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

by Bledsoe, Bryan E.; Porter, Robert S.; Cherry, Richard A.

• ISBN13: 9780131178311
• ISBN10: 0131178318
• Edition: 2nd
• Format: Hardcover
• Copyright: 2006-01-01
• Publisher: Pearson

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