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Emergency Care (EMT) 13th Edition by Daniel Limmer, ISBN-13: 978-0134024554

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Emergency Care (EMT) 13th Edition by Daniel Limmer, ISBN-13: 978-0134024554

[PDF eBook eTextbook]

  • Publisher: ‎ Pearson; 13th edition (February 11, 2015)
  • Language: ‎ English
  • 1328 pages
  • ISBN-10: ‎ 0134024559
  • ISBN-13: ‎ 978-0134024554

For courses in Emergency Medical Technician Training and Emergency Medical Services

Help students think like EMTs with the gold standard for EMT training.

For over 30 years, Emergency Care has provided generations of EMT students with the practical information they need to succeed in the classroom and in the field. Updated with the latest research and developments in emergency medical services, this edition meets the 2010 American Heart Association guidelines for CPR and ECC. Using the National EMS Education Standards as a foundation, Emergency Care goes beyond the Standards to provide the most current, accurate reflection of EMS practice today. The text integrates scientific principles in an easy-to-understand way, with a host of critical-thinking features that help students learn to think like EMTs.

Table of Contents

Emergency Care
Emergency Care
Brief Contents
Detailed Contents
Photo Scans
Visual Guides
Letter to Students
Preface
Section 1 Foundations: Chapters 1–8
Section 2 Airway Management, Respiration, and Artificial Ventilation: Chapters 9–10
Section 3 Patient Assessment: Chapters 11–15
Section 4 Medical Emergencies: Chapters 16–24
Section 5 Trauma: Chapters 25–31
Section 6 Special Populations: Chapters 32–35
Section 7 Operations: Chapters 36–39
Appendixes and References
Our Goal: Improving Future Training and Education
About the People
About the Authors
A Guide to Key Features
Section 1 Foundations
1 Introduction to Emergency Medical Care
Standard
Competency
Core Concept
Key Terms
The Emergency Medical Services System
How It Began
EMS Today
Components of the EMS System
Accessing the EMS System
Levels of EMS Training
Roles and Responsibilities of the EMT
Traits of a Good EMT
Physical Traits
Personal Traits
Education
Where Will You Become a Provider?
National Registry of Emergency Medical Technicians
Quality Improvement
Medical Direction
The EMS Role in Public Health
Research
The Basics of EMS Research
Methods of Reducing Bias
Prospective versus Retrospective
Randomization
Control Groups
Study Group Similarity
Types of Medical Research
Questions to Ask When Evaluating a Research Study
Questions to Ask Before Participating in EMS Research
Special Issues
Chapter Review
Key Facts and Concepts
Key Decisions
Chapter Glossary
Preparation for Your Examination and Practice
Short Answer
Critical Thinking Exercises
2 The Well-Being of the EMT
Related Chapters
Standard
Competency
Core Concepts
Key Terms
Well-Being
Personal Protection
Standard Precautions
Personal Protective Equipment
Protective Gloves
Hand Cleaning
Eye and Face Protection
Masks
Gowns
Diseases of Concern
Emerging Diseases and Conditions
Infection Control and the Law
Occupational Exposure to Bloodborne Pathogens
Ryan White CARE Act
Tuberculosis Compliance Mandate
Immunizations
Emotion and Stress
Physiologic Aspects of Stress
Types of Stress Reactions
Acute Stress Reaction
Delayed Stress Reaction
Cumulative Stress Reaction
Causes of Stress
Signs and Symptoms of Stress
Dealing with Stress
Lifestyle Changes
Critical Incident Stress Management
Understanding Reactions to Death and Dying
Scene Safety
Hazardous Material Incidents
Terrorist Incidents
Rescue Operations
Violence
Plan
Observe
React to Danger
Chapter Review
Key Facts and Concepts
Key Decisions
Chapter Glossary
Preparation for Your Examination and Practice
Short Answer
Thinking and Linking
Critical Thinking Exercises
Pathophysiology to Practice
3 Lifting and Moving Patients
Related Chapters
Standard
Competency
Core Concepts
Key Terms
Protecting Yourself: Body Mechanics
Protecting Your Patient: Emergency, Urgent, and Non-Urgent Moves
Emergency Moves
Urgent Moves
Non-Urgent Moves
Patient-Carrying Devices
Wheeled Stretchers
Stair Chairs
Spine Board
Other Types of Stretchers
Moving Patients onto Carrying Devices
Patient with Suspected Spine Injury
Patient with No Suspected Spine Injury
Patient Positioning
Positioning for Shock
Transferring the Patient to a Hospital Stretcher
Chapter Review
Key Facts and Concepts
Key Decisions
Chapter Glossary
Preparation for Your Examination and Practice
Short Answer
Thinking and Linking
Critical Thinking Exercises
4 Medical/Legal and Ethical Issues
Related Chapters
Standard
Competency
Core Concepts
Scope of Practice
Patient Consent and Refusal
Consent
Expressed Consent
Implied Consent
Children and Mentally Incompetent Adults
Involuntary Transportation
When a Patient Refuses Care
Do Not Resuscitate Orders and Physician Orders for Life-Sustaining Treatment
Other Legal Issues
Negligence
Duty to Act
Good Samaritan Laws
Confidentiality
Special Situations
Medical Identification Devices
Organ Donors
Safe Haven Laws
Crime Scenes
Special Reporting Requirements
Chapter Review
Key Facts and Concepts
Key Decisions
Chapter Glossary
Preparation for Your Examination and Practice
Short Answer
Thinking and Linking
Critical Thinking Exercises
5 Medical Terminology
Related Chapters
Standard
Competency
Core Concepts
Medical Terminology
The Components of Medical Terms
Abbreviations and Acronyms
When and When Not to Use Medical Terms
The language of Anatomy and Physiology
Anatomic Terms
Directional Terms
Positional Terms
Chapter Review
Key Facts and Concepts
Key Decisions
Chapter Glossary
Preparation for Your Examination and Practice
Short Answer
Thinking and Linking
Critical Thinking Exercises
6 Anatomy and Physiology
Related Chapters
Standard
Competency
Core Concept
Locating Body Organs and Structures
Body Systems
Musculoskeletal System
Skull
Spinal Column
Thorax
Pelvis
Lower Extremities
Upper Extremities
Joints
Muscles
Respiratory System
Respiratory Anatomy
Respiratory Physiology
Cardiovascular System
Anatomy of the Heart
Circulation of the Blood
Composition of the Blood
Pulse
Blood Pressure
Perfusion
Life Support Chain
Lymphatic System
Nervous System
Digestive System
Integumentary System
Endocrine System
Renal System
Reproductive System
Male Reproductive System
Female Reproductive System
Chapter Review
Key Facts and Concepts
Key Decisions
Chapter Glossary
Preparation for Your Examination and Practice
Short Answer
Thinking and Linking
Critical Thinking Exercises
7 Ventilation, Perfusion, and Shock: Understanding Pathophysiology
Related Chapters
Standard
Competency
Core Concepts
The Cell
Water and the Cell
Glucose and the Cell
Oxygen and the Cell
The Vulnerability of Cells, Organs, and Organ Systems
The Cardiopulmonary System
The Airway
The Lungs
Respiratory Dysfunction
Disruption of Respiratory Control
Disruption of Pressure
Disruption of Lung Tissue
Respiratory Compensation
The Blood
Blood Dysfunction
The Blood Vessels
Blood Vessel Dysfunction
Loss of Tone
Excessive Permeability
Hypertension
The Heart
Heart Dysfunction
The Cardiopulmonary System: Putting It All Together
Shock
Pathophysiology of Other Systems
Fluid Balance
Disruptions of Fluid Balance
Fluid Loss
Poor Fluid Distribution
The Nervous System
Nervous System Dysfunction
Trauma
Medical Dysfunction
The Endocrine System
Endocrine System Dysfunction
Too Many Hormones
Not Enough Hormones
The Digestive System
Digestive Dysfunction
Gastrointestinal Bleeding
Vomiting and Diarrhea
The Immune System
Hypersensitivity (Allergic Reaction)
Chapter Review
Key Facts and Concepts
Key Decisions
Chapter Glossary
Preparation for Your Examination and Practice
Short Answer
Thinking and Linking
Critical Thinking Exercises
Pathophysiology to Practice
8 Life Span Development
Related Chapters
Standard
Competency
Core Concepts
Infancy (Birth to 1 Year)
Physiological
Psychosocial
Toddler Phase (12–36 Months)
Physiological
Psychosocial
Preschool Age (3–5 Years)
Physiological
Psychosocial
School Age (6–12 Years)
Physiological
Psychosocial
Adolescence (13–18 Years)
Physiological
Psychosocial
Early Adulthood (19–40 Years)
Physiological
Psychosocial
Middle Adulthood (41–60 Years)
Physiological
Psychosocial
Late Adulthood (61 Years and Older)
Physiological
Psychosocial
Chapter Review
Key Facts and Concepts
Key Decisions
Chapter Glossary
Preparation for Your Examination and Practice
Short Answer
Thinking and Linking
Critical Thinking Exercises
Pathophysiology to Practice
Section 2 Airway Management, Respiration, and Artificial Ventilation
9 Airway Management
Related Chapters
Standard
Competency
Core Concepts
Airway Physiology
Airway Pathophysiology
Opening the Airway
Head-Tilt, Chin-Lift Maneuver
Jaw-Thrust Maneuver
Airway Adjuncts
Rules for Using Airway Adjuncts
Oropharyngeal Airway
Nasopharyngeal Airway
Suctioning
Suctioning Devices
Mounted Suction Systems
Portable Suction Units
Tubing, Tips, and Catheters
Techniques of Suctioning
Keeping an Airway Open: Definitive Care
Special Considerations
Chapter Review
Key Facts and Concepts
Key Decisions
Chapter Glossary
Preparation for Your Examination and Practice
Short Answer
Thinking and Linking
Critical Thinking Exercises
Pathophysiology to Practice
10 Respiration and Artificial Ventilation
Related Chapters
Standard
Competency
Core Concepts
Physiology and Pathophysiology
Mechanics of Breathing
Physiology of Respiration
Pathophysiology of the Cardiopulmonary System
Respiration
Adequate and Inadequate Breathing
Inadequate Breathing
Positive Pressure Ventilation
Techniques of Artificial Ventilation
CPAP/BiPAP
Mouth-to-Mask Ventilation
Bag-Valve Mask
Two-Rescuer BVM Ventilation—No Trauma Suspected
Two-Rescuer BVM Ventilation—Trauma Suspected
One-Rescuer BVM Ventilation
Artificial Ventilation of a Stoma Breather
Flow-Restricted, Oxygen-Powered Ventilation Device
Automatic Transport Ventilator
Oxygen Therapy
Importance of Supplemental Oxygen
Oxygen Therapy Equipment
Oxygen Cylinders
Pressure Regulators
Flowmeters
Low-Pressure Flowmeters
High-Pressure Flowmeters
Humidifiers
Hazards of Oxygen Therapy
Administering Oxygen
Nonrebreather Mask
Nasal Cannula
Partial Rebreather Mask
Venturi Mask
Tracheostomy Mask
Special Considerations
Assisting with Advanced Airway Devices
Preparing the Patient for Intubation
Ventilating the Intubated Patient
Assisting with a Trauma Intubation
Blind-Insertion Airway Devices
Chapter Review
Key Facts and Concepts
Key Decisions
Chapter Glossary
Preparation for Your Examination and Practice
Short Answer
Thinking and Linking
Critical Thinking Exercises
Pathophysiology to Practice
Section 3 Patient Assessment
11 Scene Size-Up
Related Chapters
Standard
Competency
Core Concepts
Scene Size-Up
Scene Safety
Establishing the Danger Zone
Crime Scenes and Acts of Violence
Standard Precautions
Nature of the Call
Mechanism of Injury
Motor-Vehicle Collisions
Falls
Penetrating Trauma
Blunt-Force Trauma
Nature of the Illness
Number of Patients and Adequacy of Resources
Chapter Review
Key Facts and Concepts
Key Decisions
Chapter Glossary
Preparation for Your Examination and Practice
Short Answer
Thinking and Linking
Critical Thinking Exercises
Pathophysiology to Practice
12 The Primary Assessment
Related Chapters
Standard
Competency
Core Concepts
The Primary Assessment
Approach to the Primary Assessment
Decision Making in the Primary Assessment
Performing the Primary Assessment
Form a General Impression
The “Look Test”
The Chief Complaint
Assess Mental Status
Assess the ABCs
Airway
Breathing
Circulation
Determine Priority
Comparing the Primary Assessments
Chapter Review
Key Facts and Concepts
Key Decisions
Chapter Glossary
Preparation for Your Examination and Practice
Short Answer
Thinking and Linking
Critical Thinking Exercises
Pathophysiology to Practice
13 Vital Signs and Monitoring Devices
Related Chapters
Standard
Competency
Core Concepts
Gathering the Vital Signs
Vital Signs
Pulse
Pulse Rate
Pulse Quality
Respiration
Respiratory Rate
Respiratory Quality
Respiratory Rhythm
Skin
Pupils
Blood Pressure
Determining Blood Pressure by Auscultation
Determining Blood Pressure by Palpation
Determining Blood Pressure by Blood Pressure Monitor
Temperature
Oxygen Saturation
When to Use a Pulse Oximeter
Interpreting Pulse Oximeter Readings
Cautions
Determining Oxygen Saturation
Blood Glucose Meters
Using a Blood Glucose Meter
Chapter Review
Key Facts and Concepts
Key Decisions
Chapter Glossary
Preparation for Your Examination and Practice
Short Answer
Thinking and Linking
Critical Thinking Exercises
Pathophysiology to Practice
14 The Secondary Assessment
Related Chapters
Standards
Competencies
Core Concepts
The Secondary Assessment
Components of the Secondary Assessment
How Examinations Are Conducted
The Big Picture
Techniques of Assessment
History-Taking Techniques
Physical Examination Techniques
Body System Examinations
Respiratory System
Respiratory Assessment—History
Where you Perform the Exam Depends on Patient Priority and Status Unstable Patient—In the Ambulance; Stable Patient—On Scene
Respiratory Assessment—Physical Examination
Cardiovascular System
Cardiovascular Assessment—History
Cardiovascular Assessment—Physical Examination
Nervous System
Neurologic Assessment—History
Neurologic Assessment—Physical Examination
Endocrine System
Endocrine Assessment—History
Endocrine Assessment—Physical Examination
Gastrointestinal System
Gastrointestinal Assessment—History
Gastrointestinal Assessment—Physical Examination
Immune System
Immune System—Patient History
Immune System—Physical Examination
Musculoskeletal System
Musculoskeletal Assessment—History
Musculoskeletal Assessment—Physical Examination
Secondary Assessment of the Medical Patient
Responsive Medical Patient
Take a History of the Present Illness
Develop a General Impression
Oxygen
Vital Signs
Throughout the Call
Take a Past Medical History
Tailoring the Physical Exam for Specific Chief Complaints
Perform a Physical Exam
Obtain Baseline Vital Signs
Administer Interventions and Transport the Patient
Unresponsive Medical Patient
Perform a Rapid Physical Exam
Check for Medical ID Devices
Check Pupils
Obtain Baseline Vital Signs
Consider a Request for ALS Personnel
Take a History of the Present Illness and a Past Medical History
Administer Interventions and Transport the Patient
Mid-Chapter Review
Secondary Assessment of the Medical Patient
Key Facts and Concepts
Key Decisions
Preparation for Your Examination and Practice
Short Answer
Thinking and Linking
Critical Thinking Exercises
Pathophysiology to Practice
Secondary Assessment of the Trauma Patient
Size up the Scene
Primary Assessment
Priority Determinat Ion
On-Scene Examinat Ion
Transport
Perform Deta Iled Assessment and Reassessments en Route
Notify Receiving Hospital
Trauma Patient with Minor Injury/Low Priority
Determine the Chief Complaint
Conduct a History of the Present Illness
Perform a Physical Exam
Obtain Baseline Vital Signs and a Past Medical History
Applying a Cervical Collar
Trauma Patient with Serious Injury or Multisystem Trauma/High Priority
Continue Spinal Stabilization
Consider a Request for Advanced Life Support Personnel
Perform a Rapid Trauma Assessment
Rapid Assessment of the Head
Rapid Assessment of the Neck
Application of a Cervical Collar
Rapid Assessment of the Chest
Rapid Assessment of the Abdomen
Rapid Assessment of the Pelvis
Rapid Assessment of the Extremities
Rapid Assessment of the Posterior Body and Immobilization on a Backboard
Obtain Baseline Vital Signs and Past Medical History
Some General Principles
Detailed Physical Exam
Trauma Patient with a Significant Injury
Before Beginning the Detailed Physical Exam
Performing the Detailed Physical Exam
Trauma Patient Who Is Not Seriously Injured
Mid-Chapter Review
Secondary Assessment of the Trauma Patient
Key Facts and Concepts
Key Decisions
Preparation for Your Examination and Practice
Short Answer
Thinking and Linking
Critical Thinking Exercises
Pathophysiology to Practice
Reassessment
Components of Reassessment
Repeat the Primary Assessment
Reassess and Record Vital Signs
Repeat Pertinent Parts of the History and Physical Exam
Check Interventions
Observing Trends
Reassessment for Stable and Unstable Patients
Mid-Chapter Review
Reassessment
Key Facts and Concepts
Key Decisions
Preparation for Your Examination and Practice
Short Answer
Thinking and Linking
Critical Thinking Exercises
Pathophysiology to Practice
Critical Thinking and Decision Making
EMT Diagnosis and Critical Thinking
How a Clinician Reaches a Diagnosis
The Traditional Approach to Diagnosis in Medicine
The Emergency Medicine Approach to Diagnosis
The EMS Approach to Diagnosis
The Highly Experienced Physician’s Approach to Diagnosis in Medicine
How an EMT Can Learn to Think Like an Experienced Physician
Mid-Chapter Review
Critical Thinking and Decision Making
Key Facts and Concepts
Key Decisions
Preparation for Your Examination and Practice
Short Answer
Thinking and Linking
Critical Thinking Exercises
Chapter Glossary
15 Communication and Documentation
Related Chapters
Standard
Competency
Core Concepts
Communications Systems and Radio Communication
Communications Systems
Radio Communication
Radio Transmissions throughout the Call
Radio Medical Reports
The Verbal Report
Interpersonal Communication
Team Communication
Therapeutic Communication
Prehospital Care Report
Functions of the Prehospital Care Report
Patient Care Record
Legal Document
Administrative Purposes
Education and Research
Quality Improvement
Elements of the Prehospital Care Report
Data Elements
Run Data
Patient Information
Information Gathered during the Call
Narrative Sections
Special Documentation Issues
Legal Issues
Confidentiality
Patient Refusals
Falsification
Correction of Errors
Special Situations
Multiple-Casualty Incidents
Special Situation Reports
Chapter Review
Key Facts and Concepts
Key Decisions
Chapter Glossary
Preparation for Your Examination and Practice
Short Answer
Thinking and Linking
Critical Thinking Exercises
Section 4 Medical Emergencies
16 General Pharmacology
Related Chapters
Standards
Competency
Core Concepts
Medications EMTs Can Administer
Medications on the Ambulance
Aspirin
Oral Glucose
Oxygen
Activated Charcoal
Prescribed Medications
Bronchodilator Inhalers
Nitroglycerin
Epinephrine Auto-Injectors
Other Drugs That May Sometimes Be Administered
Naloxone
Force Protection Medications
General Information about Medications
Drug Names
What You Need to Know When Giving a Medication
Medication Safety and Clinical Judgment
Medication Authorization
The Five Rights
Routes of Administration
Age- and Weight-Related Considerations
Reassessment and Documentation
Medications Patients Often Take
Assisting in IV Therapy
Setting Up an IV Fluid Administration Set
Maintaining an IV
Chapter Review
Key Facts and Concepts
Key Decisions
Chapter Glossary
Preparation for Your Examination and Practice
Short Answer
Thinking and Linking
Critical Thinking Exercises
Pathophysiology to Practice
17 Respiratory Emergencies
Related Chapters
Standard
Competency
Core Concepts
Respiration
Respiratory Anatomy and Physiology
Adequate Breathing
Inadequate Breathing
Adequate and Inadequate Artificial Ventilation
Breathing Difficulty
Continuous Positive Airway Pressure (CPAP)
Respiratory Conditions
Chronic Obstructive Pulmonary Disease (COPD)
Asthma
Pulmonary Edema
Pneumonia
Spontaneous Pneumothorax
Pulmonary Embolism
Epiglottitis
Cystic Fibrosis
Viral Respiratory Infections
The Prescribed Inhaler
The Small-Volume Nebulizer
Chapter Review
Key Facts and Concepts
Key Decisions
Chapter Glossary
Preparation for Your Examination and Practice
Short Answer
Thinking and Linking
Critical Thinking Exercises
Pathophysiology to Practice
18 Cardiac Emergencies
Related Chapters
Standard
Competency
Core Concepts
Cardiac Anatomy and Physiology
Acute Coronary Syndrome
Management of Acute Coronary Syndrome
Causes of Cardiac Conditions
Coronary Artery Disease
Aneurysm
Electrical Malfunctions of the Heart
Mechanical Malfunctions of the Heart
Angina Pectoris
Acute Myocardial Infarction
Congestive Heart Failure
Cardiac Arrest
Chain of Survival
Immediate Recognition and Activation
Early CPR
High-Performance CPR
Rapid Defibrillation
Effective Advanced Life Support
Integrated Post–Cardiac Arrest Care
Management of Cardiac Arrest
Automated External Defibrillator (AED)
Types of AEDs
How AEDs Work
Coordinating CPR and AED for a Patient in Cardiac Arrest
Special Considerations for AED Use
General Principles
Coordination with ALS Personnel
Coordination with Others Who Defibrillate before You Arrive
Post-Resuscitation Care
Patients Who Go Back into Cardiac Arrest
Witnessed Arrests in the Ambulance
Single Rescuer with an AED
Contraindications
Implants and Surgeries
Quality Improvement
Mechanical CPR Devices
Using the LUCAS CPR device
Using the Auto-Pulse
Terminating Resuscitation
Chapter Review
Key Facts and Concepts
Key Decisions
Chapter Glossary
Preparation for Your Examination and Practice
Short Answer
Thinking and Linking
Critical Thinking Exercises
Pathophysiology to Practice
19 Diabetic Emergencies and Altered Mental Status
Related Chapters
Standard
Competency
Core Concepts
Pathophysiology
Assessing the Patient with Altered Mental Status
Safety
Primary Assessment
Secondary Assessment
Diabetes
Glucose and the Digestive System
Insulin and the Pancreas
Diabetes Mellitus
Diabetic Emergencies
Blood Glucose Meters
Hypoglycemia and Hyperglycemia Compared
Other Causes of Altered Mental Status
Sepsis
Seizure Disorders
Causes of Seizures
Types of Seizures
Partial Seizures
Generalized Seizures
Stroke
Transient Ischemic Attack
Dizziness and Syncope
Causes of Dizziness and Syncope
Cardiovascular Causes
Hypovolemic Causes
Metabolic and Structural Causes
Environmental/Toxicological Causes
Other Causes
Chapter Review
Key Facts and Concepts
Key Decisions
Chapter Glossary
Preparation for Your Examination and Practice
Short Answer
Thinking and Linking
Critical Thinking Exercises
Pathophysiology to Practice
20 Allergic Reaction
Related Chapters
Standard
Competency
Core Concepts
Allergic Reactions
Distinguishing Anaphylaxis from Mild Allergic Reaction
Self-Administered Epinephrine
Additional Doses of Epinephrine
Chapter Review
Key Facts and Concepts
Key Decisions
Chapter Glossary
Preparation for Your Examination and Practice
Short Answer
Thinking and Linking
Critical Thinking Exercises
Pathophysiology to Practice
21 Poisoning and Overdose Emergencies
Related Chapters
Standard
Competency
Core Concepts
Poisoning
Ingested Poisons
Food Poisoning
Activated Charcoal
Activated Charcoal versus Syrup of Ipecac
Dilution
Antidotes
Inhaled Poisons
Carbon Monoxide
Smoke Inhalation
“Detergent Suicides”
Absorbed Poisons
Injected Poisons
Poison Control Centers
Alcohol and Substance Abuse
Alcohol Abuse
Substance Abuse
Chapter Review
Key Facts and Concepts
Key Decisions
Chapter Glossary
Preparation for Your Examination and Practice
Short Answer
Thinking and Linking
Critical Thinking Exercises
Pathophysiology to Practice
22 Abdominal Emergencies
Related Chapters
Standard
Competency
Core Concepts
Abdominal Anatomy and Physiology
Abdominal Pain or Discomfort
Abdominal Conditions
Appendicitis
Peritonitis
Cholecystitis/Gallstones
Pancreatitis
Gastrointestinal (GI) Bleeding
Abdominal Aortic Aneurysm
Hernia
Renal Colic
Cardiac Involvement
Assessment and Care of Abdominal Pain or Discomfort
Scene Size-Up
Primary Assessment
History
History of the Present Illness
History Specific to Female Patients
Past Medical History
Allergies
Medications
Pertinent Past History
Last Oral Intake
Events Leading to the Emergency
Physical Examination of the Abdomen
Vital Signs
General Abdominal Distress
Chapter Review
Key Facts and Concepts
Key Decisions
Chapter Glossary
Preparation for Your Examination and Practice
Short Answer
Thinking and Linking
Critical Thinking Exercises
Pathophysiology to Practice
23 Behavioral and Psychiatric Emergencies and Suicide
Related Chapters
Standard
Competency
Core Concepts
Behavioral and Psychiatric Emergencies
What Is a Behavioral Emergency?
Psychiatric Conditions
Physical Causes of Altered Mental Status
Situational Stress Reactions
Acute Psychosis
Emergency Care for Behavioral and Psychiatric Emergencies
Assessment and Care for Behavioral and Psychiatric Emergencies
Suicide
Aggressive or Hostile Patients
Reasonable Force and Restraint
Transport to an Appropriate Facility
Medical/Legal Considerations
Chapter Review
Key Facts and Concepts
Key Decisions
Chapter Glossary
Preparation for Your Examination and Practice
Short Answer
Thinking and Linking
Critical Thinking Exercises
Pathophysiology to Practice
24 Hematologic and Renal Emergencies
Related Chapters
Standard
Competency
Core Concepts
The Hematologic System
Blood Clotting
Coagulopathies
Identifying Patients with Coagulopathies
Anemia
Sickle Cell Anemia
The Renal System
Diseases of the Renal System
Urinary Tract Infections
Kidney Stones
Patients with Urinary Catheters
Renal Failure
Hemodialysis
Peritoneal Dialysis
Medical Emergencies with End-Stage Renal Disease
Complications of ESRD
Complications of Dialysis
Kidney Transplant Patients
Chapter Review
Key Facts and Concepts
Key Decisions
Chapter Glossary
Preparation for Your Examination and Practice
Short Answer
Thinking and Linking
Critical Thinking Exercises
Pathophysiology to Practice
Section 5 Trauma
25 Bleeding and Shock
Related Chapters
Standards
Competency
Core Concepts
The Circulatory System
Main Components
Bleeding
External Bleeding
Massive Hemorrhage
Other External Hemorrhage
Assessment and Care of External Hemorrhage
Controlling External Bleeding
Direct Pressure
Elevation
Hemostatic Agents
Tourniquet
A Systematic Approach to Treat Uncontrolled External Hemorrhage.
Other Methods of Bleeding Control
Splinting
Cold Application
Special Situations Involving Bleeding
Head Injury
Nosebleed
Internal Bleeding
Shock (Hypoperfusion)
Causes of Shock
Severity of Shock
Types of Shock
Emergency Care for Shock
Chapter Review
Key Facts and Concepts
Key Decisions
Chapter Glossary
Preparation for Your Examination and Practice
Short Answer
Thinking and Linking
Critical Thinking Exercises
Pathophysiology to Practice
26 Soft-Tissue Trauma
Related Chapters
Standard
Competency
Core Concepts
Soft Tissues
Closed Wounds
Types of Closed Wounds
Contusions
Hematomas
Closed Crush Injuries
Blast Injuries
Emergency Care for Closed Wounds
Open Wounds
Types of Open Wounds
Abrasions
Lacerations
Penetrating Trauma and Punctures
Avulsions
Amputations
Open Crush Injuries
Bite Wounds
Blast Injuries
High-Pressure-Injection Injuries
Emergency Care for Open Wounds
Treating Specific Types of Open Wounds
Treating Abrasions and Lacerations
Treating Penetrating Trauma
Treating Impaled Objects
Object Impaled in the Cheek
Puncture Wound or Object Impaled in the Eye
Treating Avulsions
Treating Amputations
Treating Genital Injuries
Burns
Classifying Burns by Agent and Source
Classifying Burns by Depth
Determining the Severity of Burns
Classifying Burns by Severity
Treating Specific Types of Burns
Radiological Burns
Electrical Injuries
Dressing and Bandaging
Chapter Review
Key Facts and Concepts
Key Decisions
Chapter Glossary
Preparation for Your Examination and Practice
Short Answer
Thinking and Linking
Critical Thinking Exercises
Pathophysiology to Practice
27 Chest and Abdominal Trauma
Related Chapters
Standard
Competency
Core Concepts
Chest Injuries
Closed Chest Injuries
Open Chest Injuries
Occlusive and Flutter-Valve Dressings
Injuries within the Chest Cavity
Abdominal Injuries
Chapter Review
Key Facts and Concepts
Key Decisions
Chapter Glossary
Preparation for Your Examination and Practice
Short Answer
Thinking and Linking
Critical Thinking Exercises
Pathophysiology to Practice
28 Musculoskeletal Trauma
Related Chapters
Standard
Competency
Core Concepts
Musculoskeletal System
Anatomy of Bone
Self-Healing Nature of Bone
Muscles, Cartilage, Ligaments, and Tendons
General Guidelines for Emergency Care
Mechanisms of Musculoskeletal Injury
Injury to Bones and Connective Tissue
Assessment of Musculoskeletal Injuries
Compartment Syndrome
Splinting
Realignment of the Deformed Extremity
Strategies for Splinting
Hazards of Splinting
Splinting Long-Bone and Joint Injuries
Traction Splint
Emergency Care of Specific Injuries
Upper Extremity Injuries
Lower Extremity Injuries
Pelvic Wrap
Chapter Review
Key Facts and Concepts
Key Decisions
Chapter Glossary
Preparation for Your Examination and Practice
Short Answer
Thinking and Linking
Critical Thinking Exercises
Pathophysiology to Practice
29 Trauma to the Head, Neck, and Spine
Related Chapters
Standard
Competency
Core Concepts
Nervous and Skeletal Systems
Nervous System
Anatomy of the Head
Anatomy of the Spine
Injuries to the Skull and Brain
Scalp Injuries
Skull Injuries
Brain Injuries
Traumatic Brain Injuries
Concussion
Contusion
Laceration
Hematoma
Intracranial Pressure
Cranial Injuries with Impaled Objects
Injuries to the Face and Jaw
Nontraumatic Brain Injuries
Glasgow Coma Scale
Wounds to the Neck
Injuries to the Spine
Identifying Potential Spine and Spinal Cord Injuries
Mechanisms of Spine Injury
Physical Assessment for Spine and Spinal Cord Injuries
The Evolution of Spinal Care
Spinal Motion Restriction—The Cervical Spine
Spinal Motion Restriction—Immobilization Devices
Spinal Motion Restriction Issues
Spinal Motion Restriction in a Seated Patient
Tips for Applying a Long Backboard
Tips for Dealing with a Standing Patient
Patient Found Wearing a Helmet
Chapter Review
Key Facts and Concepts
Key Decisions
Chapter Glossary
Preparation for Your Examination and Practice
Short Answer
Thinking and Linking
Critical Thinking Exercises
Pathophysiology to Practice
30 Multisystem Trauma
Related Chapters
Standard
Competency
Core Concepts
Key Terms
Multisystem Trauma
Determining Patient Severity
Determining Severity: Physiologic Criteria
Determining Severity: Anatomic Criteria
Determining Severity: Mechanism of Injury
Determining Severity: Special Patients and Considerations
Managing the Multisystem-Trauma Patient
A Typical Call
Analysis of the Call
General Principles of Multisystem-Trauma Management
Trauma Scoring
Chapter Review
Key Facts and Concepts
Key Decisions
Chapter Glossary
Preparation for Your Examination and Practice
Short Answer
Thinking and Linking
Critical Thinking Exercises
Pathophysiology to Practice
31 Environmental Emergencies
Related Chapters
Standard
Competency
Core Concepts
Exposure to Cold
How the Body Loses Heat
Generalized Hypothermia
Predisposing Factors
Obvious and Subtle Exposure
Passive and Active Rewarming
Extreme Hypothermia
Local Cold Injuries
Active Rapid Rewarming of Frozen Parts
Exposure to Heat
Effects of Heat on the Body
Patient with Moist, Pale, and Normal or Cool Skin
Patient with Hot Skin, Whether Dry or Moist
Water-Related Emergencies
Water-Related Accidents
Drowning
Rescue Breathing in or out of the Water
Care for Possible Spinal Injuries in the Water
Diving Accidents
Scuba-Diving Accidents
Water Rescues
Decision Point
Ice Rescues
Bites and Stings
Insect Bites and Stings
Snakebites
Poisoning from Marine Life
Chapter Review
Key Facts and Concepts
Key Decisions
Chapter Glossary
Preparation for Your Examination and Practice
Short Answer
Thinking and Linking
Critical Thinking Exercises
Pathophysiology to Practice
Section 6 Special Populations
32 Obstetric and Gynecologic Emergencies
Related Chapters
Standard
Competency
Core Concepts
Anatomy and Physiology
External Genitalia
Internal Genitalia
The Vagina
The Ovaries and Fallopian Tubes
The Uterus
The Female Reproductive Cycle
Fertilization
Physiologic Changes in Pregnancy
Changes in the Reproductive System
Other Physiologic Changes in Pregnancy
Supine Hypotensive Syndrome
Labor and Delivery
The Stages of Labor
First Stage
Second Stage
Third Stage
Patient Assessment
Assessing the Woman in Labor
Decision Points
Decision Point
Normal Childbirth
Role of the EMT
Preparing the Mother for Delivery
Preparing the Obstetrics (OB) Kit
Delivering the Baby
The Neonate
Assessing the Neonate
Caring for the Neonate
Keeping the Baby Warm
Cutting the Umbilical Cord
Neonatal Resuscitation
Care after Delivery
Caring for the Mother
Delivering the Placenta
Controlling Vaginal Bleeding after Birth
Providing Comfort to the Mother
Childbirth Complications
Complications of Delivery
Breech Presentation
Limb Presentation
Prolapsed Umbilical Cord
Multiple Birth
Premature Birth
Meconium
Emergencies in Pregnancy
Excessive Prebirth Bleeding
Ectopic Pregnancy
Seizures in Pregnancy
Miscarriage and Abortion
Trauma in Pregnancy
Stillbirths
Cardiac Arrest in the Pregnant Patient
Gynecological Emergencies
Vaginal Bleeding
Trauma to the External Genitalia
Sexual Assault
Chapter Review
Key Facts and Concepts
Key Decisions
Chapter Glossary
Preparation for Your Examination and Practice
Short Answer
Thinking and Linking
Critical Thinking Exercises
Pathophysiology to Practice
33 Pediatric Emergencies
Related Chapters
Standard
Competency
Core Concepts
Developmental Characteristics of Infants and Children
Anatomic and Physiologic Differences
Head
Airway and Respiratory System
Chest and Abdomen
Body Surface
Blood Volume
Psychological and Personality Characteristics
Interacting with the Pediatric Patient
The Adolescent Patient
Supporting the Parents or Other Care Providers
Assessing the Pediatric Patient
Pediatric Assessment Triangle (PAT)
Scene Size-Up and Safety—Pediatric
Primary Assessment—Pediatric
Forming a General Impression
Assessing Mental Status
Assessing the Airway
Assessing Breathing
Assessing Circulation
Identifying Priority Patients
Secondary Assessment—Pediatric
Physical Exam—Pediatric
Head
Nose and Ears
Neck
Airway
Chest
Abdomen
Pelvis
Extremities
Reassessment—Pediatric
Comparing Assessments
Special Concerns in Pediatric Care
Maintaining an Open Airway
Clearing an Airway Obstruction
Infant and Child BCLS Review
Providing Supplemental Oxygen and Ventilations
Caring for Shock
Protecting against Hypothermia
Pediatric Medical Emergencies
Respiratory Disorders
Difficulty Breathing
Differentiating Upper Airway Problems from Lower Airway Disorders
Respiratory Diseases
Croup
Epiglottitis
Other Pediatric Disorders
Fever
Meningitis
Diarrhea and Vomiting
Seizures
Altered Mental Status
Poisoning
Drowning
Sudden Infant Death Syndrome
Pediatric Trauma Emergencies
Injury Patterns
Head
Chest
Abdomen
Extremities
Burns
Child Abuse and Neglect
Physical and Sexual Abuse
Role of the EMT in Cases of Suspected Abuse or Neglect
Infants and Children with Special Challenges
Tracheostomy Tubes
Home Artificial Ventilators
Central Intravenous Lines
Gastrostomy Tubes and Gastric Feeding
Shunts
The EMT and Pediatric Emergencies
Chapter Review
Key Facts and Concepts
Key Decisions
Chapter Glossary
Preparation for Your Examination and Practice
Short Answer
Thinking and Linking
Critical Thinking Exercises
Pathophysiology to Practice
34 Geriatric Emergencies
Related Chapters
Standard
Competency
Core Concepts
The Geriatric Patient
Age-Related Changes
Decision Point
Communicating with Older Patients
History and Assessment of Older Patients
Scene Size-Up and Safety
Primary Assessment
Forming a General Impression
Assessing Mental Status
Assessing the Airway
Assessing Breathing
Assessing Circulation
Identifying Priority Patients
Secondary Assessment
History
Physical Exam
Baseline Vital Signs
Steps of the Physical Exam
Head and Neck
Chest and Abdomen
Pelvis and Extremities
Spine
Reassessment
Illness and Injury in Older Patients
Medication Side Effects and Interactions
Decision Point
Shortness of Breath
Chest Pain
Altered Mental Status
Abdominal Pain and Gastrointestinal Bleeding
Dizziness, Weakness, and Malaise
Depression and Suicide
Rash, Pain, and Flulike Symptoms
Falls
Elder Abuse and Neglect
Effects on Relationships
Loss of Independence
Chapter Review
Key Facts and Concepts
Key Decisions
Preparation for Your Examination and Practice
Short Answer
Thinking and Linking
Critical Thinking Exercises
Pathophysiology to Practice
35 Emergencies for Patients with Special Challenges
Related Chapters
Standard
Competency
Core Concepts
Patients with Special Challenges
Disability
Terminal Illness
Obesity
Homelessness and Poverty
Autism
Awareness
Basic
Calm
Safety
General Considerations in Responding to Patients with Special Challenges
Advanced Medical Devices in the Home
Variety of Health Care Settings
Knowledgeable Caregivers
A Knowledgeable Patient
Following Protocols
Diseases and Conditions
Advanced Medical Devices
Respiratory Devices
Continuous Positive Airway Pressure (CPAP) Devices
EMT Assessment and Transport
Tracheostomy Tubes
EMT Assessment and Transport
Home Ventilators
EMT Assessment and Transport
Cardiac Devices
Implanted Pacemakers and Cardiac Defibrillators
EMT Assessment and Transport
Left Ventricular Assist Devices
EMT Assessment and Transport
Gastrourinary Devices
Feeding Tubes
EMT Assessment and Transport
Urinary Catheters
EMT Assessment and Transport
Ostomy Bags
EMT Assessment and Transport
Dialysis
EMT Assessment and Transport
Central IV Catheters
EMT Assessment and Transport
Physical Impairments
EMT Assessment and Transport
Abuse and Neglect
Chapter Review
Key Facts and Concepts
Key Decisions
Chapter Glossary
Preparation for Your Examination and Practice
Short Answer
Thinking and Linking
Critical Thinking Exercises
Pathophysiology to Practice
Section 7 Operations
36 EMS Operations
Related Chapters
Standard
Competency
Core Concepts
Preparing for the Ambulance Call
Ambulance Supplies and Equipment
Ensuring Ambulance Readiness for Service
Ambulance Inspection, Engine Off
Ambulance Inspection, Engine On
Inspection of Patient Compartment Supplies and Equipment
Receiving and Responding to a Call
Role of the Emergency Medical Dispatcher
Operating the Ambulance
Being a Safe Ambulance Operator
Understanding the Law
Using the Warning Devices
The Siren
The Horn
Visual Warning Devices
Speed and Safety
Escorted or Multiple-Vehicle Responses
Factors That Affect Response
Getting There: Navigating to the Scene
Response Safety Summary
Safety at Highway Incidents
Keep Unnecessary Units and People off the Highway
Avoid Crossovers Unless a Turn Can Be Completed without Obstructing Traffic
If Yours Is the First Unit on Scene
Wear Your PPE
Place Cones/Flares and Reduce Emergency Lighting
Unit Placement Is Important!
Backing Up
Transferring the Patient to the Ambulance
Transporting the Patient to the Hospital
Preparing the Patient for Transport
Caring for the Patient en Route
Transferring the Patient to the Emergency Department Staff
Terminating the Call
At the Hospital
En Route to Quarters
In Quarters
Air Rescue
When to Call for Air Rescue
How to Call for Air Rescue
How to Set up a Landing Zone
How to Approach a Helicopter
Chapter Review
Key Facts and Concepts
Key Decisions
Preparation for Your Examination and Practice
Short Answer
Thinking and Linking
Critical Thinking Exercises
37 Hazardous Materials, Multiple-Casualty Incidents, and Incident Management
Related Chapters
Standard
Competency
Core Concepts
Hazardous Materials
Training Required by Law
Responsibilities of the EMT
Recognize a Hazmat Incident
Control the Scene
Identify the Substance
Establish a Treatment Area
Rehabilitation Operations
Care of Injured and Contaminated Patients
Phases of Decontamination
Mechanisms for Decontamination
Decontamination Procedures
Decontamination for Patients Wearing PPE
Decontamination for Patients Not Wearing PPE
Multiple-Casualty Incidents
Multiple-Casualty-Incident Operations
Incident Command System
Command
Command Functions
Scene Size-Up
Communications
Organization
Scene Management
EMS Branch Functions
Triage
Primary Triage
START Triage: A National Standard for Rapid Primary Triage
Assess Respiration (Breathing Status) First
Assess Radial Pulse Second
Assess Level of Consciousness (Mental Status) Third
Now Retriage the Priority 3 “Walking Wounded” Patients
A Start Summary
Patient Identification
Secondary Triage and Treatment
Transportation and Staging Logistics
Communicating with Hospitals
Psychological Aspects of MCIs
Chapter Review
Key Facts and Concepts
Key Decisions
Chapter Glossary
Preparation for Your Examination and Practice
Short Answer
Thinking and Linking
Critical Thinking Exercises
38 Highway Safety and Vehicle Extrication
Related Chapters
Standard
Competency
Core Concepts
Highway Emergency Operations
Initial Response
Positioning Blocking Apparatus
Exiting the Vehicle Safely
Be Seen and Warn Oncoming Traffic
Night Operations
Vehicle Extrication
Preparing for Rescue
Sizing Up the Situation
Recognizing and Managing Hazards
Protective Gear for EMS Responders
Working in Traffic
During Extrication Operations
Matching the Level Others Are Wearing
Helmets
Eye Protection
Hand Protection
Body Protection
Safeguarding Your Patient
Managing Traffic
Using Flares for Traffic Control
Supplemental Restraint Systems: Air Bags
Energy-Absorbing Bumpers
Spectators
Electrical Hazards
Broken Utility Pole with Wires Down
Broken Utility Pole with Wires Intact
Damaged Pad-Mounted Transformer
Vehicle Fires
Fire in the Engine Compartment
Fire in the Passenger Compartment or Trunk
Fire under the Vehicle
Truck Fires
Disabling a Vehicle’s Electrical System
Stabilizing a Vehicle
Vehicle on Its Wheels
Vehicle on Its Side
Vehicle on Its Roof
Gaining Access
Simple Access
Complex Access
Disentanglement: A Three-Part Action Plan
Steps One and Two: Gain Access by Disposing of Doors and the Roof
Step Three: Disentangle Occupants by Displacing the Front End
Chapter Review
Key Facts and Concepts
Key Decisions
Preparation for Your Examination and Practice
Short Answer
Thinking and Linking
Critical Thinking Exercises
39 EMS Response to Terrorism
Related Chapters
Standard
Competency
Core Concepts
Defining Terrorism
Domestic Terrorism
International Terrorism
Types of Terrorism Incidents
Terrorism and EMS
Emergency Medical Responders as Targets
Identify the Threat Posed by the Event
Occupancy or Location
Type of Event
Timing of the Event
On-Scene Warning Signs
Recognize the Harms Posed by the Threat
Time/Distance/Shielding
Responses to Terrorism
Responses to a Chemical Incident
Types of Harm from Chemical Incidents
Self-Protection Measures at a Chemical Incident
Responses to a Biological Incident
Critical Information about Biological Incidents
What Is an Exposure?
Four Major Routes of Entry
What Is Contamination?
Exposure versus Contamination
Types of Harm from Biological Incidents
Self-Protection Measures at a Biological Incident
Responses to a Radiological/Nuclear Incident
Types of Harm from Radiological/Nuclear Incidents
Self-Protection Measures at a Radiological/Nuclear Incident
Responses to an Explosive Incident
Types of Harm from Explosive Incidents
Self-Protection Measures at an Explosive Incident
Dissemination and Weaponization
The Respiratory Route
Other Routes
Weaponization
Characteristics of CBRNE Agents
Chemical Agents
Chemical Agent Considerations
Physical Considerations
Volatility Considerations
Chemical Considerations
Toxicological Considerations
Classifications of Chemical Agents
Biological Agents
Biological Agent Considerations
Bacteria
Anthrax
Cholera
Plague
Q Fever
Tularemia
Toxins
Botulinum
Ricin
Staphylococcal Enterotoxin B (SEB)
Trichothecene Mycotoxins (T2)
Viruses
Smallpox
Encephalitis
The Viral Hemorrhagic Fevers (VHFs)
Radioactive/Nuclear Devices
Potential Scenarios
Military Nuclear Devices
Improvised Nuclear Devices
Radiological Dispersal Device (RDD) or “Dirty Bomb.”
Sabotage
Effects of Radiation
Incendiary Devices
Blast Injury Patterns
Lung Injury
Ear Injury
Abdominal Injury
Brain Injury
Treatment for Blast Injuries
Strategy and Tactics
Isolation
Initial Considerations
Establishing Perimeter Control
Perimeter Control Factors
Notification
Identification
Protection
Decontamination
Self-Protection at a Terrorist Incident
Protect Yourself First
How to Protect Yourself
Recognize a Possible Terrorist Event
Don’t Rush In!
Understand the TRACEM-P Harms
Time, Distance, and Shielding
At a Chemical Incident
At a Biological Incident
At a Radiological/Nuclear Incident
At an Explosive Incident
Chapter Review
Key Facts and Concepts
Key Decisions
Chapter Glossary
Preparation for Your Examination and Practice
Short Answer
Thinking and Linking
Critical Thinking Exercises
Appendix A EMT Practice Examination
Appendix B Basic Cardiac Life Support Review
Before Beginning Resuscitation
Assessing the Patient
Determining Unresponsiveness
Determining Breathlessness
Determining Pulselessness
Assessing in A-B-C or C-A-B Sequence
Activating EMS
Positioning the Patient
Opening the Airway
Head-Tilt, Chin-Lift Maneuver
Jaw-Thrust Maneuver
Initial Ventilations and Pulse Check
Rescue Breathing
Mouth-to-Mask Ventilation
Gastric Distention
Recovery Position
CPR
Checking for Circulation
How to Perform CPR
Providing Chest Compressions
Providing Ventilations
One-Rescuer and Two-Rescuer CPR
CPR Techniques for Children and Infants
Special Considerations in CPR
How to Know if CPR Is Effective
Interrupting CPR
When Not to Begin or to Terminate CPR
The Trained Health Care Provider versus the Lay Provider
Clearing Airway Obstructions
Mild Airway Obstruction
Severe Airway Obstruction
Abdominal Thrusts
Chest Thrusts
Airway Clearance Sequences
Procedures for a Child or Infant
Applying ECG Electrodes
Post–Cardiac Arrest Care
Medical Terms
Direction of Movement, Position, and Anatomical Posture
Planes
Word Parts
Anatomy and Physiology Illustrations
Skeletal System
Muscular System
Respiratory System
Cardiovascular System
Nervous System
Digestive System
Integumentary System
Endocrine System
Renal System
Male Reproductive System
Female Reproductive System
Special Senses
Answer Key
Critical Decision Making
Short Answer
Critical Thinking Exercises
Street Scene Questions
Critical Decision Making
Short Answer
Critical Thinking Exercises
Pathophysiology to Practice
Street Scene Questions
Critical Decision Making
Short Answer
Critical Thinking Exercises
Street Scene Questions
Critical Decision Making
Short Answer
Critical Thinking Exercises
Street Scene Questions
Short Answer
Critical Thinking Exercises
Street Scene Questions
Critical Decision Making
Short Answer
Critical Thinking Exercises
Street Scene Questions
Critical Decision Making
Short Answer
Critical Thinking Exercises
Pathophysiology to Practice
Street Scene Questions
Critical Decision Making
Short Answer
Critical Thinking Exercises
Pathophysiology to Practice
Street Scene Questions
Critical Decision Making
Short Answer
Critical Thinking Exercises
Pathophysiology to Practice
Street Scene Questions
Critical Decision Making
Short Answer
Critical Thinking Exercises
Pathophysiology to Practice
Street Scene Questions
Critical Decision Making
Short Answer
Critical Thinking Exercises
Pathophysiology to Practice
Street Scene Questions
Critical Decision Making
Short Answer
Critical Thinking Exercises
Pathophysiology to Practice
Street Scene Questions
Critical Decision Making
Short Answer
Critical Thinking Exercises
Pathophysiology to Practice
Street Scene Questions
The Secondary Assessment
Secondary Assessment of the Medical Patient (Mid-Chapter Review)
Secondary Assessment of the Trauma Patient (Mid-Chapter Review)
Reassessment (Mid-Chapter Review)
Critical Thinking and Decision Making (Mid-Chapter Review)
Critical Decision Making—Communication Challenges
Critical Decision Making—Choosing How and What to Document
Short Answer
Critical Thinking Exercises
Street Scene Questions
Critical Decision Making —We Are Really Close to the Hospital. Should I Give Aspirin?
Critical Decision Making —ALS Is on the Way. Should I Assist the Patient with Her Inhaler?
Critical Decision Making—How or Whether to Assist with Medications
Short Answer
Critical Thinking Exercises
Pathophysiology to Practice
Street Scene Questions
Critical Decision Making
Short Answer
Critical Thinking Exercises
Pathophysiology to Practice
Street Scene Questions
Critical Decision Making
Short Answer
Critical Thinking Exercises
Pathophysiology to Practice
Street Scene Questions
Critical Decision Making
Short Answer
Critical Thinking Exercises
Pathophysiology to Practice
Street Scene Questions
Critical Decision Making
Short Answer
Critical Thinking Exercises
Pathophysiology to Practice
Street Scene Questions
Critical Decision Making
Short Answer
Critical Thinking Exercises
Pathophysiology to Practice
Street Scene Questions
Critical Decision Making
Short Answer
Critical Thinking Exercises
Pathophysiology to Practice
Street Scene Questions
Critical Decision Making
Short Answer
Critical Thinking Exercises
Pathophysiology to Practice
Street Scene Questions
Critical Decision Making
Short Answer
Critical Thinking Exercises
Pathophysiology to Practice
Street Scene Questions
Critical Decision Making
Short Answer
Critical Thinking Exercises
Pathophysiology to Practice
Street Scene Questions
Critical Decision Making
Short Answer
Critical Thinking Exercises
Pathophysiology to Practice
Street Scene Questions
Critical Decision Making
Short Answer
Critical Thinking Exercises
Pathophysiology to Practice
Street Scene Questions
Critical Decision Making
Short Answer
Critical Thinking Exercises
Pathophysiology to Practice
Street Scene Questions
Critical Decision Making
Short Answer
Critical Thinking Exercises
Pathophysiology to Practice
Street Scene Questions
Critical Decision Making
Short Answer
Critical Thinking Exercises
Pathophysiology to Practice
Street Scene Questions
Critical Decision Making
Short Answer
Critical Thinking Exercises
Pathophysiology to Practice
Street Scene Questions
Critical Decision Making
Short Answer
Critical Thinking Exercises
Pathophysiology to Practice
Street Scene Questions
Critical Decision Making
Short Answer
Critical Thinking Exercises
Pathophysiology to Practice
Street Scene Questions
Critical Decision Making
Short Answer
Critical Thinking Exercises
Pathophysiology to Practice
Street Scene Questions
Critical Decision Making
Short Answer
Critical Thinking Exercises
Pathophysiology to Practice
Street Scene Questions
Critical Decision Making
Short Answer
Critical Thinking Exercises
Street Scene Questions
Critical Decision Making
Short Answer
Critical Thinking Exercises
Street Scene Questions
Critical Decision Making
Short Answer
Critical Thinking Exercises
Street Scene Questions
Critical Decision Making
Short Answer
Critical Thinking Exercises
Street Scene Questions (#1)
Street Scene Questions (#2)
Glossary
Index

Dan Limmer, EMT-P, has been involved in EMS for over 25 years. He remains active as a paramedic with Kennebunk Fire Rescue in Kennebunk, Maine, and the Kennebunkport EMS (KEMS) in Kennebunkport, Maine. A passionate educator, Dan teaches EMT and paramedic courses at the Southern Maine Community College in South Portland, Maine, and has taught at the George Washington University in Washington, DC and the Hudson Valley Community College in Troy, New York. He is a charter member of the National Association of EMS Educators and a member of the National Association of EMTs (NAEMT) for which he serves on the Advanced Medical Life Support Committee.

Dan was formerly involved in law enforcement, beginning as a dispatcher and retiring as a police officer in Colonie, New York, where he received three command recognition awards as well as the distinguished service award (Officer of the Year) in 1987. During his 20-year law enforcement career he served in the communications, patrol, juvenile, narcotics, and training units.

In addition to authoring several EMS journal articles, Dan is co-author of a number of EMS textbooks for Brady including First Responder: A Skills Approach, Essentials of Emergency Care, Advanced Medical Life Support, the military and fire service editions of Emergency Care, and others. He speaks frequently at regional, state, and national EMS conferences.

Mike O’Keefe, MS, EMT-P, became the Vermont EMS State Training Coordinator in 1989. He has a Master’s degree in biostatistics and was an EMT-Intermediate for 16 years before becoming a paramedic 10 years ago.

Mike was chosen to participate in the development of all four U.S. Department of Tranpsortation National Standard EMS Curricula (for First Responders, EMT-Basics, EMT-Intermediates, and EMT-Paramedics). He was also on the steering committee that developed the Geriatric Education for Emergency Medical Services (GEMS) course for the American Geriatrics Society and coauthored a chapter of the textbook for that course.

Mike is co-author of the Brady text Essentials of Emergency Care and is a contributing writer to the Brady text Paramedic Care: Principles & Practice. He is very interested in promoting EMS research, particularly in rural areas. Mike is active as a volunteer EMS provider in northwestern Vermont and is a speaker at EMS conferences.

Edward T. Dickinson, MD, NREMT-P, FACEP, is currently Assistant Professor and Director of EMS Field Operations in the Department of Emergency Medicine of the University of Pennsylvania School of Medicine in Philadelphia. He is Medical Director of the Malvern Fire Company, the Berwyn Fire Company, and the Township of Haverford paramedics in Pennsylvania. He is a residency-trained, board-certified emergency medicine physician who is a Fellow of the American College of Emergency Physicians.

Dr. Dickinson began his career in emergency services in 1979 as a firefighter-EMT in upstate New York. He has remained active in fire service and EMS for the past 25 years. He frequently rides with EMS units and has maintained his certification as a National Registry EMT-Paramedic.

He has served as medical editor for numerous Brady EMT-B and First Responder texts and is the author of Fire Service Emergency Care, and co-author of Emergency Care, Fire Service Edition, and Emergency Incident Rehabilitation. He is co-editor of ALS Case Studies in Emergency Care.

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