

Management

382

(9)

Alleged Sexual Assault

391

(10)

Section Three Trauma

401

(182)

Kinematics of Trauma

403

(39)

Definitions

405

(1)

Precrash, Crash, Postcrash

405

(1)

Physics of Energy Exchange

406

(4)

Blunt Trauma

410

(15)

Motorcycle Collisions

425

(2)

Pedestrian Injury

427

(2)

Falls

429

(1)

Sports Injuries

430

(1)

Blast Injuries

431

(1)

Penetrating Injuries

432

(10)

Soft Tissue Injury and Bleeding Control

442

(18)

Anatomy and Physiology

445

(2)

Pathophysiology

447

(4)

Assessment

451

(1)

Management

452

(4)

Controlling Bleeding

456

(4)

Head Trauma

460

(16)

Anatomy of the Head

462

(5)

Pathophysiology of the Head

467

(4)

Assessment of Head Injuries

471

(5)

Management of Head Injuries

476

(1)

Chest Trauma

476

(17)

Anatomy

477

(4)

Physiology

481

(2)

Pathophysiology

483

(3)

Heart

486

(1)

Assessment

486

(1)

Management

487

(6)

Abdominal Emergencies

493

(11)

Anatomy

494

(3)

Physiology and Pathophysiology

497

(3)

Assessment

500

(1)

Management

501

(3)

Spinal Trauma

504

(25)

Nervous System

507

(1)

Anatomy of the Spine

508

(2)

Pathophysiology of the Spine

510

(1)

Assessment of Spinal Injuries

511

(2)

Management if Spinal Injuries

513

(1)

Skills

514

(15)

Musculoskeletal Trauma

529

(31)

Anatomy and Physiology

531

(1)

Muscle and Bone Interaction to Produce Motion

532

(4)

Pathophysiology

536

(6)

Assessment

542

(3)

Management

545

(1)

Practical Skills: Splinting

546

(14)

Environmental Emergencies

560

(23)

Anatomy and Physiology of Temperature Regulation

561

(3)

Pathophysiology: Environmental Factors Affecting Body Temperature

564

(1)

Assessment of Environmental Emergencies

565

(1)

Management of Environmental Emergencies

566

(1)

Generalized Cold Exposure

566

(3)

Localized Cold Exposure

569

(2)

Heat Exposure

571

(2)

Burns

573

(4)

Water-Related Emergencies

577

(1)

Bites and Stings

578

(5)

Section Four Special Patient Populations

583

(76)

Geriatric Patients

585

(19)

Aging

586

(1)

Anatomy and Physiology

587

(4)

Dementia and Alzheimer's Disease

591

(1)

Assessment: General Considerations

592

(2)

Medications and the Elderly

594

(1)

Initial Assessment

595

(1)

Assessment and Emergency Medical Care of Acute Illness

595

(1)

Assessment and Emergency Medical Care of Trauma

596

(1)

Environmental Problems

597

(1)

Geriatric Cases

598

(1)

Suicide

599

(1)

Elder Abuse

599

(5)

Infants and Children

604

(34)

Pediatric Patients

605

(7)

Pathophysiology

612

(2)

Pediatric Basic Life Support

614

(1)

Pediatric Basic Airway and Respiratory Adjuncts

615

(2)

Pediatric Resuscitation

617

(1)

Assessment and Management of Common Pediatric Medical Emergencies

618

(4)

Pediatric Trauma

622

(8)

Other Pediatric Problems

630

(2)

Children with Special Needs

632

(1)

Pain Control in Infants and Children

633

(1)

General Considerations

633

(5)

The Patient with Special Needs

638

(21)

Pathophysiology

640

(8)

Assessment

648

(4)

Management

652

(3)

Family Considerations

655

(1)

EMT-B Considerations

655

(1)

Guidelines for Disability Awareness

656

(3)

Section Five EMS Operations

659

(100)

Lifting and Moving Patients

661

(25)

Time-Dependent Medical Problems

662

(1)

Minimization of Risk

663

(1)

Mechanics of Lifting

664

(1)

General Guidelines for Safe Lifting

664

(1)

Guidelines for Safe Lifting of Cots and Stretchers

665

(1)

Guidelines for Carrying Patients and Equipment

666

(1)

Guidelines for Safe Carrying Procedures on Stairs

666

(2)

Guidelines for Reaching

668

(1)

Guidelines for Pushing and Pulling

668

(1)

Principles for Moving Patients

668

(4)

Equipment for Moving Patients

672

(6)

Equipment Maintenance

678

(1)

Patient Positioning

679

(1)

Transportation Considerations

680

(6)

Communications

686

(15)

Components of an EMS Communication System

687

(4)

Public Access

691

(1)

Emergency Medical Dispatch

692

(1)

General Guidelines for Radio Communication

693

(1)

Communication with Medical Direction or Destination Facility

694

(1)

Communication en Route to the Hospital

695

(1)

In-Person Communication with Facility Staff

696

(1)

Essential Principles of Interpersonal Communication

697

(1)

Communication with Special Patients

697

(1)

Legal Concerns

698

(3)

Documentation

701

(14)

Patient Care Report

702

(9)

Special Situations

711

(4)

Quality Improvement

715

(9)

Quality Assurance

717

(1)

Quality Assessment Methods

718

(1)

Quality Improvement Loop

719

(3)

The Emergency Medical Technician's Role in Quality Assurance

722

(2)

Ambulance Operation

724

(18)

Ambulance

725

(1)

Medical Equipment

726

(4)

Portable Kits

730

(1)

Nonmedical Equipment

731

(1)

Daily Inspections

731

(3)

Dispatch

734

(1)

En Route

734

(2)

Positioning the Unit

736

(2)

Arrival at the Scene

738

(1)

Transferring the Patient to the Ambulance

738

(1)

En Route to the Receiving Facility

739

(1)

At the Receiving Facility

739

(1)

En Route to the Station

739

(1)

Post-run

740

(2)

Interagency Interface

742

(17)

Dispatcher

743

(1)

First Responders

744

(1)

Advanced Life Support Paramedics

744

(1)

Other Levels of Advanced Life Support

745

(1)

Aeromedical Services

745

(6)

Child Protective Services

751

(1)

Elder Abuse Services

752

(1)

Managed Care Organizations

752

(1)

Interacting with Law Enforcement Agencies

752

(2)

Search and Rescue

754

(1)

Conflict Resolution

755

(4)

Section Six Special Topics

759

(66)

Gaining Access

761

(13)

Types of Rescue Operations

762

(2)

Rescue Action Plan

764

(1)

Vehicle Rescue Incidents

765

(9)

Emergency Preparedness

774

(17)

Disaster and Multiple-Casualty Response

776

(6)

Hazardous Materials Response

782

(9)

Diving Emergencies

791

(15)

The Physics of Air

793

(1)

Pressure, Volume, and Density

794

(1)

Barotrauma Injuries Occurring During Descent

794

(1)

Barotrauma Injuries Occurring During Ascent

795

(2)

Pathophysiology

797

(2)

Assessment

799

(2)

Management

801

(5)

Military EMS

806

(19)

Military Echelons of Care

808

(1)

Emergent Care in the Tactical Environment

809

(6)

Weapons of Mass Destruction

815

(5)

Triage

820

(1)

Comparison of Civilian Versus Military Casualty Management

821

(4)

Appendix A: CPR Review

825

(17)

Appendix B: National Registry of Emergency Medical Technicians (NREMT) Skill Sheets

842

(20)

Appendix C: National Highway Traffic Safety Administration (NHTSA) Technical Advisory Panel (TAP) Standards

862

(3)

Answers to Review Questions

865

(6)

Glossary

871

(24)

Illustration Credits

895

(4)

Index

899

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The Basic Emt: Comprehensive Prehospital Patient Care

Summary

Table of Contents

Supplemental Materials