Intermediate Emergency Care: 1985 Curriculum

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

• ISBN13: 9780835951609
• ISBN10: 083595160X
• Additional ISBN(s): 9780136140474
• Edition: 3rd
• Format: Paperback w/CD
• Copyright: 2008-01-01
• Publisher: Prentice Hall
• More Book Details
• Purchase Benefits

Summary

In this newly revised second edition, the pharmacology information has been updated to include virtually every drug used by the EMT-Intermediate. Written by the authors of the best-selling Paramedic Emergency Care, Third Edition, this text follows the current United States D.O.T. National Standard Curriculum for Emergency Medical Technician - Intermediate. It offers comprehensive instruction in all EMT-I skills with a strong emphasis on safety and infectious disease precautions. The text's informative, easy-to-read prose explains both essential and optional EMT-Intermediate skills so students clearly understand what will be expected of them as providers. A wealth of richly-detailed, full-color illustrations help them visualize the emergency situations in which their skills will be so vitally important.

Table of Contents

Foreword	xiii	(2)
Preface	xv	(2)
How To Use This Book	xvii	(2)
Acknowledgments	xix	(4)
About the Authors	xxiii	(2)
Notices	xxv	(5)
Precautions on Bloodborne Pathogens and Infectious Diseases	xxx
THE PREHOSPITAL ENVIRONMENT	2	(309)
1 ROLES AND RESPONSIBILITIES OF THE EMT-INTERMEDIATE	2	(20)
Objectives	3	(1)
Case Study: Decisions That Save Lives	4	(1)
Introduction	4	(3)
Changes in the Field	7	(2)
Ground-Breaking Developments	7	(1)
A Vital Link in the EMS System	8	(1)
Professional Ethics	9	(3)
Professionalism	12	(2)
Role of the EMT-Intermediate	14	(3)
Leadership	15	(1)
Emergency Response Duties	15	(2)
Duties Beyond the Emergency Situation	17	(1)
Post-Graduate Responsibilities	17	(3)
Continuing Education	17	(2)
Professional Organizations	19	(1)
National Registry	19	(1)
Professional Journals	19	(1)
Summary	20	(1)
Further Reading	21	(1)
2 EMERGENCY MEDICAL SERVICES SYSTEMS	22	(30)
Objectives	23	(1)
Case Study: EMS--A Team Effort	24	(1)
Introduction	24	(3)
Prehospital Component	24	(1)
Hospital Component	25	(2)
The History of EMS System Development	27	(2)
The Systems Approach	29	(21)
System Administration	29	(1)
Medical Control	30	(3)
Public Information and Education	33	(2)
EMS Communications	35	(3)
Emergency Medical Dispatching	38	(1)
Education and Certification	39	(2)
Patient Transport	41	(3)
Continuous Quality Improvement	44	(2)
Research	46	(1)
Receiving Facilities	47	(1)
Mutual Aid/Mass-Casualty Preparation	48	(1)
System Financing	49	(1)
Summary	50	(1)
Further Reading	51	(1)
3 MEDICAL-LEGAL CONSIDERATIONS OF EMERGENCY CARE	52	(16)
Objectives	53	(1)
Case Study: Tough Decisions	54	(1)
Introduction	54	(1)
Legal Principles	54	(1)
Laws Affecting EMS	55	(5)
Medical Practice Acts and State EMS Legislation	56	(2)
Right to Die	58	(2)
Standard of Care	60	(6)
Negligence and Medical Liability	60	(1)
Areas of Potential Medical Liability	61	(4)
Problem Patients	65	(1)
Medical Liability Protection	66	(1)
Summary	67	(1)
Further Reading	67	(1)
4 MEDICAL TERMINOLOGY	68	(22)
Objectives	69	(1)
Case Study: The Language of EMS	70	(1)
Introduction	70	(2)
Medical Dictionary	72	(1)
Medical Terminology	72	(9)
Root Words	73	(4)
Prefixes and Suffixes	77	(4)
Abbreviations	81	(7)
Summary	88	(1)
Further Reading	89	(1)
5 EMS COMMUNICATIONS	90	(24)
Objectives	91	(1)
Case Study: Communications--The Link that Holds an EMS System Together	92	(1)
Introduction	92	(1)
EMS Communication Links	93	(4)
Communications Systems: Technical Aspects	97	(5)
Base Station	97	(1)
Mobile Two-Way Radios	97	(2)
Portable Radios	99	(1)
Repeater Systems	99	(1)
Remote Consoles	100	(1)
Satellite Receivers	101	(1)
Encoders and Decoders	101	(1)
Mobile Telephones	101	(1)
Radio Communications	102	(2)
Frequencies	103	(1)
Biotelemetry	103	(1)
Equipment Maintenance	104	(1)
Rules and Operating Procedures	105	(4)
Dispatch Procedures	105	(2)
Radio Codes	107	(1)
Radio Communications Techniques	107	(2)
Communication of Medical Information	109	(3)
General Concepts	109	(1)
Communication of Patient Information by the EMT-Intermediate	109	(2)
Written Communications	111	(1)
Summary	112	(1)
Further Reading	113	(1)
6 GENERAL PATIENT ASSESSMENT AND INITIAL MANAGEMENT	114	(197)
Objectives	115	(1)
Case Study: Professionalism--The Key to Success	116	(1)
Introduction	116	(1)
A Systematic, Thorough Approach	116	(2)
General Phases of Assessment	118	(1)
Review of Dispatch Information	119	(1)
Scene Survey/Environmental Safety	120	(2)
Identify Scene Hazards	121	(1)
Determine Special Needs	121	(1)
Evaluate the Mechanism of Injury	122	(1)
Primary Assessment	122	(163)
Completing the ABCDEs	123	(13)
Evaluating the Primary Assessment	136	(149)
Assessment of the Shock Patient	285	(9)
Primary Assessment	285	(4)
Review of Primary Assessment	289	(2)
Secondary Assessment	291	(3)
Management of Shock	294	(12)
Oxygen Administration	294	(1)
Intubation	295	(1)
Ventilation	295	(1)
Hemorrhage Control	295	(1)
Fluid Replacement	296	(9)
Application of the PASG	305	(1)
Communications and Transport	306	(2)
Summary	308	(1)
Further Reading	309	(2)
APPENDICES	311	(108)
Appendix I Defibrillation	311	(37)
Appendix II Blood Glucose Determination	348	(7)
Appendix III Pharmacology for the EMT-Intermediate	355	(53)
Appendix IV Accessing Indwelling Catheters	408	(3)
Appendix V Pulse Oximetry	411	(8)
NATIONAL REGISTRY SKILL SHEETS	419	(10)
SUGGESTED RESPONSES TO "YOU MAKE THE CALL"	429	(6)
GLOSSARY	435	(10)
INDEX	445