Reflecting the 2010 Emergency Cardiovascular Care guidelines, Mosby's Paramedic Textbook, 4th Edition provides a comprehensive learning tool for both first-time and refresher paramedic students. Coverage includes an overview of key subjects such as pharmacology, airway management, medical disorders, patient assessment, and trauma. ALS patient care skills are presented step by step, both in the book and in online video clips. New to this edition are nine new chapters, many new topics, and 150 new photos. Written by paramedic expert Mick Sanders, Mosby's Paramedic Textbook follows the National EMS Education Standards and offers complete coverage of the National Standard Curriculum (NSC) for the EMT-Paramedic. More than 1,000 illustrations -- including 150 that are NEW -- accurately present different techniques and skills. Chapter openers, objectives and key terms set the stage for learning. Advanced Life Support (ALS) skills are presented step by step and in full color. Critical thinking questions help in understanding concepts and in applying them to patient care. A summary and a list of references in each chapter make review easier. A herbal appendix in the pharmacology chapter provides access to herbal content. Drug monographs on the Evolve companion website include Mosby's Essential Drugs, with instant access to comprehensive, up-to-date information on the medications that are administered by paramedics as well as those most commonly prescribed to patients. NEW! Nine new chapters and thoroughly updated content align the text with the new National EMS Education Standards and reflect the 2010 ECC (Emergency Cardiovascular Care) guidelines. NEW topics include coronary bypass, endocarditis, adult IO infusion, bird flu, new fluid resuscitation guidelines for trauma patients, drugs of abuse (Vicodin, Oxycontin), prediabetes, and management of hypothermia and drowning. NEW Show Me the Evidence boxes show the value and impact of evidence-based research. NEW Did You Know? boxes supplement chapter content with interesting and relevant information. NEW Look Again feature includes cross-references and specific page numbers for easy review of information that was covered in earlier chapters. NEW farm considerations in the Trauma section enhance rural practice with the kinematics of farm machinery incidents. Additional Critical Thinking boxes encourage the application of critical thinking skills to "real-life" EMS. Additional cultural considerations enhance your ability to deal with the issues of multicultural patients. NEW Advanced Practice Procedures in Critical Care appendix provides an overview of specialty procedures for paramedics who work in critical care settings. Revised and updated Emergency Drug Index reflects the new 2010 ECC guidelines with coverage of more than 75 emergency drugs, their dose and administration, onset and duration, indications and contraindications, adverse reactions, and special considerations.