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9780323032728

Emergency Medical Technician

by Chapleau, Will
  • ISBN13:

    9780323032728

  • ISBN10:

    0323032729

  • Edition: 1st
  • Format: Paperback
  • Copyright: 2006-10-01
  • Publisher: JONES & BARTLETT PUBLISHERS

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Summary

Immerse yourself in an unrivalled EMT learning experience with Emergency Medical Technician: Making the Difference. MosbyJems unbeatable combination of a text, DVD, and online resources teach you not only the skills you need to know, but the when and why to perform them. Youll discover step-by-step skills with detailed instructions and clear photos in the text, reinforced by case scenarios in every chapter. The DVD takes you even further, showing real EMTs performing the skills, up close! Youll use the workbook for review and test prep, and go online to access Evolve resources for deeper study. Put it all together, and you will learn! And when you learn, you succeed! Chapter Outlines, Lesson Goals, and Chapter Objectives begin each chapter. Step-by-Step Skills in the text are broken down with detailed instructions and clear photographs, allowing you to clearly see the skills you need to perform. The companion DVD contains more than 40 skills demonstrations, performed the right way by real practitioners. Plus, 20 medical animations demonstrate anatomy and physiology concepts and pathophysiological processes. Case Scenarios reinforce key concepts and skills, allowing you to see how core concepts are applied in the field. Ask Yourself critical thinking boxes promote problem solving skills. Teamwork boxes explain how EMTs interact with other professionals on specific tasks, addressing the need for cooperation. Special Considerations boxes address exceptions to the rules that you may encounter in the field. Special Populations boxes discuss common complications patients with special challenges may face and call attention to relevant cultural considerations. Nuts and Bolts review section at the end of each chapter contains Critical Points, a detailed Learning Checklist, Key Terms with definitions, and the National Standard Curriculum (NSC) Objectives giving you a one-stop refresher.

Table of Contents

Preparatory
Introduction to Emergency Medical Services (EMS) Systemsp. 1
Emergenciesp. 2
Components of an EMS systemp. 3
Regulations Policies, and Protocolsp. 3
Resource Managementp. 3
Human Resources and Trainingp. 3
Transportationp. 3
Medical Facilitiesp. 3
Communicationsp. 4
Public Information and Educationp. 5
Medical Oversightp. 5
Trauma Systemsp. 5
Evaluationp. 5
Access to the EMS Systemp. 7
Levels of Training for Prehospital Care Providersp. 8
First Responderp. 8
Emergency Medical Technician (EMT)p. 8
EMT-Intermediatep. 8
Paramedicp. 8
In-Hospital Care Systemsp. 8
Role of the EMTp. 10
Scene Safetyp. 10
Patient Carep. 11
Personal Traitsp. 11
Medical Oversightp. 12
Specific Statutes and Regulationsp. 13
Well-Being of the Emergency Medical Technician (EMT)p. 18
Stressful Situationsp. 20
Emotional Aspects of Emergency Carep. 21
Death and Dyingp. 21
Post-Traumatic Stress Disorderp. 25
Burnoutp. 25
Stress Managementp. 25
Recognizing Warning Signsp. 25
Lifestyle Changesp. 26
Balancep. 26
Family and Friendsp. 26
Work Environment Changesp. 26
Professional Helpp. 27
Critical Incident Stress Managementp. 27
Personal Precautionsp. 28
Risks Facing EMTsp. 28
Infection Controlp. 28
Personal Protection Equipmentp. 29
Contaminated Equipmentp. 32
Specialized Trainingp. 33
Immunizationsp. 33
Exposure Notification and Testingp. 33
Scene Safetyp. 33
Motor Vehicle Crashes or Rescuesp. 33
Hazardous Materialsp. 34
Violencep. 34
Physically Unstable Scenesp. 35
Patient Protectionp. 35
Bystander Protectionp. 35
Legal and Ethical Aspects of Emergency Medical Services (EMS)p. 40
Scope of Potential Legal Liabilityp. 43
Overview of the Legal Systemp. 43
Anatomy of an EMS Lawsuitp. 44
Key Laws Governing EMSp. 46
Maintaining Certification: A Personal Responsibilityp. 46
The Role of Physicians and Other Medical Professionalsp. 47
Standard of Care and Ethical Responsibilityp. 47
Quality of Lifep. 48
Unethical Situationsp. 48
Principles of Negligencep. 48
The Immunity Defensep. 50
Risk Management: A Personal Responsibilityp. 51
Bad Attitudes and Poor Communication: The Liability of Apathyp. 53
Ethical and Legal Consent Issues and Refusal of Carep. 54
Living Wills and Advance Directives Limiting Treatmentp. 57
Scope of Practice Issuesp. 58
Completing Accurate and Legal Patient Care Documentationp. 59
Documenting Care Provided to the Patient by Othersp. 60
Changing the Patient Care Reportp. 60
Five Simple Ways to Improve Your Documentation Skillsp. 61
Confidentiality and Privacy Rights of the Patient: A New Wave of Protectionp. 62
The Patient Care Report: A Legally Protected Medical Recordp. 62
Superprotection for Specific Patient Situationsp. 63
Incident Reportingp. 63
Testifying in Courtp. 64
The Role of Insurance in EMSp. 65
The Future of EMS Law and Litigationp. 65
The Human Bodyp. 70
Body Directional Termsp. 72
Regions of the Bodyp. 73
The Abdominal Quadrantsp. 74
Body Systemsp. 74
The Respiratory Systemp. 74
The Cardiovascular Systemp. 75
The Nervous Systemp. 81
The Musculoskeletal Systemp. 81
The Integumentary Systemp. 89
The Gastrointestinal and Urinary Systemsp. 89
The Reproductive Systemp. 91
The Endocrine Systemp. 91
The Lymphatic Systemp. 92
Baseline Vital Signs and SAMPLE Historyp. 96
Baseline Vital Signsp. 99
Respirationsp. 100
Ratep. 101
Qualityp. 102
Patternp. 103
Pulsep. 105
Ratep. 105
Qualityp. 107
Skinp. 107
Colorp. 107
Temperaturep. 108
Conditionp. 108
Capillary Refillp. 108
Pupilsp. 108
Blood Pressurep. 109
Auscultated Blood Pressurep. 109
Palpated Blood Pressurep. 112
Reassessmentp. 112
Sample Historyp. 112
S-Signs and Symptomsp. 112
A-Allergiesp. 113
M-Medicationsp. 113
P-Past Medical Historyp. 114
L-Last Oral Intakep. 114
E-Events Precedingp. 114
Bystander Informationp. 114
Lifting and Moving Patientsp. 120
The Role of the Emergency Medical Technicianp. 122
Lifting and Moving Patients Safelyp. 122
Body Mechanicsp. 122
Principles of Lifting and Movingp. 123
Lifts, Drags, Takedowns, and Carriesp. 123
Wheeled Stretcher Operationsp. 123
Emergency Movesp. 124
Nonemergency Movesp. 127
Transporting Patients Safelyp. 127
Patient Positioningp. 136
Patient Safety Restraintsp. 137
Transportation Devicesp. 138
Airway
Airway Managementp. 142
Respiratory Anatomy and Physiologyp. 144
Respiration and Ventilationp. 144
Normal Anatomy of the Respiratory Tractp. 145
Breathingp. 145
Assessmentp. 151
Airwayp. 151
Breathingp. 152
Managementp. 153
Opening of the Airwayp. 153
Suctioning of the Airwayp. 153
Airway Adjunctsp. 156
Assisted Ventilationp. 159
Supplemental Oxygenp. 169
Patient Assessment
Scene Size-upp. 180
Scene Size-Up Factorsp. 182
Scene Safelyp. 182
Entering the Scenep. 185
Determining What Happenedp. 187
Common Mechanisms of Injuryp. 187
Nature of Illnessp. 188
Patient Numbersp. 189
Additional Assistancep. 189
Initial Patient Assessmentp. 194
General Impressionp. 197
Assessing the Patient's Mental Statusp. 200
Assessing the Patient's Airwayp. 203
Assessing the Patient's Breathingp. 203
Assessing the Patient's Circulationp. 203
Prioritizing Patients for Care and Transportp. 204
Focused History and Physical Examination of Trauma Patientsp. 210
Significant Mechanisms of Injuryp. 213
Restraint System Injuriesp. 213
Considerations After Scene Size-Up and Initial Assessmentp. 214
Who Needs a Rapid Trauma Assessment?p. 214
Why Do a Rapid Trauma Assessment?p. 214
Elements of a Rapid Trauma Assessmentp. 215
Focused Trauma Assessmentp. 222
Focused History and Physical Examination of Medical Patientsp. 226
Scene Size-Upp. 228
Initial Assessmentp. 228
Focused History and Physical Exam: Medicalp. 229
Assessing the History of the Present Illnessp. 229
Medical Patient Assessmentsp. 231
Providing Emergency Medical Carep. 238
Specific Chief Complaint: Known Historyp. 238
Specific Chief Complaint: No Known Historyp. 238
Unresponsive Medical Patientp. 239
The Detailed Physical Examinationp. 242
The DCAPBTLS Methodp. 245
Headp. 245
Facep. 245
Eyesp. 245
Earsp. 246
Nosep. 246
Mouthp. 247
Neckp. 247
Chestp. 247
Abdomenp. 249
Pelvisp. 250
Extremitiesp. 250
Backp. 250
Vital Signsp. 251
Other Assessment Toolsp. 251
Ongoing Assessmentp. 260
Repeat the Initial Assessmentp. 262
Reassess and Record Vital Signsp. 263
Repeat the Focused Assessmentp. 264
Check Interventionsp. 264
Communicationsp. 268
Communication Modelp. 270
Encoding and Decodingp. 270
Feedbackp. 271
Interferencep. 271
Patient Communicationp. 272
Settingp. 272
Approachp. 274
Communication Techniquesp. 276
Nonverbal Communicationp. 277
Pitfalls of Communicationp. 278
Family and Friendsp. 279
Communication Barriersp. 279
Elderly Patientsp. 282
Remote Communicationp. 282
Communication Systemsp. 282
Federal Communications Commissionp. 287
Radio Proceduresp. 289
Hospital Communicationsp. 290
Communication with Medical Directionp. 290
Hospital Notificationp. 290
Verbal Reportsp. 291
Documentationp. 296
Components of the Written Reportp. 298
Minimum Data Setp. 298
Synchronous Clocksp. 298
Functions of the Written Reportp. 299
Continuity of Carep. 299
Legal Implicationsp. 299
Educational Toolp. 301
Administrative Usesp. 302
Researchp. 302
Evaluation and Continuous Quality Improvementp. 302
Form Typesp. 302
Sections of the Reportp. 302
Run Datap. 304
Patient Datap. 304
Check Boxesp. 304
Patient Narrativep. 304
Confidentialityp. 306
Health Insurance Portability and Accountability Actp. 307
Falsificationp. 307
Patient Refusalp. 307
Special Situations/Incident Reportingp. 307
Error Correctionsp. 307
Multiple-Casualty Incidentsp. 309
Special Situation Reportsp. 309
Medical and Behavioral Emergencies
Pharmacologyp. 314
Drugs and Their Effectsp. 316
Drug Namesp. 317
Forms of Medicationp. 317
Vital Drug Informationp. 319
Assisted Patient Medication Administrationp. 320
Emergency Medical Technician-Administered Medicationsp. 320
Determination of Effectiveness and Reassessmentp. 321
Respiratory Emergenciesp. 324
Respiratory System Anatomy and Physiologyp. 326
Upper Airwayp. 326
Lower Airwayp. 328
Mechanics of Respirationp. 328
Gas Exchangep. 328
Lung Volumesp. 329
Control of Respirationp. 329
Assessment of the Respiratory Systemp. 330
Adequate Breathingp. 330
Breathing Status Assessmentp. 331
Pediatric Considerationsp. 332
Inadequate Breathingp. 332
Respiratory Distressp. 333
Signs and Symptoms of Respiratory Distressp. 333
Additional Assessmentp. 333
Treatment for Respiratory Distressp. 334
Oxygen Therapyp. 334
Ventilationp. 334
Oxygenation versus Ventilationp. 335
Common Respiratory Conditionsp. 335
Anaphylaxisp. 336
Pulmonary Edemap. 336
Emphysemap. 337
Chronic Bronchitisp. 338
Pulmonary Embolismp. 338
Hyperventilationp. 338
Airway Obstructionp. 339
Prescribed Inhalersp. 339
Indications for Inhaler Usep. 339
Contraindications for Inhaler Usep. 341
Pediatric Concernsp. 341
Cardiovascular Emergenciesp. 346
Review of the Circulatory Systemp. 349
Anatomyp. 349
Physiologyp. 351
Cardiac Compromisep. 352
Assessmentp. 352
Nitroglycerinp. 353
Reassessmentp. 354
Transportp. 356
Basic Life Supportp. 356
Automated External Defibrillationp. 361
Overview of the Automated External Defibrillatorp. 361
Advantages of the Automated External Defibrillatorp. 363
Automated External Defibrillator Operationp. 363
Standard Operational Proceduresp. 365
Single Rescuer with Automated External Defibrillatorp. 365
Postresuscitation Carep. 366
Skills Maintenancep. 367
Vascular Emergenciesp. 367
Aneurysmsp. 367
Aortic Dissectionp. 367
Vascular Occlusionsp. 367
Deep Vein Thrombosisp. 370
Gastrointestinal/Genitourinary Emergenciesp. 378
Gastrointestinal Systemp. 380
General Anatomy, Physiology, and Pathophysiologyp. 380
General Assessmentp. 385
Scene Size-upp. 385
Initial Assessmentp. 386
History and Physical Examp. 386
General Treatmentp. 389
Altered Mental Statusp. 394
Altered Level of Consciousnessp. 397
General Care for Patients with Altered Mental Statusp. 398
Specific Causes of Altered Mental Statusp. 398
Diabetesp. 399
Syncopep. 402
Seizuresp. 402
Strokep. 404
Allergiesp. 411
The Immune Systemp. 412
Common Causes of Allergic Reactionsp. 412
Anaphylaxisp. 414
Assessmentp. 415
Initial Assessmentp. 415
Historyp. 415
Secondary Survey and Physical Examinationp. 415
Treatmentp. 416
Pharmacologyp. 416
Poisoning and Overdosep. 422
Routes of Exposurep. 424
Common Poisoningsp. 426
Household Productsp. 427
Drug Abusep. 428
Common Bites and Stingsp. 429
Common Clinical Effects Caused by Poisonsp. 434
Poisoning Symptoms With No Known History of Exposurep. 434
Evaluation of Poisoningp. 435
History and Physical Examp. 435
Treatment of Poisoned Patientsp. 436
Environmental Emergenciesp. 444
Thermoregulation and Heat Transferp. 446
Mechanisms of Heat Transferp. 447
Hypothermiap. 449
Risk Factorsp. 449
Local Cold Injuryp. 451
Trench Foot, Cold Urticaria, and Frostbitep. 451
Heat Emergenciesp. 453
Heatstrokep. 453
Heat Exhaustionp. 454
Heat Crampsp. 454
Altitude Illnessp. 454
Water-Related Environmentsp. 455
Dybarism (Decompression Sickness)p. 455
Drowningp. 455
Trauma
Behavioral Emergenciesp. 460
Behavioral Emergenciesp. 463
General Factors Causing Altered Behaviorp. 464
Specific Reasons and Causes for Altered Behaviorp. 464
Assessing a Patient with a Behavioral Emergencyp. 465
Specific Behavioral Emergenciesp. 466
Anxietyp. 466
Depressionp. 467
Maniap. 468
Signs and Symptomsp. 468
Schizophreniap. 468
Signs and Symptomsp. 468
Domestic Violencep. 469
Suicidal Patientsp. 470
Violent and Aggressive Patientsp. 471
Views on Behavioral Emergenciesp. 472
Bleeding and Shockp. 478
Cellular Metabolismp. 480
Circulatory Systemp. 481
Intravascular Spacep. 481
Intracellular Spacep. 483
Circulatory Compromisep. 483
Volume Lossp. 484
Compensatory Mechanismsp. 485
Pump Failurep. 486
Assessment of Signs and Symptomsp. 486
Treatmentp. 488
Consequences of Shockp. 495
Soft Tissue Traumap. 500
The Skinp. 503
Importance of Body Substance Isolationp. 503
Major Functions of the Skinp. 503
Layers of the Skinp. 504
Rule of Ninesp. 504
Bleedingp. 505
External Bleedingp. 505
Internal Bleedingp. 505
Closed Soft Tissue Injuriesp. 505
Contusionsp. 505
Hematomasp. 506
Crush Injuriesp. 506
Open Soft Tissue Injuriesp. 508
Abrasionsp. 508
Lacerationsp. 508
Punctures and Impaled Objectsp. 508
Avulsionsp. 509
Amputationsp. 510
Bleeding Controlp. 510
Dressing and Bandagingp. 510
Bleeding Control Techniquesp. 511
Burnsp. 512
Assessment and Classificationp. 512
Burn Treatmentsp. 514
Special Burn Situationsp. 515
Chemical Burnsp. 515
Electrical Burnsp. 516
Chest and Abdominal Traumap. 520
Injury and Shockp. 522
Mechanism of Injuryp. 522
Lateral Impactsp. 524
Frontal Impactsp. 52
Rollover Impactsp. 524
Chest Injuryp. 525
Blunt Injuryp. 525
Penetrating Injuryp. 527
Assessment and Treatmentp. 529
Abdominal Injuryp. 530
Assessment and Treatmentp. 531
Crime Scene Assessmentp. 531
Musculoskeletal Traumap. 536
The Muscular Systemp. 538
Muscular Functionp. 538
Muscle Compositionp. 538
Injuries to the Muscular Systemp. 541
I. The Skeletal Systemp. 542
Function of the Skeletal Systemp. 542
Anatomic Locationsp. 544
Injuries of the Skeletal Systemp. 548
Splintingp. 550
Other Considerationsp. 556
Head and Spinal Traumap. 564
Review of the Nervous Systemp. 567
The Central Nervous Systemp. 567
The Peripheral Nervous Systemp. 568
Review of the Skeletal Systemp. 571
Injuries of the Spinep. 572
Assessing the Patient with a Possible Spinal Injuryp. 578
Immobilizationp. 579
Injuries of the Brain and Skullp. 585
Head Injuriesp. 585
Nontraumatic Conditionsp. 593
Management of the Patient with a Head Injuryp. 593
Rapid Extricationp. 595
Special Populations
Obstetrics and Gynecologyp. 600
Anatomy of the Female Genital Tractp. 602
Anatomy and Physiology of Pregnancyp. 602
Complications of Early Pregnancyp. 604
Miscarriagep. 604
Ectopic Pregnancyp. 605
Complications of Late Pregnancyp. 605
Placental Abruptionp. 605
Placenta Previap. 605
Pre-eclampsiap. 605
Laborp. 606
First Stagep. 606
Second Stagep. 607
Third Stagep. 607
Deliveryp. 607
Decision to Transport Versus Delivery in the Fieldp. 607
Preparation for Deliveryp. 608
Delivery Procedurep. 608
Complications of Deliveryp. 612
Vaginal Bleedingp. 612
Meconiump. 613
Preterm Deliveryp. 613
Breech Deliveryp. 613
Shoulder Dystociap. 614
Prolapsed Umbilical Cordp. 614
Limb Presentationp. 615
Multiple Birthsp. 615
Fetal Deathp. 615
Postdelivery Care of the Motherp. 615
Postdelivery Care of the Infant: ABCsp. 616
Trauma in Pregnancyp. 618
Gynecologic Emergenciesp. 619
Vaginal Bleedingp. 619
Sexual Assaultp. 619
Motor Vehicle Accidentsp. 619
Domestic Violencep. 620
Pediatric Emergenciesp. 626
Developmental Considerationsp. 628
Infantsp. 628
Toddlers and Preschool-Age Childrenp. 628
School-Age Children and Adolescentsp. 629
The Pediatric Airwayp. 629
Respiratory Distressp. 630
Upper Airway Considerationsp. 630
Oxygen Delivery Systemsp. 631
Respiratory Failurep. 632
Airway Adjunctsp. 632
Anatomic Considerations and Assisted Ventilationp. 632
Bag-Mask Ventilationp. 633
Infant and Child Cardiopulmonary Resuscitationp. 634
Pediatric Upper Airway Obstructionp. 639
Upper Airway Obstructionp. 639
Shock (Hypoperfusion) and Resuscitation of the Infant and Childp. 646
Causes of Shockp. 646
Compensated versus Decompensated Shockp. 646
Assessment of End Organ Perfusionp. 647
Management of the Pediatric Patient in Shockp. 648
Pediatric Cardiac Arrestp. 648
Pediatric Seizuresp. 649
Treatment of Seizuresp. 650
Pediatric Traumap. 651
Child Abusep. 651
Physical Abusep. 651
Neglectp. 652
Abandonmentp. 653
Medical-Legal Responsibilitiesp. 653
Geriatric Emergenciesp. 660
Physiologic Changes With Agep. 662
The Respiratory Systemp. 663
The Cardiovascular Systemp. 663
The Skinp. 664
The Nervous Systemp. 665
Sensory Changesp. 665
Thermoregulationp. 666
The Immune Systemp. 666
The Musculoskeletal Systemp. 666
Assessmentp. 666
Scene Size-Upp. 666
Initial Assessmentp. 666
History, Physical Examination, and Ongoing Assessmentp. 669
Reporting of Symptomsp. 669
Medical Emergenciesp. 670
Altered Mental Statusp. 670
Chest Painp. 671
Respiratory Emergenciesp. 671
Abdominal Painp. 671
Patients with Vague, Nondescriptive Complaintsp. 671
Trauma Emergenciesp. 672
Fallsp. 672
Head Injuriesp. 672
Abusep. 673
Operations
Ambulance Operationsp. 678
Phases of an EMS Responsep. 680
Preparation for the Callp. 680
Dispatchp. 681
En Route to the Scenep. 682
Arrival at the Scenep. 682
Transferring the Patient to the Ambulancep. 683
The Postrun Phasep. 683
Air Medical Considerationsp. 683
Summaryp. 685
Response Phasesp. 685
Air Medical Transportp. 686
Gaining Accessp. 690
Technical Rescuep. 692
Structural Collapse Rescuep. 693
p. 693
p. 694
p. 694
p. 695
Rope Rescuep. 695
Confined Space Rescuep. 696
Trench Rescue and Excavationp. 697
Gaining Accessp. 699
Extricationp. 700
Vehicle and Machinery Rescuep. 700
Water Rescuep. 702
Dive Rescuep. 702
Ice Rescuep. 702
Surf Rescuep. 702
Swift Water Rescuep. 703
Wilderness Search and Rescuep. 703
Disastersp. 708
Definitionsp. 712
Disaster Planningp. 712
Response to a Disasterp. 712
Triagep. 713
Treatmentp. 715
Transportp. 716
Role of Physiciansp. 717
Incident Command Systemp. 717
Communicationsp. 717
Resourcesp. 719
Stagingp. 720
Identificationp. 720
Call Downp. 721
Media Relationsp. 721
Aftermath and Debriefingp. 721
Hazardous Materialsp. 726
Hazardous Materials Response and Trainingp. 728
Elements of a Hazardous Materials Responsep. 729
Scene Safetyp. 729
Risk Assessmentp. 729
Incident Command Structurep. 729
Recognition and Identification of Hazardous Materialsp. 730
Scene Size-Upp. 730
Interagency Cooperation for Risk Reductionp. 735
Types of Victim Exposurep. 736
Response and Recoveryp. 736
Weapons of Mass Destructionp. 740
Fallacies of Weapons of Mass Destructionp. 743
Basic Principlesp. 743
Chemical Agentsp. 743
Nerve Agentsp. 744
Vesicants (Blister Agents)p. 745
Pulmonary Toxicantsp. 746
Cyanidep. 746
Biologic Agentsp. 746
Bacterial Agentsp. 747
Viral Agentsp. 748
Toxinsp. 749
Biologic Agents: Principles of Decontaminationp. 750
Radiologic/Nuclear Agentsp. 750
Types of Radiation Exposurep. 750
Radiation Protectionp. 751
Sources of Radiation Exposurep. 751
Acute Radiation Syndromep. 752
Treatment of the Radiation-Contaminated Patientp. 752
Explosive Devicesp. 753
Mechanism of Blast Injuryp. 753
Advanced Airway (Elective)
Advanced Airway Managementp. 758
Airway Anatomyp. 760
Normal Upper Airway Anatomy in the Adultp. 760
Anatomy of the Upper Airway in Infants and Childrenp. 762
Assessmentp. 763
Management Techniquesp. 763
Orotracheal Intubation of the Adultp. 763
Orotracheal Intubation of the Infant or Childp. 772
Nasogastric Tube Placementp. 773
Laryngeal Mask Airwayp. 773
Esophageal/Tracheal Combitubep. 775
Assisting Advanced Life Support Providersp. 786
NREMT Skills Sheetsp. 788
Glossaryp. 804
Illustration Creditsp. 835
Table of Contents provided by Ingram. All Rights Reserved.

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