Emergency First Responder : Making the Difference

by Chapleau

• ISBN13: 9780323016520
• ISBN10: 0323016529
• Format: Paperback
• Copyright: 2003-07-28
• Publisher: Mosby

Summary

This new text thoroughly covers the U.S. Department of Transportation (DOT) National Standard Curriculum for First Responders. It also goes beyond the curriculum in areas such as airway management, the human body and medical emergencies. A simple, yet effective writing style presents information in an easy-to-understand manner, and case examples reflect the diversity of settings in which First Responders work. The text emphasizes teamwork throughout - giving information on how the First Responder can effectively assist and work with police, fire, and EMS systems. Instructor resources are available; please contact your Elsevier sales representative for details. Opening Scenarios set the scene for the chapter giving the student a clinical frame of reference. The scenarios are continued throughout the chapter and a solution is provided at the end of the chapter. Lesson Goals are provided at the beginning of every chapter to introduce the critical points and learning expectation of the chapter for the student. Chapter Objectives are listed at the beginning of the chapter. The Team Work Section in every chapter focuses on what a First Responder needs to know to work effectively with other emergency workers. Nuts and Bolts is a section at the end of every chapter. It incorporates the critical points, learning checklist, key terms, U.S. DOT objectives and workbook questions. This section is an excellent review area for students to check their understanding of chapter material. Critical Points are summarized at the end of each chapter. One paragraph summarizes for the student the take-home message of the chapter. Learning Checklists at the end of every chapter summarize key points from the chapter. Key Terms are highlighted throughout the text as they first appear, and defined at the end of each chapter. U.S. DOT Objectives are listed that pertain to the chapter. Integrated Workbook: The workbook is integrated throughout the book as a section at the end of every chapter. Approximately 15 questions per chapter are provided in a variety of formats including multiple choice, fill-in-the blank, matching and labeling. Caution Boxes reflect extra hints and highlight precautions the First Responder should take when performing his or her duties. Illustrated skill sheets, integrated throughout the text, consist of step-by-step photographs that are easy to follow. Special Populations chapter includes information on such groups as the elderly, patients with disabilities and those who are critically ill. Special Situations appendix includes information on multiple casualty incidents and the incident command system-plus, information on extended care and wilderness care for those operations restricted by problems of patient access, limited equipment or special environmental situations. Rapid First Responder is a pocket guide packaged with every book, and is a handy reference for First Responders working in the field.

Table of Contents

1 Introduction to EMS Systems	1	(17)
Emergencies	2	(1)
Components of an EMS System	3	(3)
Access to the Emergency Medical System	6	(1)
Levels of Training for Prehospital Care Providers	7	(1)
In-Hospital Care Systems	8	(1)
Role of the First Responder	9	(2)
Medical Oversight	11	(1)
Specific Statutes and Regulations	12	(1)
Team Work	13	(1)
Critical Points	14	(1)
Learning Checklist	14	(1)
Key Terms	15	(1)
DOT Objectives	15	(1)
Check Your Understanding	16	(2)
2 Well-Being of the First Responder	18	(22)
Stressful Situations	20	(4)
Stress Management	24	(2)
Personal Precautions	26	(5)
Scene Safety	31	(2)
Team Work	33	(1)
Critical Points	34	(1)
Learning Checklist	34	(1)
Key Terms	35	(2)
DOT Objectives	37	(1)
Check Your Understanding	38	(2)
3 Legal and Ethical Issues	40	(16)
Standard of Care	42	(1)
Ethical Responsibilities	42	(1)
Consent	43	(2)
Special Considerations	45	(3)
Negligence	48	(1)
Confidentiality	49	(1)
Reportable Events	50	(1)
Crime Scenes	50	(1)
Organ Donation	51	(1)
Team Work	51	(1)
Critical Points	52	(1)
Learning Checklist	52	(1)
Key Terms	53	(1)
DOT Objectives	54	(1)
Check Your Understanding	55	(1)
4 The Human Body	56	(26)
Body Directional Terms	58	(1)
Regions of the Body	58	(2)
Body Systems	60	(17)
Team Work	77	(1)
Critical Points	78	(1)
Learning Checklist	78	(1)
Key Terms	79	(1)
Check Your Understanding	80	(2)
5 Lifting and Moving Patients	82	(22)
Role of the First Responder	84	(1)
Body Mechanics	84	(1)
Principles of Moving Patients	85	(8)
Patient Positioning	93	(4)
Team Work	97	(3)
Critical Points	100	(1)
Learning Checklist	100	(1)
Key Terms	101	(1)
DOT Objectives	101	(1)
Check Your Understanding	102	(2)
6 Airway Management and Ventilation	104	(32)
The Respiratory System	106	(2)
A-Airway	108	(4)
B-Breathing	112	(8)
Special Considerations	120	(5)
Team Work	125	(6)
Critical Points	131	(1)
Learning Checklist	131	(1)
Key Terms	132	(1)
DOT Objectives	133	(1)
Check Your Understanding	134	(2)
7 Patient Assessment	136	(42)
Scene Size-up	138	(4)
Initial Assessment	142	(9)
Focused History and Physical Examination	151	(11)
Ongoing Assessment	162	(1)
Hand-off Report	162	(1)
Team Work	163	(9)
Critical Points	172	(1)
Learning Checklist	172	(1)
Key Terms	173	(1)
DOT Objectives	174	(2)
Check Your Understanding	176	(2)
8 Cardiopulmonary Resuscitations and AED	178	(30)
The Circulatory System	180	(1)
Cardiopulmonary Resuscitation	180	(4)
Techniques of CPR	184	(12)
Complications of CPR	196	(1)
Family and Bystander Support	196	(1)
Effectiveness of CPR	196	(1)
Automated External Defibrillators	196	(5)
Team Work	201	(1)
Critical Points	202	(1)
Learning Checklist	202	(2)
Key Terms	204	(1)
DOT Objectives	204	(2)
Check Your Understanding	206	(2)
9 Medical Emergencies	208	(28)
General Medical Emergencies	210	(1)
Specific Medical Emergencies	211	(17)
Team Work	228	(2)
Critical Points	230	(1)
Learning Checklist	230	(1)
Key Terms	231	(1)
DOT Objectives	232	(2)
Check Your Understanding	234	(2)
10 Bleeding, Soft Tissue Wounds, and Shock Management	236	(26)
The Circulatory System	238	(1)
Types of Bleeding	238	(4)
Shock	242	(5)
Soft Tissue Wounds	247	(9)
Team Work	256	(1)
Critical Points	257	(1)
Learning Checklist	257	(1)
Key Terms	258	(1)
DOT Objectives	259	(1)
Check Your Understanding	260	(2)
11 Musculoskeletal Injuries	262	(30)
The Musculoskeletal System	264	(4)
Mechanisms of Injury	268	(1)
Types of Musculoskeletal Injuries	269	(1)
General Assessment of Musculoskeletal Injuries	270	(1)
Management of Musculoskeletal Injuries	271	(2)
Splinting of a Musculoskeletal Injury	273	(2)
Special Considerations	275	(7)
Team Work	282	(4)
Critical Points	286	(1)
Learning Checklist	286	(1)
Key Terms	287	(1)
DOT Objectives	288	(1)
Check Your Understanding	289	(3)
12 Childbirth	292	(22)
Anatomy and Physiology of Pregnancy	294	(3)
Delivery	297	(6)
Initial Care of the Newborn	303	(1)
Complications	304	(3)
Team Work	307	(1)
Critical Points	308	(1)
Learning Checklist	308	(1)
Key Terms	309	(1)
DOT Objectives	309	(2)
Check Your Understanding	311	(3)
13 Infants and Children	314	(24)
Anatomic and Physiologic Differences	316	(1)
Family-Centered Care	316	(2)
Assessment	318	(6)
Common Pediatric Conditions	324	(5)
Child Abuse and Neglect	329	(3)
Team Work	332	(1)
Critical Points	333	(1)
Learning Checklist	333	(1)
Key Terms	334	(1)
DOT Objectives	334	(1)
Check Your Understanding	335	(3)
14 Operations	338	(22)
Phases of a Prehospital Response	340	(3)
Incident Command System	343	(1)
Air Medical Considerations	344	(3)
Fundamentals of Extrication	347	(1)
Hazardous Materials	348	(3)
Multiple-Casualty Incidents	351	(2)
Team Work	353	(2)
Critical Points	355	(1)
Learning Checklist	355	(1)
Key Terms	356	(1)
DOT Objectives	357	(1)
Check Your Understanding	358	(2)
15 Special Populations	360	(16)
Patients with Disabilities	362	(2)
Critically III and Injured Patients	364	(1)
Chronically III Patients	365	(1)
Geriatric Patients	366	(4)
Resources and Agencies for Assistance	370	(1)
Team Work	370	(2)
Critical Points	372	(1)
Learning Checklist	372	(1)
Key Terms	373	(1)
Check Your Understanding	374	(2)
Answers to Check Your Understanding	376	(7)
Appendix: Special Situations	383	(10)
Glossary	393