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Emergency medical technician : making the difference

Author: Will Chapleau; Peter T Pons
Publisher: St. Louis, Mo. : Mosby Jems / Elsevier, ©2007.
Edition/Format:   Book : CD for computer   Computer File : EnglishView all editions and formats
Database:WorldCat
Summary:

Presents emergency medical technician (EMT) skills that you need to know. This title shows real EMTs performing the skills.

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Details

Document Type: Book, Computer File
All Authors / Contributors: Will Chapleau; Peter T Pons
ISBN: 0323040004 9780323040006 9780323049245 0323049249 0323049257 9780323049252
OCLC Number: 84725952
Description: xxii, 852 p. : col. ill. ; 29 cm+ 1 DVD (4 3/4 in.)
Contents: Division 1 : Preparatory --
1. Introduction to Emergency Medical Services (EMS) systems --
Emergencies --
Components of an EMS system --
Regulations, polices, and protocols --
Resource management --
Human resources and training --
Transportation --
Medical facilities --
Communications --
Public information and education --
Medical oversight --
Trauma systems --
Evaluation --
Access to the EMS system --
Levels of training for prehospital care providers --
First responder --
Emergency Medical Technician (EMT) --
EMT-intermediate --
Paramedic --
In-hospital care systems --
Role of the EMT --
Scene safety --
Patient care --
Personal traits --
Medical oversight --
Specific statutes and regulations --
2. Well-being of the Emergency Medical Technician (EMT) --
Stressful situations --
Emotional aspects of emergency care --
Death and dying --
Post-traumatic stress disorder --
Burnout --
Stress management --
Recognizing warning signs --
Lifestyle changes --
Balance --
Family and friends --
Work environment changes --
Professional help --
Critical incident stress management --
Personal precautions --
Risks facing EMTs --
Infection control --
Personal protection equipment --
Contaminated equipment --
Specialized training --
Immunizations --
Exposure notification and testing --
Scene safety --
Motor vehicle crashes or rescues --
Hazardous materials --
Violence --
Physically unstable scenes --
Patient protection --
Bystander protection --
3. Legal and ethical aspects of Emergency Medical Services (EMS) --
Scope of potential legal liability --
Overview of the legal system --
Anatomy of an EMS lawsuit --
Key laws governing EMS --
Maintaining certification : a personal responsibility --
The role of physicians and other medical professionals --
Standard of care and ethical responsibility --
Quality of life --
Unethical situations --
Principles of negligence --
The immunity defense --
Risk management : a personal responsibility --
Bad attitudes and poor communication : the liability of apathy --
Ethical and legal consent issues and refusal of care --
Living wills and advance directives limiting treatment --
Scope of practice issues --
Completing accurate and legal patient care documentation --
Documenting care provided to the patient by others --
Changing the patine care report --
Five simple ways to improve your documentation skills --
Confidentiality and privacy rights of the patient : a new wave of protection --
The patient care report : a legally protected medical record --
Superprotection for specific patient situations --
Incident reporting --
Testifying in court --
The role of insurance in EMS --
The future of EMS law and litigation --
4. The human body--
Body directional terms --
Regions of the body --
The abdominal quadrants --
Body systems --
The respiratory system --
The cardiovascular system --
The nervous system --
The musculoskeletal system --
The integumentary system --
The gastrointestinal and urinary systems --
The reproductive system --
The endocrine system --
The lymphatic system --
5. Baseline vital signs and SAMPLE history --
Baseline vital signs --
Respirations --
Rate --
Quality --
Pattern --
Pulse --
Rate --
Quality --
Skin --
Color --
Temperature --
Condition --
Capillary refill --
Pupils --
Blood pressure --
Auscultated blood pressure --
Palpated blood pressure --
Reassessment --
SAMPLE history --
S : signs and symptoms --
A : allergies --
M : medications --
P : past medical history --
L : last oral intake --
E : events preceding --
Bystander information --
6. Lifting and moving patients --
The role of the emergency medical technician --
Lifting and moving patients safely --
Body mechanics --
Principles of lifting and moving --
Lifts, drags, takedowns, and carries --
Wheeled stretcher operations --
Emergency moves --
Nonemergency moves --
Transporting patients safely --
Patient positioning --
Patient safety restraints --
Transportation devices --
Division 2 : Airway --
7. Airway management --
Respiratory anatomy and physiology --
Respiration and ventilation --
Normal anatomy of the respiratory tract --
Breathing --
Assessment --
Airway --
Breathing --
Management --
Opening of the airway --
Suctioning of the airway --
Airway adjuncts --
Assisted ventilation --
Supplemental oxygen --
Division 3 : Patient assessment --
8. Scene size-up --
Scene size-up factors --
Scene safety --
Entering the scene --
Determining what happened --
Common mechanisms of injury --
Nature of illness --
Patient numbers --
Additional assistance --
9. Initial patient assessment --
General impression --
Assessing the patient's mental status --
Assessing the patient's airway --
Assessing the patient's breathing --
Assessing the patient's circulation --
Prioritizing patients for care and transport --
10. Focused history and physical examination of trauma patients --
Significant mechanisms of injury --
Restraint system injuries --
Considerations after scene size-up initial assessment --
Who needs a rapid trauma assessment? --
Why do a rapid trauma assessment? --
Elements of a rapid trauma assessment --
Focused trauma assessment --
11. Focused history and physical examination of medical patients --
Scene size-up --
Initial assessment --
Focused history and physical exam : medical --
Assessing the history of the present illness --
Medical patient assessments --
Providing emergency medical care --
Specific chief complaint : known history --
Specific chief complaint : no known history --
Unresponsive medical patient --
2. The detailed physical examination --
The DCAPBTLS method --
Head --
Face --
Eyes --
Ears --
Nose --
Mouth --
Neck --
Chest --
Abdomen --
Pelvis --
Extremities --
Back --
Vital signs --
Other assessment tools --
13. Ongoing assessment --
Repeat the initial assessment --
Reassess and record vital signs --
Repeat the focused assessment --
Check interventions --
14. Communications --
Communication model --
Encoding and decoding --
Feedback --
Interference --
Patient communication --
Setting --
Approach --
Communication techniques --
Nonverbal communication --
Pitfalls of communication --
Family and friends --
Communication barriers --
Elderly patients --
Remote communication --
Communication systems --
Federal Communications Commission --
Radio procedures --
Hospital communications --
Communication with medical direction --
Hospital notification --
Verbal reports --
15. Documentation --
Components of the written report --
Minimum data set --
Synchronous clocks --
Functions of the written report --
Continuity of care --
Legal implications --
Educational tool --
Administrative uses --
Research --
Evaluation and continuous improvement --
Form types --
Sections of the report --
Run data --
Patient data --
Check boxes --
Patient narrative --
Confidentiality --
Health Insurance Portability and Accountability Act --
Falsification --
Patient refusal --
Special situation/incident reporting --
Error corrections --
Multiple-casualty incidents --
Special situation reports --
Division 4 : Medical and behavioral emergencies --
16. Pharmacology --
Drugs and their effects --
Drug names --
Forms of medication --
Vital drug information --
Assisted patient medication administration --
Emergency medical technician-administered medications --
Determination of effectiveness and reassessment --
17. Respiratory emergencies --
Respiratory system anatomy and physiology --
Upper airway --
Lower airway --
Mechanics of respiration --
Gas exchange --
Lung volumes --
Control of respiration --
Assessment of the respiratory system --
Adequate breathing --
Breathing status assessment --
Pediatric considerations --
Inadequate breathing --
Respiratory distress --
Signs and symptoms of respiratory distress --
Additional assessment --
Treatment for respiratory distress --
Oxygen therapy --
Ventilation --
Oxygenation versus ventilation --
Common respiratory conditions --
Anaphylaxis --
Pulmonary embolism --
Hyperventilation --
Airway obstruction --
Prescribed inhalers --
Indications for inhaler use --
Contraindications for inhaler use --
Pediatric concerns --
18. Cardiovascular emergencies --
Review of the circulatory system --
Anatomy --
Physiology --
Cardiac compromise --
Assessment --
Nitroglycerin --
Reassessment --
Transport --
Basic life support --
Automated external defibrillation --
Overview of the automated external defibrillator --
Advantages of the automated external defibrillator --
Automated external defibrillator operation --
Standard operational procedures --
Single rescuer with automated external defibrillator --
Postresuscitation care --
Skills maintenance --
Vascular emergencies --
Aneurysms --
Aortic dissection --
Vascular occlusions --
Deep vein thrombosis --
19. Gastrointestinal/genitourinary emergencies --
Gastrointestinal system --
General anatomy, physiology, and pathophysiology --
General assessment --
Scene size-up --
Initial assessment --
History and physical exam --
General treatment --
20. Altered mental status --
Altered level of consciousness --
General care for patients with altered mental status--
Specific causes of altered mental status --
Diabetes --
Syncope --
Seizures --
Stroke --
21. Allergies --
The immune system --
Common causes of allergic reactions --
Anaphylaxis --
Assessment --
Initial assessment --
History --
Secondary survey and physical examination --
Treatment --
Pharmacology --
22. Poisoning and overdose --
Routes of exposure --
Common poisonings --
Household products --
Drug abuse --
Common bites and stings --
Common clinical effects caused by poisons --
Poisoning symptoms with no known history of exposure --
Evaluation of poisoning --
History and physical exam --
Treatment of poisoned patients --
23. Environmental emergencies --
Thermoregulation and heat transfer --
Hypothermia --
Risk factors --
Local cold injury --
Trench foot, cold urticaria, and frostbite --
Heat emergencies --
Heatstroke --
Heat exhaustion --
Heat cramps --
Altitude illness --
Water-related environments --
Dybarism (decompression sickness) --
Drowning --
Division 5 : Trauma --
24. Behavioral emergencies --
Behavioral emergencies --
General factors causing altered behavior --
Specific reasons and causes for altered behavior --
Assessing a patient with a behavioral emergency --
Specific behavioral emergencies --
Anxiety --
Depression --
Mania --
Signs and symptoms --
Domestic violence --
Suicidal patients --
Violent and aggressive patients --
Views on behavioral emergencies --
25. Bleeding and shock --
Cellular metabolism --
Circulatory system --
Intravascular space --
Intracellular space --
Circulatory compromise --
Volume loss --
Compensatory mechanisms --
Pump failure --
Assessment of signs and symptoms --
Treatment --
Consequences of shock --
26. Soft tissue trauma --
The skin--
Importance of body substance isolation --
Major functions of the skin --
Layers of the skin --
Rule of nines --
Bleeding --
External bleeding --
Internal bleeding --
Closed soft tissue injuries --
Contusions --
Hematomas --
Crush injuries --
Open soft tissue injuries --
Abrasions --
Lacerations --
Punctures and impaled objects --
Avulsions --
Amputations --
Bleeding control --
Dressing and bandaging --
Bleeding control techniques --
Burns --
Assessment and classification --
Burn treatments --
Special burn situations --
Chemical burns --
Electrical burns --
27. Chest and abdominal trauma --
Injury and shock --
Mechanism of injury --
Lateral impacts --
Frontal impacts --
Rollover impacts --
Chest injury --
Blunt injury --
Penetrating injury --
Assessment and treatment --
Abdominal injury --
Assessment and treatment --
Crime scene assessment --
28. Musculoskeletal trauma --
The muscular system --
Muscular function --
Muscle composition --
Injuries to the muscular system --
The skeletal system --
Function of the skeletal system --
Anatomic locations --
Splinting --
Other considerations --
29. Head and spinal trauma --
Review of the nervous system --
The central nervous system --
The peripheral nervous system --
Review of the skeletal system --
Injuries of the spine --
Assessing the patient with a possible spinal injury --
Immobilization --
Injuries of the brain and skull --
Head injuries --
Nontraumatic conditions --
Management of the patient with a head injury --
Rapid extrication --
Division 6 : Special populations --
30. Obstetrics and gynecology --
Anatomy of the female genital tract --
Anatomy and physiology of pregnancy --
Complications of early pregnancy --
Miscarriage --
Ectopic pregnancy --
Complications of late pregnancy --
Placental abruption --
Placenta previa --
Pre-eclampsia --
Labor --
First stage --
Second stage --
Third stage --
Delivery --
Decision to transport versus delivery in the field --
Preparation for delivery --
Delivery procedure --
Complications of delivery --
Vaginal bleeding --
Meconium --
Preterm delivery --
Breech delivery --
Shoulder dystocia --
Prolapsed umbilical cord --
Limb presentation --
Multiple births --
Fetal death --
Postdelivery care of the mother --
Postdelivery care of the infant : ABCs --
Trauma in pregnancy --
Gynecologic emergencies --
Vaginal bleeding --
Sexual assault --
Motor vehicle accidents --
Domestic violence --
31. Pediatric emergencies --
Developmental considerations --
Infants --
Toddlers and preschool-age children --
School-age children and adolescents --
The pediatric airway--
Respiratory distress --
Upper airway considerations --
Oxygen delivery systems --
Respiratory failure --
Airway adjuncts --
Anatomic considerations and assisted ventilation --
Bag-mask ventilation --
Infant and child cardiopulmonary resuscitation --
Pediatric upper airway obstruction --
Upper airway obstruction --
Shock (hypoperfusion) and resuscitation of the infant and child --
Causes of shock --
Compensated versus decompensated shock --
Assessment of end organ perfusion --
Management of the pediatric patient in shock --
Pediatric cardiac arrest --
Pediatric seizures --
Pediatric trauma --
Child abuse --
Physical abuse --
Neglect --
Abandonment --
Medical-legal responsibilities --
32. Geriatric emergencies --
Physiologic changes with age --
The respiratory system --
The cardiovascular system --
The skin --
The nervous system --
Sensory changes --
Thermoregulation --
The immune system --
The musculoskeletal system --
Assessment --
Scene size-up --
Initial assessment --
History, physical examination, and ongoing assessment --
Reporting of symptoms --
Medical emergencies --
Altered mental status --
Chest pain --
Respiratory emergencies --
Abdominal emergencies --
Patients with vague, nondescriptive complaints --
Trauma emergencies --
Falls --
Head injuries --
Abuse --
Division 7 : Operations --
33. Ambulance operations --
Phrases of an EMS response --
Preparation for the call --
Dispatch --
En route to the scene --
Arrival at the scene --
Transferring the patient to the ambulance --
The postrun phase --
Air medical considerations --
Summary --
Response phases --
Air medical transport --
34. Gaining access --
Technical rescue --
Structural collapse rescue --
Phase 1 --
Phase 2--
Phase 3 --
Phase 4 --
Rope rescue --
Confined space rescue --
Trench rescue and excavation --
Gaining access --
Extrication --
Vehicle and machinery rescue --
Water rescue --
Dive rescue --
Ice rescue --
Surf rescue --
Swift water rescue --
Wilderness search and rescue --
36. Hazardous materials --
Hazardous materials response and training --
Elements of a hazardous materials response --
Scene safety --
Risk assessment --
Incident command structure --
Recognition and identification of hazardous materials --
Scene size-up --
Interagency cooperation for risk reduction --
Types of victim exposure --
Response and recovery --
37. Weapons of mass destruction --
Fallacies of weapons of mass destruction --
Basic principles --
Chemical agents --
Nerve agents --
Vesicants (blister agents)--
Pulmonary toxicants --
Cyanide --
Biologic agents --
Bacterial agents --
Viral agents --
Toxins --
Biologic agents : principles of decontamination --
Radiologic/nuclear agents --
Types of radiation exposure --
Radiation protection --
Sources of radiation exposure --
Acute radiation syndrome --
Treatment of the radiation-contaminated patient --
Explosive devices --
Mechanism of blast injury --
Division 8 : Advanced airway (elective) --
38. Advanced airway management --
Airway anatomy --
Normal upper airway anatomy in the adult --
Anatomy of the upper airway in infants and children --
Assessment --
Management techniques --
Orotracheal intubation of the adult --
Orotracheal intubation of the infant or child --
Nasogastric tube placement --
Laryngeal mask airway --
Esophageal/tracheal combitube --
Appendix A : Assisting advanced life support providers --
Appendix B : NREMT skills sheets --
Glossary --
Illustration credits.
Responsibility: Will Chapleau and Peter Pons.
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