Emergency Medical Technician
, by Chapleau, WillNote: Supplemental materials are not guaranteed with Rental or Used book purchases.
- ISBN: 9780323032728 | 0323032729
- Cover: Paperback
- Copyright: 10/1/2006
Immerse yourself in an unrivalled EMT learning experience with Emergency Medical Technician: Making the Difference. MosbyJems unbeatable combination of a text, DVD, and online resources teach you not only the skills you need to know, but the when and why to perform them. Youll discover step-by-step skills with detailed instructions and clear photos in the text, reinforced by case scenarios in every chapter. The DVD takes you even further, showing real EMTs performing the skills, up close! Youll use the workbook for review and test prep, and go online to access Evolve resources for deeper study. Put it all together, and you will learn! And when you learn, you succeed! Chapter Outlines, Lesson Goals, and Chapter Objectives begin each chapter. Step-by-Step Skills in the text are broken down with detailed instructions and clear photographs, allowing you to clearly see the skills you need to perform. The companion DVD contains more than 40 skills demonstrations, performed the right way by real practitioners. Plus, 20 medical animations demonstrate anatomy and physiology concepts and pathophysiological processes. Case Scenarios reinforce key concepts and skills, allowing you to see how core concepts are applied in the field. Ask Yourself critical thinking boxes promote problem solving skills. Teamwork boxes explain how EMTs interact with other professionals on specific tasks, addressing the need for cooperation. Special Considerations boxes address exceptions to the rules that you may encounter in the field. Special Populations boxes discuss common complications patients with special challenges may face and call attention to relevant cultural considerations. Nuts and Bolts review section at the end of each chapter contains Critical Points, a detailed Learning Checklist, Key Terms with definitions, and the National Standard Curriculum (NSC) Objectives giving you a one-stop refresher.
Preparatory | |
Introduction to Emergency Medical Services (EMS) Systems | p. 1 |
Emergencies | p. 2 |
Components of an EMS system | p. 3 |
Regulations Policies, and Protocols | p. 3 |
Resource Management | p. 3 |
Human Resources and Training | p. 3 |
Transportation | p. 3 |
Medical Facilities | p. 3 |
Communications | p. 4 |
Public Information and Education | p. 5 |
Medical Oversight | p. 5 |
Trauma Systems | p. 5 |
Evaluation | p. 5 |
Access to the EMS System | p. 7 |
Levels of Training for Prehospital Care Providers | p. 8 |
First Responder | p. 8 |
Emergency Medical Technician (EMT) | p. 8 |
EMT-Intermediate | p. 8 |
Paramedic | p. 8 |
In-Hospital Care Systems | p. 8 |
Role of the EMT | p. 10 |
Scene Safety | p. 10 |
Patient Care | p. 11 |
Personal Traits | p. 11 |
Medical Oversight | p. 12 |
Specific Statutes and Regulations | p. 13 |
Well-Being of the Emergency Medical Technician (EMT) | p. 18 |
Stressful Situations | p. 20 |
Emotional Aspects of Emergency Care | p. 21 |
Death and Dying | p. 21 |
Post-Traumatic Stress Disorder | p. 25 |
Burnout | p. 25 |
Stress Management | p. 25 |
Recognizing Warning Signs | p. 25 |
Lifestyle Changes | p. 26 |
Balance | p. 26 |
Family and Friends | p. 26 |
Work Environment Changes | p. 26 |
Professional Help | p. 27 |
Critical Incident Stress Management | p. 27 |
Personal Precautions | p. 28 |
Risks Facing EMTs | p. 28 |
Infection Control | p. 28 |
Personal Protection Equipment | p. 29 |
Contaminated Equipment | p. 32 |
Specialized Training | p. 33 |
Immunizations | p. 33 |
Exposure Notification and Testing | p. 33 |
Scene Safety | p. 33 |
Motor Vehicle Crashes or Rescues | p. 33 |
Hazardous Materials | p. 34 |
Violence | p. 34 |
Physically Unstable Scenes | p. 35 |
Patient Protection | p. 35 |
Bystander Protection | p. 35 |
Legal and Ethical Aspects of Emergency Medical Services (EMS) | p. 40 |
Scope of Potential Legal Liability | p. 43 |
Overview of the Legal System | p. 43 |
Anatomy of an EMS Lawsuit | p. 44 |
Key Laws Governing EMS | p. 46 |
Maintaining Certification: A Personal Responsibility | p. 46 |
The Role of Physicians and Other Medical Professionals | p. 47 |
Standard of Care and Ethical Responsibility | p. 47 |
Quality of Life | p. 48 |
Unethical Situations | p. 48 |
Principles of Negligence | p. 48 |
The Immunity Defense | p. 50 |
Risk Management: A Personal Responsibility | p. 51 |
Bad Attitudes and Poor Communication: The Liability of Apathy | p. 53 |
Ethical and Legal Consent Issues and Refusal of Care | p. 54 |
Living Wills and Advance Directives Limiting Treatment | p. 57 |
Scope of Practice Issues | p. 58 |
Completing Accurate and Legal Patient Care Documentation | p. 59 |
Documenting Care Provided to the Patient by Others | p. 60 |
Changing the Patient Care Report | p. 60 |
Five Simple Ways to Improve Your Documentation Skills | p. 61 |
Confidentiality and Privacy Rights of the Patient: A New Wave of Protection | p. 62 |
The Patient Care Report: A Legally Protected Medical Record | p. 62 |
Superprotection for Specific Patient Situations | p. 63 |
Incident Reporting | p. 63 |
Testifying in Court | p. 64 |
The Role of Insurance in EMS | p. 65 |
The Future of EMS Law and Litigation | p. 65 |
The Human Body | p. 70 |
Body Directional Terms | p. 72 |
Regions of the Body | p. 73 |
The Abdominal Quadrants | p. 74 |
Body Systems | p. 74 |
The Respiratory System | p. 74 |
The Cardiovascular System | p. 75 |
The Nervous System | p. 81 |
The Musculoskeletal System | p. 81 |
The Integumentary System | p. 89 |
The Gastrointestinal and Urinary Systems | p. 89 |
The Reproductive System | p. 91 |
The Endocrine System | p. 91 |
The Lymphatic System | p. 92 |
Baseline Vital Signs and SAMPLE History | p. 96 |
Baseline Vital Signs | p. 99 |
Respirations | p. 100 |
Rate | p. 101 |
Quality | p. 102 |
Pattern | p. 103 |
Pulse | p. 105 |
Rate | p. 105 |
Quality | p. 107 |
Skin | p. 107 |
Color | p. 107 |
Temperature | p. 108 |
Condition | p. 108 |
Capillary Refill | p. 108 |
Pupils | p. 108 |
Blood Pressure | p. 109 |
Auscultated Blood Pressure | p. 109 |
Palpated Blood Pressure | p. 112 |
Reassessment | p. 112 |
Sample History | p. 112 |
S-Signs and Symptoms | p. 112 |
A-Allergies | p. 113 |
M-Medications | p. 113 |
P-Past Medical History | p. 114 |
L-Last Oral Intake | p. 114 |
E-Events Preceding | p. 114 |
Bystander Information | p. 114 |
Lifting and Moving Patients | p. 120 |
The Role of the Emergency Medical Technician | p. 122 |
Lifting and Moving Patients Safely | p. 122 |
Body Mechanics | p. 122 |
Principles of Lifting and Moving | p. 123 |
Lifts, Drags, Takedowns, and Carries | p. 123 |
Wheeled Stretcher Operations | p. 123 |
Emergency Moves | p. 124 |
Nonemergency Moves | p. 127 |
Transporting Patients Safely | p. 127 |
Patient Positioning | p. 136 |
Patient Safety Restraints | p. 137 |
Transportation Devices | p. 138 |
Airway | |
Airway Management | p. 142 |
Respiratory Anatomy and Physiology | p. 144 |
Respiration and Ventilation | p. 144 |
Normal Anatomy of the Respiratory Tract | p. 145 |
Breathing | p. 145 |
Assessment | p. 151 |
Airway | p. 151 |
Breathing | p. 152 |
Management | p. 153 |
Opening of the Airway | p. 153 |
Suctioning of the Airway | p. 153 |
Airway Adjuncts | p. 156 |
Assisted Ventilation | p. 159 |
Supplemental Oxygen | p. 169 |
Patient Assessment | |
Scene Size-up | p. 180 |
Scene Size-Up Factors | p. 182 |
Scene Safely | p. 182 |
Entering the Scene | p. 185 |
Determining What Happened | p. 187 |
Common Mechanisms of Injury | p. 187 |
Nature of Illness | p. 188 |
Patient Numbers | p. 189 |
Additional Assistance | p. 189 |
Initial Patient Assessment | p. 194 |
General Impression | p. 197 |
Assessing the Patient's Mental Status | p. 200 |
Assessing the Patient's Airway | p. 203 |
Assessing the Patient's Breathing | p. 203 |
Assessing the Patient's Circulation | p. 203 |
Prioritizing Patients for Care and Transport | p. 204 |
Focused History and Physical Examination of Trauma Patients | p. 210 |
Significant Mechanisms of Injury | p. 213 |
Restraint System Injuries | p. 213 |
Considerations After Scene Size-Up and Initial Assessment | p. 214 |
Who Needs a Rapid Trauma Assessment? | p. 214 |
Why Do a Rapid Trauma Assessment? | p. 214 |
Elements of a Rapid Trauma Assessment | p. 215 |
Focused Trauma Assessment | p. 222 |
Focused History and Physical Examination of Medical Patients | p. 226 |
Scene Size-Up | p. 228 |
Initial Assessment | p. 228 |
Focused History and Physical Exam: Medical | p. 229 |
Assessing the History of the Present Illness | p. 229 |
Medical Patient Assessments | p. 231 |
Providing Emergency Medical Care | p. 238 |
Specific Chief Complaint: Known History | p. 238 |
Specific Chief Complaint: No Known History | p. 238 |
Unresponsive Medical Patient | p. 239 |
The Detailed Physical Examination | p. 242 |
The DCAPBTLS Method | p. 245 |
Head | p. 245 |
Face | p. 245 |
Eyes | p. 245 |
Ears | p. 246 |
Nose | p. 246 |
Mouth | p. 247 |
Neck | p. 247 |
Chest | p. 247 |
Abdomen | p. 249 |
Pelvis | p. 250 |
Extremities | p. 250 |
Back | p. 250 |
Vital Signs | p. 251 |
Other Assessment Tools | p. 251 |
Ongoing Assessment | p. 260 |
Repeat the Initial Assessment | p. 262 |
Reassess and Record Vital Signs | p. 263 |
Repeat the Focused Assessment | p. 264 |
Check Interventions | p. 264 |
Communications | p. 268 |
Communication Model | p. 270 |
Encoding and Decoding | p. 270 |
Feedback | p. 271 |
Interference | p. 271 |
Patient Communication | p. 272 |
Setting | p. 272 |
Approach | p. 274 |
Communication Techniques | p. 276 |
Nonverbal Communication | p. 277 |
Pitfalls of Communication | p. 278 |
Family and Friends | p. 279 |
Communication Barriers | p. 279 |
Elderly Patients | p. 282 |
Remote Communication | p. 282 |
Communication Systems | p. 282 |
Federal Communications Commission | p. 287 |
Radio Procedures | p. 289 |
Hospital Communications | p. 290 |
Communication with Medical Direction | p. 290 |
Hospital Notification | p. 290 |
Verbal Reports | p. 291 |
Documentation | p. 296 |
Components of the Written Report | p. 298 |
Minimum Data Set | p. 298 |
Synchronous Clocks | p. 298 |
Functions of the Written Report | p. 299 |
Continuity of Care | p. 299 |
Legal Implications | p. 299 |
Educational Tool | p. 301 |
Administrative Uses | p. 302 |
Research | p. 302 |
Evaluation and Continuous Quality Improvement | p. 302 |
Form Types | p. 302 |
Sections of the Report | p. 302 |
Run Data | p. 304 |
Patient Data | p. 304 |
Check Boxes | p. 304 |
Patient Narrative | p. 304 |
Confidentiality | p. 306 |
Health Insurance Portability and Accountability Act | p. 307 |
Falsification | p. 307 |
Patient Refusal | p. 307 |
Special Situations/Incident Reporting | p. 307 |
Error Corrections | p. 307 |
Multiple-Casualty Incidents | p. 309 |
Special Situation Reports | p. 309 |
Medical and Behavioral Emergencies | |
Pharmacology | p. 314 |
Drugs and Their Effects | p. 316 |
Drug Names | p. 317 |
Forms of Medication | p. 317 |
Vital Drug Information | p. 319 |
Assisted Patient Medication Administration | p. 320 |
Emergency Medical Technician-Administered Medications | p. 320 |
Determination of Effectiveness and Reassessment | p. 321 |
Respiratory Emergencies | p. 324 |
Respiratory System Anatomy and Physiology | p. 326 |
Upper Airway | p. 326 |
Lower Airway | p. 328 |
Mechanics of Respiration | p. 328 |
Gas Exchange | p. 328 |
Lung Volumes | p. 329 |
Control of Respiration | p. 329 |
Assessment of the Respiratory System | p. 330 |
Adequate Breathing | p. 330 |
Breathing Status Assessment | p. 331 |
Pediatric Considerations | p. 332 |
Inadequate Breathing | p. 332 |
Respiratory Distress | p. 333 |
Signs and Symptoms of Respiratory Distress | p. 333 |
Additional Assessment | p. 333 |
Treatment for Respiratory Distress | p. 334 |
Oxygen Therapy | p. 334 |
Ventilation | p. 334 |
Oxygenation versus Ventilation | p. 335 |
Common Respiratory Conditions | p. 335 |
Anaphylaxis | p. 336 |
Pulmonary Edema | p. 336 |
Emphysema | p. 337 |
Chronic Bronchitis | p. 338 |
Pulmonary Embolism | p. 338 |
Hyperventilation | p. 338 |
Airway Obstruction | p. 339 |
Prescribed Inhalers | p. 339 |
Indications for Inhaler Use | p. 339 |
Contraindications for Inhaler Use | p. 341 |
Pediatric Concerns | p. 341 |
Cardiovascular Emergencies | p. 346 |
Review of the Circulatory System | p. 349 |
Anatomy | p. 349 |
Physiology | p. 351 |
Cardiac Compromise | p. 352 |
Assessment | p. 352 |
Nitroglycerin | p. 353 |
Reassessment | p. 354 |
Transport | p. 356 |
Basic Life Support | p. 356 |
Automated External Defibrillation | p. 361 |
Overview of the Automated External Defibrillator | p. 361 |
Advantages of the Automated External Defibrillator | p. 363 |
Automated External Defibrillator Operation | p. 363 |
Standard Operational Procedures | p. 365 |
Single Rescuer with Automated External Defibrillator | p. 365 |
Postresuscitation Care | p. 366 |
Skills Maintenance | p. 367 |
Vascular Emergencies | p. 367 |
Aneurysms | p. 367 |
Aortic Dissection | p. 367 |
Vascular Occlusions | p. 367 |
Deep Vein Thrombosis | p. 370 |
Gastrointestinal/Genitourinary Emergencies | p. 378 |
Gastrointestinal System | p. 380 |
General Anatomy, Physiology, and Pathophysiology | p. 380 |
General Assessment | p. 385 |
Scene Size-up | p. 385 |
Initial Assessment | p. 386 |
History and Physical Exam | p. 386 |
General Treatment | p. 389 |
Altered Mental Status | p. 394 |
Altered Level of Consciousness | p. 397 |
General Care for Patients with Altered Mental Status | p. 398 |
Specific Causes of Altered Mental Status | p. 398 |
Diabetes | p. 399 |
Syncope | p. 402 |
Seizures | p. 402 |
Stroke | p. 404 |
Allergies | p. 411 |
The Immune System | p. 412 |
Common Causes of Allergic Reactions | p. 412 |
Anaphylaxis | p. 414 |
Assessment | p. 415 |
Initial Assessment | p. 415 |
History | p. 415 |
Secondary Survey and Physical Examination | p. 415 |
Treatment | p. 416 |
Pharmacology | p. 416 |
Poisoning and Overdose | p. 422 |
Routes of Exposure | p. 424 |
Common Poisonings | p. 426 |
Household Products | p. 427 |
Drug Abuse | p. 428 |
Common Bites and Stings | p. 429 |
Common Clinical Effects Caused by Poisons | p. 434 |
Poisoning Symptoms With No Known History of Exposure | p. 434 |
Evaluation of Poisoning | p. 435 |
History and Physical Exam | p. 435 |
Treatment of Poisoned Patients | p. 436 |
Environmental Emergencies | p. 444 |
Thermoregulation and Heat Transfer | p. 446 |
Mechanisms of Heat Transfer | p. 447 |
Hypothermia | p. 449 |
Risk Factors | p. 449 |
Local Cold Injury | p. 451 |
Trench Foot, Cold Urticaria, and Frostbite | p. 451 |
Heat Emergencies | p. 453 |
Heatstroke | p. 453 |
Heat Exhaustion | p. 454 |
Heat Cramps | p. 454 |
Altitude Illness | p. 454 |
Water-Related Environments | p. 455 |
Dybarism (Decompression Sickness) | p. 455 |
Drowning | p. 455 |
Trauma | |
Behavioral Emergencies | p. 460 |
Behavioral Emergencies | p. 463 |
General Factors Causing Altered Behavior | p. 464 |
Specific Reasons and Causes for Altered Behavior | p. 464 |
Assessing a Patient with a Behavioral Emergency | p. 465 |
Specific Behavioral Emergencies | p. 466 |
Anxiety | p. 466 |
Depression | p. 467 |
Mania | p. 468 |
Signs and Symptoms | p. 468 |
Schizophrenia | p. 468 |
Signs and Symptoms | p. 468 |
Domestic Violence | p. 469 |
Suicidal Patients | p. 470 |
Violent and Aggressive Patients | p. 471 |
Views on Behavioral Emergencies | p. 472 |
Bleeding and Shock | p. 478 |
Cellular Metabolism | p. 480 |
Circulatory System | p. 481 |
Intravascular Space | p. 481 |
Intracellular Space | p. 483 |
Circulatory Compromise | p. 483 |
Volume Loss | p. 484 |
Compensatory Mechanisms | p. 485 |
Pump Failure | p. 486 |
Assessment of Signs and Symptoms | p. 486 |
Treatment | p. 488 |
Consequences of Shock | p. 495 |
Soft Tissue Trauma | p. 500 |
The Skin | p. 503 |
Importance of Body Substance Isolation | p. 503 |
Major Functions of the Skin | p. 503 |
Layers of the Skin | p. 504 |
Rule of Nines | p. 504 |
Bleeding | p. 505 |
External Bleeding | p. 505 |
Internal Bleeding | p. 505 |
Closed Soft Tissue Injuries | p. 505 |
Contusions | p. 505 |
Hematomas | p. 506 |
Crush Injuries | p. 506 |
Open Soft Tissue Injuries | p. 508 |
Abrasions | p. 508 |
Lacerations | p. 508 |
Punctures and Impaled Objects | p. 508 |
Avulsions | p. 509 |
Amputations | p. 510 |
Bleeding Control | p. 510 |
Dressing and Bandaging | p. 510 |
Bleeding Control Techniques | p. 511 |
Burns | p. 512 |
Assessment and Classification | p. 512 |
Burn Treatments | p. 514 |
Special Burn Situations | p. 515 |
Chemical Burns | p. 515 |
Electrical Burns | p. 516 |
Chest and Abdominal Trauma | p. 520 |
Injury and Shock | p. 522 |
Mechanism of Injury | p. 522 |
Lateral Impacts | p. 524 |
Frontal Impacts | p. 52 |
Rollover Impacts | p. 524 |
Chest Injury | p. 525 |
Blunt Injury | p. 525 |
Penetrating Injury | p. 527 |
Assessment and Treatment | p. 529 |
Abdominal Injury | p. 530 |
Assessment and Treatment | p. 531 |
Crime Scene Assessment | p. 531 |
Musculoskeletal Trauma | p. 536 |
The Muscular System | p. 538 |
Muscular Function | p. 538 |
Muscle Composition | p. 538 |
Injuries to the Muscular System | p. 541 |
I. The Skeletal System | p. 542 |
Function of the Skeletal System | p. 542 |
Anatomic Locations | p. 544 |
Injuries of the Skeletal System | p. 548 |
Splinting | p. 550 |
Other Considerations | p. 556 |
Head and Spinal Trauma | p. 564 |
Review of the Nervous System | p. 567 |
The Central Nervous System | p. 567 |
The Peripheral Nervous System | p. 568 |
Review of the Skeletal System | p. 571 |
Injuries of the Spine | p. 572 |
Assessing the Patient with a Possible Spinal Injury | p. 578 |
Immobilization | p. 579 |
Injuries of the Brain and Skull | p. 585 |
Head Injuries | p. 585 |
Nontraumatic Conditions | p. 593 |
Management of the Patient with a Head Injury | p. 593 |
Rapid Extrication | p. 595 |
Special Populations | |
Obstetrics and Gynecology | p. 600 |
Anatomy of the Female Genital Tract | p. 602 |
Anatomy and Physiology of Pregnancy | p. 602 |
Complications of Early Pregnancy | p. 604 |
Miscarriage | p. 604 |
Ectopic Pregnancy | p. 605 |
Complications of Late Pregnancy | p. 605 |
Placental Abruption | p. 605 |
Placenta Previa | p. 605 |
Pre-eclampsia | p. 605 |
Labor | p. 606 |
First Stage | p. 606 |
Second Stage | p. 607 |
Third Stage | p. 607 |
Delivery | p. 607 |
Decision to Transport Versus Delivery in the Field | p. 607 |
Preparation for Delivery | p. 608 |
Delivery Procedure | p. 608 |
Complications of Delivery | p. 612 |
Vaginal Bleeding | p. 612 |
Meconium | p. 613 |
Preterm Delivery | p. 613 |
Breech Delivery | p. 613 |
Shoulder Dystocia | p. 614 |
Prolapsed Umbilical Cord | p. 614 |
Limb Presentation | p. 615 |
Multiple Births | p. 615 |
Fetal Death | p. 615 |
Postdelivery Care of the Mother | p. 615 |
Postdelivery Care of the Infant: ABCs | p. 616 |
Trauma in Pregnancy | p. 618 |
Gynecologic Emergencies | p. 619 |
Vaginal Bleeding | p. 619 |
Sexual Assault | p. 619 |
Motor Vehicle Accidents | p. 619 |
Domestic Violence | p. 620 |
Pediatric Emergencies | p. 626 |
Developmental Considerations | p. 628 |
Infants | p. 628 |
Toddlers and Preschool-Age Children | p. 628 |
School-Age Children and Adolescents | p. 629 |
The Pediatric Airway | p. 629 |
Respiratory Distress | p. 630 |
Upper Airway Considerations | p. 630 |
Oxygen Delivery Systems | p. 631 |
Respiratory Failure | p. 632 |
Airway Adjuncts | p. 632 |
Anatomic Considerations and Assisted Ventilation | p. 632 |
Bag-Mask Ventilation | p. 633 |
Infant and Child Cardiopulmonary Resuscitation | p. 634 |
Pediatric Upper Airway Obstruction | p. 639 |
Upper Airway Obstruction | p. 639 |
Shock (Hypoperfusion) and Resuscitation of the Infant and Child | p. 646 |
Causes of Shock | p. 646 |
Compensated versus Decompensated Shock | p. 646 |
Assessment of End Organ Perfusion | p. 647 |
Management of the Pediatric Patient in Shock | p. 648 |
Pediatric Cardiac Arrest | p. 648 |
Pediatric Seizures | p. 649 |
Treatment of Seizures | p. 650 |
Pediatric Trauma | p. 651 |
Child Abuse | p. 651 |
Physical Abuse | p. 651 |
Neglect | p. 652 |
Abandonment | p. 653 |
Medical-Legal Responsibilities | p. 653 |
Geriatric Emergencies | p. 660 |
Physiologic Changes With Age | p. 662 |
The Respiratory System | p. 663 |
The Cardiovascular System | p. 663 |
The Skin | p. 664 |
The Nervous System | p. 665 |
Sensory Changes | p. 665 |
Thermoregulation | p. 666 |
The Immune System | p. 666 |
The Musculoskeletal System | p. 666 |
Assessment | p. 666 |
Scene Size-Up | p. 666 |
Initial Assessment | p. 666 |
History, Physical Examination, and Ongoing Assessment | p. 669 |
Reporting of Symptoms | p. 669 |
Medical Emergencies | p. 670 |
Altered Mental Status | p. 670 |
Chest Pain | p. 671 |
Respiratory Emergencies | p. 671 |
Abdominal Pain | p. 671 |
Patients with Vague, Nondescriptive Complaints | p. 671 |
Trauma Emergencies | p. 672 |
Falls | p. 672 |
Head Injuries | p. 672 |
Abuse | p. 673 |
Operations | |
Ambulance Operations | p. 678 |
Phases of an EMS Response | p. 680 |
Preparation for the Call | p. 680 |
Dispatch | p. 681 |
En Route to the Scene | p. 682 |
Arrival at the Scene | p. 682 |
Transferring the Patient to the Ambulance | p. 683 |
The Postrun Phase | p. 683 |
Air Medical Considerations | p. 683 |
Summary | p. 685 |
Response Phases | p. 685 |
Air Medical Transport | p. 686 |
Gaining Access | p. 690 |
Technical Rescue | p. 692 |
Structural Collapse Rescue | p. 693 |
p. 693 | |
p. 694 | |
p. 694 | |
p. 695 | |
Rope Rescue | p. 695 |
Confined Space Rescue | p. 696 |
Trench Rescue and Excavation | p. 697 |
Gaining Access | p. 699 |
Extrication | p. 700 |
Vehicle and Machinery Rescue | p. 700 |
Water Rescue | p. 702 |
Dive Rescue | p. 702 |
Ice Rescue | p. 702 |
Surf Rescue | p. 702 |
Swift Water Rescue | p. 703 |
Wilderness Search and Rescue | p. 703 |
Disasters | p. 708 |
Definitions | p. 712 |
Disaster Planning | p. 712 |
Response to a Disaster | p. 712 |
Triage | p. 713 |
Treatment | p. 715 |
Transport | p. 716 |
Role of Physicians | p. 717 |
Incident Command System | p. 717 |
Communications | p. 717 |
Resources | p. 719 |
Staging | p. 720 |
Identification | p. 720 |
Call Down | p. 721 |
Media Relations | p. 721 |
Aftermath and Debriefing | p. 721 |
Hazardous Materials | p. 726 |
Hazardous Materials Response and Training | p. 728 |
Elements of a Hazardous Materials Response | p. 729 |
Scene Safety | p. 729 |
Risk Assessment | p. 729 |
Incident Command Structure | p. 729 |
Recognition and Identification of Hazardous Materials | p. 730 |
Scene Size-Up | p. 730 |
Interagency Cooperation for Risk Reduction | p. 735 |
Types of Victim Exposure | p. 736 |
Response and Recovery | p. 736 |
Weapons of Mass Destruction | p. 740 |
Fallacies of Weapons of Mass Destruction | p. 743 |
Basic Principles | p. 743 |
Chemical Agents | p. 743 |
Nerve Agents | p. 744 |
Vesicants (Blister Agents) | p. 745 |
Pulmonary Toxicants | p. 746 |
Cyanide | p. 746 |
Biologic Agents | p. 746 |
Bacterial Agents | p. 747 |
Viral Agents | p. 748 |
Toxins | p. 749 |
Biologic Agents: Principles of Decontamination | p. 750 |
Radiologic/Nuclear Agents | p. 750 |
Types of Radiation Exposure | p. 750 |
Radiation Protection | p. 751 |
Sources of Radiation Exposure | p. 751 |
Acute Radiation Syndrome | p. 752 |
Treatment of the Radiation-Contaminated Patient | p. 752 |
Explosive Devices | p. 753 |
Mechanism of Blast Injury | p. 753 |
Advanced Airway (Elective) | |
Advanced Airway Management | p. 758 |
Airway Anatomy | p. 760 |
Normal Upper Airway Anatomy in the Adult | p. 760 |
Anatomy of the Upper Airway in Infants and Children | p. 762 |
Assessment | p. 763 |
Management Techniques | p. 763 |
Orotracheal Intubation of the Adult | p. 763 |
Orotracheal Intubation of the Infant or Child | p. 772 |
Nasogastric Tube Placement | p. 773 |
Laryngeal Mask Airway | p. 773 |
Esophageal/Tracheal Combitube | p. 775 |
Assisting Advanced Life Support Providers | p. 786 |
NREMT Skills Sheets | p. 788 |
Glossary | p. 804 |
Illustration Credits | p. 835 |
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