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Paramedic Care: Principles and Practice, Volume 2: Patient Assessment,9780131178311
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Paramedic Care: Principles and Practice, Volume 2: Patient Assessment

by ; ;
Edition:
2nd
ISBN13:

9780131178311

ISBN10:
0131178318
Format:
Hardcover
Pub. Date:
1/1/2006
Publisher(s):
Pearson

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Summary

Written by the best-selling author team of Bryan E. Bledsoe D.O., F.A.C.E.P., EMT-P, Robert S. Porter M.A., NREMT-P, and Richard A. Cherry , M.S., NREMT-P , this student-friendly easy to understand series covers the DOT National Standard Curriculum .The second of 5 titles in the Brady Paramedic Care Principles and Practice series, Volume 2 - Patient Assessment - covers history, physical exam, field assessment, clinical decision-making, communications, and documentation.Paramedic Level Emergency Responders or Intermediate level responders training to enter into Paramedic.

Table of Contents

Series Preface xxiii
Preface xxvii
Acknowledgments xxix
About the Authors xxxiii
The History
2(24)
Introduction
4(1)
Establishing Patient Rapport
5(6)
Setting the Stage
5(1)
The First Impression
5(1)
Introductions
6(1)
Asking Questions
7(1)
Language and Communication
8(2)
Taking a History on Sensitive Topics
10(1)
The Comprehensive Patient History
11(8)
Preliminary Data
11(1)
The Chief Complaint
12(1)
The Present Illness
12(2)
The Past History
14(1)
Current Health Status
15(2)
Review of Systems
17(2)
Special Challenges
19(7)
Silence
19(1)
Overly Talkative Patients
20(1)
Patients with Multiple Symptoms
20(1)
Anxious Patients
20(1)
Patients Needing Reassurance
20(1)
Anger and Hostility
20(1)
Intoxication
21(1)
Crying
21(1)
Depression
21(1)
Sexually Attractive or Seductive Patients
21(1)
Confusing Behaviors or Histories
21(1)
Limited Intelligence
22(1)
Language Barriers
22(1)
Hearing Problems
22(1)
Blindness
22(1)
Talking With Families or Friends
23(3)
Physical Exam Techniques
26(146)
Physical Examination Approach and Overview
29(12)
Examination Techniques
29(8)
Equipment
37(3)
The General Approach
40(1)
Overview of a Comprehensive Examination
41(8)
The General Survey
41(8)
Anatomical Regions
49(108)
The Skin
49(4)
The Hair
53(2)
The Nails
55(2)
The Head
57(3)
The Eyes
60(7)
The Ears
67(5)
The Nose
72(1)
The Mouth
73(5)
The Neck
78(3)
The Chest and Lungs
81(6)
The Cardiovascular System
87(5)
The Abdomen
92(7)
The Female Genitalia
99(1)
The Male Genitalia
100(1)
The Anus
101(1)
The Musculoskeletal System
102(26)
The Peripheral Vascular System
128(5)
The Nervous System
133(24)
Physical Examination of Infants and Children
157(7)
Building Patient and Family Rapport
157(1)
General Appearance and Behavior
158(2)
Anatomy and the Physical Exam
160(4)
Recording Examination Findings
164(8)
Patient Assessment in the Field
172(64)
Introduction
175(1)
Scene Size-Up
176(10)
Body Substance Isolation
177(2)
Scene Safety
179(3)
Location of all Patients
182(3)
Mechanism of Injury
185(1)
Nature of the Illness
186(1)
The Initial Assessment
186(14)
Forming a General Impression
187(1)
Mental Status
188(2)
Airway Assessment
190(4)
Breathing Assessment
194(2)
Circulation Assessment
196(1)
Priority Determination
197(3)
The Focused History and Physical Exam
200(21)
The Major Trauma Patient
201(10)
The Isolated-Injury Trauma Patient
211(1)
The Responsive Medical Patient
212(7)
The Unresponsive Medical Patient
219(2)
The Detailed Physical Exam
221(7)
Components of the Comprehensive Exam
221(7)
Vital Signs
228(1)
Recording Exam Findings
228(1)
Ongoing Assessment
228(8)
Mental Status
228(2)
Airway Patency
230(1)
Breathing Rate and Quality
230(1)
Pulse Rate and Quality
230(1)
Skin Condition
230(1)
Transport Priorities
231(1)
Vital Signs
231(1)
Focused Assessment
231(1)
Effects of Interventions
231(1)
Management Plans
231(5)
Clinical Decision Making
236(16)
Introduction to Critical Thinking
238(1)
Paramedic Practice
238(2)
Patient Acuity
239(1)
Protocols and Algorithms
240(1)
Critical Thinking Skills
240(4)
Fundamental Knowledge and Abilities
241(2)
Useful Thinking Styles
243(1)
Thinking Under Pressure
244(2)
Mental Checklist
245(1)
The Critical Decision Process
246(6)
Form a Concept
246(1)
Interpret the Data
247(1)
Apply the Principles
247(1)
Evaluate the Results
247(1)
Reflect on the Incident
248(1)
Putting it all Together
248(4)
Communications
252(24)
Introduction to Communication
254(1)
Basic Communication Model
255(1)
Verbal Communication
256(1)
Written Communication
257(2)
Terminology
258(1)
The EMS Response
259(7)
Communication Technology
266(4)
Radio Communication
266(2)
Alternative Technologies
268(1)
New Technology
269(1)
Reporting Procedures
270(2)
Standard Format
270(1)
General Radio Procedures
271(1)
Regulation
272(4)
Documentation
276(29)
Introduction
278(1)
Uses for Documentation
278(2)
Medical
278(1)
Administrative
279(1)
Research
279(1)
Legal
279(1)
General Considerations
280(8)
Medical Terminology
280(2)
Abbreviations and Acronyms
282(4)
Times
286(1)
Communications
286(1)
Pertinent Negatives
287(1)
Oral Statements
287(1)
Additional Resources
287(1)
Elements of Good Documentation
288(3)
Completeness and Accuracy
288(1)
Legibility
288(2)
Timeliness
290(1)
Absence of Alterations
290(1)
Professionalism
291(1)
Narrative Writing
291(5)
Narrative Sections
291(3)
General Formats
294(2)
Special Considerations
296(3)
Patient Refusals
296(2)
Services Not Needed
298(1)
Multiple Casualty Incidents
299(1)
Consequences of Inappropriate Documentation
299(1)
Closing
300(5)
Precautions on Bloodborne Pathogens and Infectious Disease 305(2)
Suggested Responses to ``You Make the Call'' 307(4)
Answers to ``Review Questions'' 311(2)
Glossary 313(4)
Index 317


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