Paramedic Care: Principles and Practice, Volume 3: Medical Emergencies

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  • Edition: 1st
  • Format: Hardcover
  • Copyright: 2001-01-01
  • Publisher: Prentice Hall
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VOLUME 1: Introduction to Advanced Prehospital Care (includes Airway Management) VOLUME 2: Patient Assessment VOLUME 3: Medical Emergencies VOLUME 4: Trauma Emergencies VOLUME 5: Special Considerations / Operations (includes Assessment-Based Management) Dr. Bryan E. Bledsoe, lead author of the classic pre-'98 curriculum text Paramedic Emergency Care, along with co-authors Robert Porter and Richard Cherry, has woven together contributions from field experts to provide detailed, yet student-friendly texts that will set the standard for paramedic education for years to come. In developing this series to meet the new curriculum, the goals were threefold: bull; bull;Comprehensive coverage. The program includes all material required for the new U.S. DOT curriculum and, where appropriate, expanded information. bull;Accuracy. The material reflects the best and latest in scientific and medical practice, written and reviewed by experts. bull;Appropriate level. Concepts and terminology are clearly explained. Beginning at the level of the new students and progressing through the development of new and advanced concepts, this series will provide the student with a broad background of knowledge and a firm grasp of how to apply it to paramedic emergency care.

Table of Contents

Discusses respiratory system anatomy, physiology, and pathophysiology
Discusses respiratory system emergencies
Emphasizes recognition and treatment of reactive airway diseases such as asthma
Discusses cardiovascular anatomy, physiology, and pathophysiology
Presents material crucial to advanced prehospital cardiac care
Is presented in three parts: Part 1--essential cardiac anatomy, physiology, and electrophysiology; Part 2--cardiac and peripheral vascular system emergencies; and Part 3--12-lead ECG monitoring and interpretation
Discusses nervous system anatomy, physiology, and pathophysiology
Discusses recognition and management of neurological emergencies
Discusses endocrine system anatomy, physiology, and pathophysiology
Discusses recognition and management of endocrine emergencies, with emphasis on diabetic emergencies
Allergies and Anaphylaxis
Reviews the immune system and the pathophysiology of allergic and anaphylactic reactions
Discusses recognition and treatment of allergic reactions, with emphasis on anaphylactic reactions
Discusses gastrointestinal system anatomy, physiology, and pathophysiology
Discusses recognition and management of gastrointestinal emergencies
Urology and Nephrology
Discusses genitourinary system anatomy, physiology, and pathophysiology
Discusses recognition and management of urinary system emergencies in males and females and male reproductive system emergencies
Toxicology and Substance Abuse
Discusses basic toxicology and both common and uncommon causes of poisoning
Discusses overdose and substance abuse, including drug and alcohol abuse
Discusses recognition and management of poisoning, overdose, and substance abuse emergencies
Discusses the anatomy, physiology, and pathophysiology of the blood, blood-forming organs, and the reticuloendothelial system
Discusses recognition and management of hematological emergencies
Environmental Emergencies
Details the impact of the environment on the body, emphasizing physical, chemical, and biological aspects
Discusses recognition and management of heat disorders, cold disorders, drowning and near-drowning emergencies, diving emergencies, high altitude emergencies, and radiation emergencies
Infectious Disease
Addresses specific infectious diseases and modes of transmission
Emphasizes prevention of disease transmission, especially the protection of prehospital personnel
Discusses recognition and management of specific infectious diseases
Psychiatric and Behavioral Emergencies
Presents an overview of psychiatric disorders and behavioral problems
Discusses recognition and management of psychiatric and behavioral emergencies
Discusses female reproductive system anatomy, physiology, and pathophysiology
Discusses recognition and management of gynecological emergencies
Discusses the anatomy and physiology of pregnancy
Discusses how to assist a normal delivery
Discusses recognition and management of complications of pregnancy and delivery


Preface Advanced life support (ALS) and paramedic care were initially developed to treat cardiac problems in the field, specifically sudden death. Many people were suffering acute coronary events and dying before reaching the hospital. Physicians with foresight believed that rapid prehospital intervention could mean the difference between life and death for many people. The earliest origins of EMS were this early emphasis on prehospital cardiac care, which developed simultaneously kith the early advances in trauma care. Over the years, EMS proved effective in seating different types of cardiac emergencies. As EMS evolved, prehospital care has expanded to many other types of medical emergencies, including diabetic emergencies and respiratory emergencies. Now, with the advent of the 1998 U.S. DOTEMT-Paramedic National Standard Curriculum,paramedics are responsible for a much more detailed understanding of medical emergencies. The new curriculum, upon which this book is based, now addresses in detail the various types of medical emergencies. Cardiac emergencies still represent the most common reason EMS is summoned, and the discussion of cardiac emergencies remains the most comprehensive in the text. However, paramedics are expected to have a high level of understanding of emergencies involving other body systems. In this book, we will briefly review important anatomy and physiology as it applies to the emergency in question. This is followed by discussion of the relevant pathophysiology. Finally, focused pre-hospital assessment and treatment for each type of medical emergency is presented. WithParamedic Care: Principles and Practice,Volume 3,Medical Emergencies,we have followed the U.S. DOT curriculum and provided a detailed discussion of virtually all types of medical emergencies likely to be encountered in the prehospital setting. This book follows a systems approach that also parallels the various sub-specialties of internal medicine. Chapter 1 "Pulmonology"introduces the paramedic student to commonly encountered respiratory system emergencies. Emphasis is on the recognition and treatment of reactive airway diseases such as asthma. Chapter 2 "Cardiology"presents the material crucial to advanced prehospital cardiac care. The first part of the chapter reviews essential anatomy and physiology and introduces the student to electrophysiology. The second part of the chapter deals with cardiac emergencies and peripheral vascular system emergencies. Finally, the third division addresses 12-lead ECG interpretation and prehospital application of 12-lead ECG diagnostics and monitoring. Chapter 3 "Neurology"reviews the anatomy and physiology of the central and peripheral nervous system. This is followed by a detailed discussion of neurological emergencies. Chapter 4 "Endocrinology"is a detailed discussion of the endocrine system, which is an alternate control system for the body. Emphasis is placed on diabetic emergencies, as they are by far the most common endocrine emergency encountered by paramedics. Chapter 5 "Allergies and Anaphylaxis"reviews the immune system, with particular emphasis on hypersensitivity reactions (allergic reactions). The chapter emphasizes prehospital recognition and treatment of allergic reactions, particularly anaphylaxis. Chapter 6 "Gastroenterology"is a detailed discussion of emergencies arising within the gastrointestinal system. The chapter initially reviews the relevant anatomy and physiology of the gastrointestinal system and follows this with a discussion of assessment and treatment of gastroenterological emergencies. Chapter 7 "Urology and Nephrology"presents an overview of emergencies that arise from the genitourinary system and the male reproductive system. This includes a discussion of infectious emergencies, renal failure, and other problems. Chapter

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