Mosby's Paramedic Textbook

by ; ; ;
Edition: 2nd
Format: Hardcover
Pub. Date: 2001-08-01
Publisher(s): Elsevier Science Health Science div
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Summary

Thoroughly updated and extensively illustrated, the revised reprint of Mosby's Paramedic Textbook, 2nd Edition provides complete coverage of prehospital care in a single, comprehensive text. And now, this widely acclaimed text has been updated to reflect the new 2000 guidelines for emergency cardiovascular care. The text explains the paramedic's role, the unique characteristics of prehospital care, the how-to's of patient assessment and emergency care for acutely ill and traumatically injured patients, and the principles and practice of emergency cardiac care, emergency pharmacology, infectious diseases, pediatric and geriatric emergencies.

Table of Contents

Division One Preparatory 1(357)
EMS Systems: Roles and Responsibilities
2(26)
EMS System Development
3(5)
Current EMS Systems
8(4)
National EMS Group Involvement
12(1)
Paramedic Education
13(2)
Licensure, Certification, and Registration
15(1)
Professionalism
15(2)
Roles and Responsibilities of the Paramedic
17(2)
Medical Direction for EMS
19(2)
Improving System Quality
21(1)
EMS Research
22(6)
The Well-Being of the Paramedic
28(26)
Wellness Components
29(12)
Stress
41(7)
Dealing with Death, Dying, Grief, and Loss
48(2)
Preventing Disease Transmission
50(4)
Injury Prevention
54(12)
Injury Epidemiology
55(1)
Feasibility of EMS Involvement
56(1)
Essential Community Leadership Activities
57(2)
Essential Provider Activities
59(1)
Implementation and Prevention Strategies
59(2)
Participation in Prevention Programs
61(5)
Medical/Legal Issues
66(24)
Legal Duties and Ethical Responsibilities
67(1)
The Legal System
67(4)
Legal Accountability of the Paramedic
71(4)
Paramedic-Patient Relationships
75(5)
Resuscitation Issues
80(6)
Crime and Accident Scene Responsibilities
86(1)
Documentation
87(3)
Ethics
90(12)
Ethics Overview
91(4)
A Rapid Approach to Emergency Ethical Problems
95(1)
Ethical Tests in Health Care
96(1)
Ethical Issues in Contemporary Paramedic Practice
97(5)
Overview of Human Systems
102(78)
Terminology
103(3)
Cell Structure
106(4)
Tissues
110(2)
Organ Systems
112(59)
Special Senses
171(9)
General Principles of Pathophysiology
180(52)
Cellular Physiology
182(1)
Basic Cellular Review
182(1)
The Cellular Environment
182(21)
Cellular Injury and Disease
203(1)
Alterations in Cells and Tissues
203(6)
Genetics and Familial Disease
209(4)
Hypoperfusion
213(8)
Self-Defense Mechanisms
221(4)
Variances in Immunity and Inflammation
225(1)
Stress and Disease
226(6)
Pharmacology
232(72)
Drug Information
234(1)
Historical Trends in Pharmacology
234(1)
Drug Names
234(1)
Drug Standards and Legislation
235(3)
Drug Forms and Preparations and Routes of Administration
238(2)
Pharmacological Terminology
240(1)
Allergic Reactions to Drugs
240(1)
Autonomic Pharmacology
241(1)
Review of Anatomy and Physiology
241(3)
Mechanisms of Drug Action
244(1)
General Properties of Drugs
244(15)
Drug Interactions
259(1)
Drug Storage
260(1)
Drug Profiles and Special Considerations in Drug Therapy
260(3)
Drugs that Affect the Nervous System
263(1)
Review of Anatomy and Physiology
263(13)
Drugs that Affect the Cardiovascular System
276(1)
Review of Anatomy and Physiology
276(4)
Drugs that Affect the Blood
280(1)
Anticoagulants, Fibrinolytics, and Blood Components
280(3)
Drugs that Affect the Respiratory System
283(1)
Review of Anatomy and Physiology
283(3)
Drugs that Affect the Gastrointestinal System
286(1)
Review of Anatomy and Physiology
286(2)
Drugs that Affect the Eye and Ear
288(1)
Drugs That Affect the Eye
288(1)
Drugs That Affect the Ear
288(1)
Drugs That Affect the Endocrine System
289(1)
Review of Anatomy and Physiology
289(2)
Drugs that Affect the Reproductive System
291(1)
Drugs That Affect the Female Reproductive System
291(1)
Drugs That Affect the Male Reproductive System
291(1)
Drugs That Affect Sexual Behavior
292(1)
Drugs Used in Neoplastic Diseases
292(1)
Antineoplastic Agents
292(1)
Drugs Used in Infectious Disease and Inflammation
293(1)
Antibiotics
293(1)
Antifungal and Antiviral Drugs
294(1)
Other Antimicrobial Drugs and Antiparasitic Drugs
295(1)
Antiinflammatory and Nonsteroidal Antiinflammatory Drugs
295(2)
Drugs That Affect the Immunological System
297(1)
Review of Anatomy and Physiology
297(7)
Venous Access and Medication Administration
304(40)
Mathematical Equivalents Used in Pharmacology
305(3)
Drug Calculations
308(6)
Drug Administration
314(1)
Medical Asepsis
315(1)
Enteral Medication Administration
316(1)
Parenteral Administration of Medications
317(18)
Administration of Percutaneous Medications
335(4)
Special Considerations for Pediatric Patients
339(1)
Obtaining a Blood Sample
339(2)
Disposal of Contaminated Items and Sharps
341(3)
Therapeutic Communications
344(14)
Communications
345(1)
Internal Factors for Effective Communications
346(2)
External Factors for Effective Communications
348(1)
The Patient Interview
349(1)
Strategies to Get Information
350(1)
Methods to Assess Mental Status During the Interview
351(1)
Special Interview Situations
352(6)
Division Two Airway Management and Ventilation 358(72)
Airway Management and Ventilation
360(70)
Anatomy and Physiology of the Respiratory System
361(1)
Mechanics of Respiration
361(6)
Measurement of Gases
367(1)
Pulmonary Circulation
367(1)
Exchange and Transport of Gases in the Body
368(6)
Regulation of Respiration
374(4)
Pathophysiology
378(1)
Foreign Body Airway Obstruction
378(3)
Aspiration by Inhalation
381(2)
Airway Evaluation
383(1)
Essential Parameters of Airway Evaluation
383(3)
Supplemental Oxygen Therapy
386(4)
Ventilation
390(7)
Airway Management
397(1)
Suction
398(3)
Mechanical Adjuncts in Airway Management
401(3)
Advanced Airway Procedures
404(16)
Pharmacological Adjuncts to Airway Management and Ventilation
420(2)
Translaryngeal Cannula Ventilation
422(4)
Cricothyrotomy
426(4)
Division Three Patient Assessment 430(94)
History Taking
432(10)
Content of the Patient History
433(1)
Techniques of History Taking
433(4)
Special Challenges
437(5)
Techniques of Physical Examination
442(40)
Physical Examination: Approach and Overview
443(3)
Mental Status
446(2)
General Survey
448(4)
Anatomical Regions
452(23)
Physical Examination of Infants and Children
475(3)
Physical Examination of Older Adults
478(4)
Patient Assessment
482(10)
Scene Size-Up and Assessment
483(2)
Patient Assessment Priorities
485(1)
Initial Assessment
485(3)
Focused History and Physical Examination---Medical Patients
488(1)
Focused History and Physical Examination---Trauma Patients
488(1)
Detailed Physical Examination
489(1)
Ongoing Assessment
489(1)
Care of Medical versus Trauma Patients
490(2)
Clinical Decision Making
492(8)
The Spectrum of Prehospital Care
493(1)
Critical Thinking Process for Paramedics
493(2)
Fundamental Elements of Critical Thinking for Paramedics
495(1)
Field Application of Assessment-Based Patient Management
495(1)
Putting It All Together---``The Six Rs''
496(4)
Communications
500(14)
Phases of Communications During a Typical EMS Event
501(1)
The Role of Communications in EMS
502(2)
Communications Systems
504(5)
Components and Functions of Dispatch Communications Systems
509(2)
Regulation
511(1)
Procedures for EMS Communications
511(3)
Documentation
514(10)
Importance of Documentation
515(1)
General Considerations
515(5)
Elements of a Properly Written EMS Document
520(1)
Systems of Narrative Writing
521(1)
Special Considerations of Documentation
521(1)
Document Revision/Correction
522(1)
Consequences of Inappropriate Documentation
522(2)
Division Four Trauma 524(204)
Trauma Systems and Mechanism of Injury
526(24)
Epidemiology of Trauma
527(2)
Trauma Systems
529(1)
Kinematics
530(1)
Energy
530(1)
Blunt Trauma
531(1)
Blunt Trauma
531(3)
Restraints
534(2)
Organ Collision Injuries
536(3)
Other Motorized Vehicular Collisions
539(1)
Pedestrian Injuries
540(1)
Other Causes of Blunt Trauma
541(2)
Penetrating Trauma
543(1)
Penetrating Trauma
543(7)
Hemorrhage and Shock
550(22)
Hemorrhage
551(1)
Defining Shock
552(1)
Tissue Oxygenation
552(2)
Body as a Container
554(1)
Blood and its Components
555(1)
Capillary-Cellular Relationship in Shock
555(3)
Classifications of Shock
558(1)
Stages of Shock
559(4)
Management and Treatment Plan for the Shock Patient
563(7)
Integration of Patient Assessment and the Treatment Plan
570(2)
Soft Tissue Trauma
572(24)
Anatomy and Physiology
573(1)
Pathophysiology
574(3)
Pathophysiology and Assessment of Soft Tissue Injuries
577(6)
Management Principles for Soft Tissue Injuries
583(2)
Hemorrhage and Control of Bleeding
585(3)
Dressing Materials Used with Soft Tissue Trauma
588(1)
Management of Specific Soft Tissue Injuries Not Requiring Closure
589(4)
Special Considerations for Soft Tissue Injuries
593(3)
Burns
596(28)
Incidence and Patterns of Burn Injury
597(1)
Pathophysiology of Thermal Burn Injury
598(1)
Classifications of Burn Injury
599(5)
Pathophysiology of Burn Shock
604(1)
Assessment of the Burn Patient
605(2)
General Principles in Burn Management
607(2)
Inhalation Burn Injury
609(2)
Chemical Burn Injury
611(4)
Electrical Burn Injuries
615(3)
Radiation Exposure
618(6)
Head and Facial Trauma
624(32)
Maxillofacial Injury
625(5)
Ear, Eye, and Dental Trauma
630(6)
Anterior Neck Trauma
636(4)
Head Trauma
640(3)
Brain Trauma
643(8)
Injury Rating Systems
651(5)
Spinal Trauma
656(30)
Incidence, Morbidity, and Mortality
657(1)
Traditional Spinal Assessment Criteria
657(2)
Review of Spinal Anatomy and Physiology
659(1)
General Assessment of Spinal Injury
660(1)
Classifications of Spinal Injury
661(4)
Evaluation and Assessment of Spinal Cord Injury
665(2)
General Management of Spinal Injuries
667(13)
Cord Injury Presentations
680(1)
Nontraumatic Spinal Conditions
681(1)
Assessment and Management of Nontraumatic Spinal Conditions
682(4)
Thoracic Trauma
686(16)
Skeletal Injury
687(3)
Pulmonary Injury
690(6)
Heart and Great Vessel Injury
696(3)
Other Thoracic Injuries
699(3)
Abdominal Trauma
702(8)
Mechanisms of Abdominal Injury
703(1)
Specific Abdominal Injuries
704(3)
Vascular Structure Injury
707(1)
Assessment
707(1)
Management
708(2)
Musculoskeletal Trauma
710(18)
Classifications of Musculoskeletal Injuries
711(2)
Inflammatory and Degenerative Conditions
713(1)
Signs and Symptoms of Extremity Trauma
714(1)
Assessment
714(2)
Upper-Extremity Injuries
716(3)
Lower-Extremity Injuries
719(4)
Open Fractures
723(1)
Straightening Angular Fractures and Reducing Dislocations
724(1)
Referral of Patients with Minor Musculoskeletal Injury
725(3)
Division Five Medical 728(482)
Pulmonary
730(22)
Pathophysiology
731(1)
Assessment Findings
732(2)
Obstructive Airway Disease
734(7)
Pneumonia
741(3)
Adult Respiratory Distress Syndrome
744(1)
Pulmonary Thromboembolism
745(2)
Upper Respiratory Infection
747(1)
Spontaneous Pneumothorax
747(1)
Hyperventilation Syndrome
748(1)
Lung Cancer
748(4)
Cardiology
752(158)
Risk Factors and Prevention Strategies
753(1)
Anatomy and Physiology of the Heart
754(1)
Anatomy
754(1)
Physiology
755(5)
Electrophysiology of the Heart
760(1)
Electrical Activity of Cardiac Cells and Membrane Potentials
760(3)
Cell Excitability
763(2)
Electrical Conduction System of the Heart
765(3)
Assessment of the Cardiac Patient
768(1)
Assessment
768(4)
ECG Monitoring
772(1)
Basic Concepts of ECG Monitoring
772(9)
Relationship of the ECG to Electrical Activity
781(4)
ECG Interpretation
785(1)
Steps in Rhythm Analysis
785(9)
Introduction to Dysrhythmias
794(1)
Classifications
794(1)
Dysrhythmias Originating in the SA Node
795(8)
Dysrhythmias Originating in the Atria
803(13)
Dysrhythmias Sustained or Originating in the AV Junction
816(6)
Dysrhythmias Originating in the Ventricles
822(26)
Dysrhythmias That are Disorders of Conduction
848(10)
Ventricular Conduction Disturbances
858(5)
Pulseless Electrical Activity
863(1)
Preexcitation Syndromes
864(3)
Specific Cardiovascular Diseases
867(1)
Pathophysiology and Management of Cardiovascular Disease
867(25)
Techniques of Managing Cardiac Emergencies
892(1)
Basic Cardiac Life Support
892(1)
Monitor-Defibrillators
893(3)
Defibrillation
896(2)
Implantable Cardioverter-Defibrillators
898(1)
Synchronized Cardioversion
899(1)
Transcutaneous Cardiac Pacing
900(2)
Cardiac Arrest and Sudden Death
902(1)
Termination of Resuscitation
903(7)
Neurology
910(34)
Anatomy and Physiology of the Nervous System
911(7)
Neurological Pathophysiology
918(4)
Pathophysiology and Management of Specific CNS Disorders
922(22)
Endocrinology
944(22)
Anatomy and Physiology of the Endocrine System
945(1)
Specific Disorders of the Endocrine System
946(1)
Diabetes Mellitus
946(12)
Thyrotoxicosis
958(2)
Myxedema
960(1)
Cushing's Syndrome
961(1)
Addison's Disease
962(4)
Allergies and Anaphylaxis
966(10)
Antigen-Antibody Reaction
967(1)
Allergic Reaction
967(1)
Anaphylaxis
968(8)
Gastroenterology
976(14)
Gastrointestinal Anatomy
977(1)
Assessment of the Patient with Acute Abdominal Pain
977(5)
Management of the Patient with an Abdominal Emergency
982(1)
Specific Abdominal Emergencies
982(8)
Urology/Renal
990(10)
Anatomy and Physiology Review
991(3)
Physical Examination for Patients with Genitourinary Disorders
994(1)
Renal Failure
994(6)
Toxicology
1000(62)
Poisonings
1001(1)
Poison Control Centers
1001(1)
General Guidelines for Managing a Poisoned Patient
1002(1)
Poisoning by Ingestion
1003(11)
Poisoning by Inhalation
1014(5)
Poisoning by Injection
1019(10)
Poisoning by Absorption
1029(3)
Drug Abuse
1031(1)
Toxic Effects of Drugs
1032(12)
Alcoholism
1044(1)
Alcohol Dependence
1044(1)
Ethanol
1045(1)
Medical Consequences of Chronic Alcohol Ingestion
1045(3)
Alcohol Emergencies
1048(3)
Managing Toxic Syndromes
1051(1)
General Management Principles for Toxic Syndromes
1051(11)
Hematology
1062(16)
Blood and Blood Components
1063(3)
Specific Hematological Disorders
1066(9)
General Assessment and Management of Patients with Hematological Disorders
1075(3)
Environmental Conditions
1078(22)
Thermoregulation
1079(3)
Hyperthermia
1082(3)
Hypothermia
1085(3)
Frostbite
1088(2)
Submersion
1090(3)
Diving Emergencies
1093(3)
High-Altitude Illness
1096(4)
Infectious and Communicable Diseases
1100(44)
Public Health Principles Relative to Infectious Diseases
1101(5)
Pathophysiology of Infectious Disease
1106(2)
Physiology of the Human Response to Infection
1108(4)
Stages of Infectious Disease
1112(1)
HIV
1113(4)
Hepatitis
1117(4)
Tuberculosis
1121(2)
Meningococcal Meningitis
1123(2)
Pneumonia
1125(1)
Tetanus
1126(1)
Rabies
1127(1)
Hantavirus
1128(1)
Viral Diseases of Childhood
1128(3)
Other Viral Diseases
1131(2)
Sexually Transmitted Diseases
1133(2)
Lice and Scabies
1135(2)
Reporting an Exposure to an Infectious/Communicable Disease
1137(1)
The Paramedic's Role in Preventing Disease Transmission
1138(6)
Behavioral and Psychiatric Disorders
1144(22)
Understanding Behavioral Emergencies
1145(1)
Assessment and Management of Behavioral Emergencies
1146(3)
Specific Behavioral/Psychiatric Disorders
1149(10)
Special Behavioral Problems
1159(7)
Gynecology
1166(12)
Organs of the Female Reproductive System
1167(1)
Menstruation and Ovulation
1167(3)
Specific Gynecological Emergencies
1170(5)
Sexual Assault
1175(3)
Obstetrics
1178(32)
Normal Events of Pregnancy
1179(1)
Specialized Structures of Pregnancy
1179(3)
Fetal Growth and Development
1182(2)
Obstetrical Terminology
1184(1)
Patient Assessment
1184(4)
Complications of Pregnancy
1188(14)
Delivery Complications
1202(8)
Division Six Special Considerations 1210(150)
Neonatology
1212(18)
Risk Factors Associated with the Need for Resuscitation
1213(1)
Physiological Adaptations at Birth
1214(1)
Assessment and Management of the Neonate
1215(4)
Resuscitation of the Distressed Newborn
1219(2)
Postresuscitation Care
1221(1)
Neonatal Transport
1221(2)
Specific Situations
1223(4)
Common Birth Injuries
1227(1)
Psychological and Emotional Support
1227(3)
Pediatrics
1230(48)
Emergency Medical Services for Children
1231(1)
Growth and Development Review
1232(2)
General Principles of Pediatric Assessment
1234(4)
General Principles of Patient Management
1238(1)
Specific Pathophysiology, Assessment, and Management
1239(20)
Pediatric Trauma
1259(4)
Sudden Infant Death Syndrome
1263(2)
Child Abuse and Neglect
1265(4)
Infants and Children with Special Needs
1269(9)
Geriatrics
1278(26)
Physiological Changes of Aging
1279(5)
General Principles in Assessment of the Geriatric Patient
1284(1)
System Pathophysiology, Assessment, and Management
1285(19)
Abuse and Neglect
1304(14)
Battering
1305(4)
Elder Abuse
1309(2)
Child Abuse
1311(3)
Sexual Assault
1314(4)
Patients with Special Challenges
1318(18)
Physical Challenges
1319(3)
Mental Challenges
1322(3)
Pathological Challenges
1325(5)
Culturally Diverse Patients
1330(1)
Terminally Ill Patients
1331(1)
Patients with Communicable Diseases
1331(1)
Financial Challenges
1331(5)
Acute Interventions for the Home Health Care Patient
1336(24)
Overview of Home Health Care
1337(2)
General Principles of Assessment and Management
1339(1)
Specific Acute Home Health Interventions
1340(20)
Division Seven Assessment-Based Management 1360(12)
Assessment-Based Management
1362(10)
Effective Assessment
1363(4)
The ``Right Stuff''
1367(1)
General Approach to the Patient
1368(1)
Presenting the Patient
1369(3)
Division Eight Operations 1372(121)
Ambulance Operations
1374(12)
Ambulance Standards
1375(1)
Checking Ambulances
1375(1)
Ambulance Stationing
1376(1)
Safe Ambulance Operations
1376(5)
Aeromedical Transportation
1381(5)
Medical Incident Command
1386(18)
The Incident Command System
1387(2)
The FEMA Incident Management or Command System
1389(4)
Major Medical Incidents
1393(2)
Group or Sector Functions for a Medical Incident
1395(3)
Principles and Technology of Triage
1398(3)
Critical-Incident Stress Management
1401(3)
Rescue Awareness and Operations
1404(26)
Appropriate Training for Rescue Operations
1405(1)
Phases of a Rescue Operation
1406(4)
Rescuer Personal Protective Equipment
1410(1)
Surface Water Rescue
1411(2)
Hazardous Atmospheres
1413(5)
Highway Operations
1418(5)
Hazardous Terrain
1423(3)
Assessment Procedures During Rescue
1426(4)
Hazardous Materials Incidents
1430(24)
Scope of Hazardous Materials
1431(1)
Laws and Regulations
1432(1)
Identifying Hazardous Materials
1433(5)
Personal Protective Clothing and Equipment
1438(3)
Health Hazards
1441(2)
Response to Hazmat Emergencies
1443(3)
Medical Monitoring and Rehabilitation
1446(2)
Emergency Management of Contaminated Patients
1448(2)
Decontamination of Rescue Personnel and Equipment
1450(4)
Crime Scene Awareness
1454(39)
Approaching the Scene
1455(2)
The Dangerous Residence
1457(1)
Dangerous Highway Encounters
1457(1)
Violent Street Incidents
1458(1)
Violent Groups and Situations
1458(3)
Tactics for Safety
1461(3)
Tactical Patient Care
1464(1)
EMS at Crime Scenes
1465(4)
Appendices
A Development Through the Lifespan
1469(8)
B The Language of Medicine
1477(4)
C Injury Prevention
1481(8)
D A Brief Overview of Canadian EMS
1489(4)
Emergency Drug Index (EDI) 1493(46)
Resources 1539(8)
Websites 1547(2)
Glossary 1549

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