Paramedic Care

ALERT: Before you purchase, check with your instructor or review your course syllabus to ensure that you select the correct ISBN. Several versions of Pearson's MyLab & Mastering products exist for each title, including customized versions for individual schools, and registrations are not transferable. In addition, you may need a CourseID, provided by your instructor, to register for and use Pearson's MyLab & Mastering products. Packages Access codes for Pearson's MyLab & Mastering products may not be included when purchasing or renting from companies other than Pearson; check with the seller before completing your purchase. Used or rental books If you rent or purchase a used book with an access code, the access code may have been redeemed previously and you may have to purchase a new access code. Access codes Access codes that are purchased from sellers other than Pearson carry a higher risk of being either the wrong ISBN or a previously redeemed code. Check with the seller prior to purchase. -- Essentials of Paramedic Care, 2nd edition Update, will serve as a dependable guide and reference to advanced prehospital care. It is based on the 1998 U.S. Department of Transportation's Emergency Medical Technician–Paramedic National Standard Curriculum and is divided into five divisions: This text, based on the widely used Paramedic Emergency Care text developed more than 20 years ago, will provide the core foundation for paramedic education. Coupled with quality classroom instruction and clinical rotations, readers are assured of receiving the knowledge and skills required of a quality paramedic. Essentials of Paramedic Care, 2nd edition Update, will prepare readers for their certification exam and for challenges they will encounter on the street. This package contains: • Bledsoe, Porter & Cherry, Essentials of Paramedic Care Update, 2/E (2011) • Pearson, Limmer, Mistovich & Werman, Resource Central EMS -- Access Card (2012)

Brought up-to-date with the latest guidance, research and policy, this second edition of Ambulance Care Practice is an essential guide for paramedic students, trainee associate ambulance practitioners, those studying towards a certificate in first response emergency care and other ambulance clinicians. It provides a complete overview of the key skills, knowledge and understanding required to work at ambulance associate practitioner level or similar within the ambulance service, covering theoretical aspects and practical application, as well as a range of different clinical procedures and patient populations. Key features include: •Clearly illustrated, step-by-step instructions for range of essential clinical skills and procedures including how to handle different types of trauma and cardiac arrest •Detailed anatomical diagrams to provide the reader with the necessary context to carry out the practical elements of their job •Evidence-based throughout and up-to-date with the latest guidance, policy and research •Specific chapters on each area of patient assessment and specific patient populations and how to manage these effectively •Chapters relevant to associate practitioner level including drug administration, mental health and end of life care as well as an in-depth chapter on assisting the paramedic. ∙ In line with the National Education Network for Ambulance Services standards The book covers learning objectives from a range of courses offered by ambulance services. It is an essential resource for anyone wanting to prepare themselves for a role within the ambulance service as well as those hoping to become a more effective member of an emergency ambulance crew.

Preface EMS in the third millennium involves a great deal more than simply transporting a patient to the hospital. The modern paramedic has tremendous responsibilities, both on the scene and in the community. In Volume 5,Special Considerations/ Operations of Paramedic Care: Principles & Practice,we have detailed important specialized information required of paramedics in the modern EMS system. In addition to a detailed discussion of special patients, we have provided crucial information on scene safety and operations as well as assessment-based patient management. This text has been designed to serve as both an initial course textbook as well as a reference source for the practicing paramedic. In this final volume ofParamedic Care: Principles & Practice,we have addressed the last three divisions of the1998 U.S. DOT EMT-Paramedic National Standard Curriculum.These include: Special Considerations—This section presents the essential information on special patient populations encountered in prehospital care including neonates, children, the elderly, the challenged, as well as chronically-ill patients. Assessment-Based Management—The 1998 EMT Paramedic curriculum was developed based upon the concept of assessment-based management. This division serves to tie together the various divisions of the curriculum previously presented (i.e., medical, trauma, and special patients) so that the paramedic can provide the necessary care based upon assessment findings. Operations—Modern EMS is very comprehensive. The paramedic must have detailed knowledge of hazardous material scenes, rescue scenes, multiple casualty incidents, disasters, and other emergencies. This division provides essential information about these important aspects of prehospital care. EMS is unique among the allied health professions. The modern paramedic, although functioning under the license and direction of the system medical director, is forced to make most patient care decisions in the field independently. Because of this, the modern paramedic must have a thorough knowledge of essential anatomy, physiology, and pathophysiology of the common emergencies encountered. Based on this knowledge, the paramedic must complete a detailed, yet focused patient assessment and determine the appropriate treatment plan. Although help is never more than a phone call or radio call away, the paramedic functions fairly autonomously in a dangerous environment that is constantly changing. Chapters in this volume correspond to theU.S. DOT 1998 EMT-Paramedic: National Standard Curriculum.The following are short descriptions of each chapter: Chapter 1 "Neonatology"introduces the paramedic student to the specialized world of neonatology. The neonate is a child less than one month of age. These patients have very different problems and their treatment must be modified to accommodate their size and anatomy. This chapter presents a detailed discussion of neonatology with a special emphasis on neonatal resuscitation in the field setting. Chapter 2 "Pediatrics"presents a detailed discussion of pediatric emergencies. Children are not "small adults." They have special needs and must be approached and treated in a fashion different from adults. This chapter provides an overview of the common, and uncommon, pediatric emergencies encountered in prehospital care with a special emphasis on recognition and treatment. Specialized pediatric assessment techniques and emergency procedures are presented in detail. Chapter 3 "Geriatric Emergencies"is a detailed presentation of emergencies involving the elderly. The elderly are the fastest growing aspect of our society. A significant number of EMS calls involve elderly patients. This chapter reviews the anatomy and physiology of aging. The chapter then presents a detailed discussion of the assessment and treatment of emergencies commonly seen in the elderly. Chapter 4 "Abuse and Assault"presents a timely discussion of the needs of the abuse or assault victim. This chapter provides important information that will aid the paramedic in detecting abusive or dangerous situations. EMS personnel are often the first, and occasionally the only, personnel to encounter the abuse or assault victim. Because of this, it is essential that abusive situations be recognized early and the appropriate personnel notified. Chapter 5 "The Challenged Patient"addresses patients with special needs. A medical emergency can be an extremely frightful event for the patient who is sensory or mentally challenged. Because of this, paramedics should be aware of strategies that reduce stress for patients with special challenges. Chapter 6 "Acute Interventions for the Chronic-Care Patient"offers an important discussion of the role of EMS personnel in treating home-care patients and patients with chronic medical conditions. With declining hospital revenues, more and more patients are being cared for at home—either by family members or home care personnel. Paramedics are often summoned when a home care patient deteriorates or otherwise suffers a medical or trauma emergency. It is essential that prehospital personnel have a fundamental understanding of home health care as well as a basic knowledge of the medical devices and technology routinely used in home care. This chapter details the paramedic's role in assessing, treating, and managing the home care patient. Chapter 7 "Assessment-Based Management"ties together the patient care material presented in this text. Paramedics are unique in that they function in an unstructured environment. They must often make field diagnoses and act upon these. This chapter details how to integrate the information learned from a comprehensive patient assessment and use that in formulating an appropriate treatment plan. This aspect of paramedic care is one of the fundamental differences between paramedicine and other allied health personnel. The paramedics of the 21st century are expected to not only have good patient care skills, they are also expected to have good field diagnostic skills. These skills are based upon the concept of assessment-based management. Chapter 8 "Ambulance Operations"serves to present, and in some cases review, the special world of EMS and ambulance operations. Patient care begins long before the call is received. The paramedic is responsible for keeping the ambulance and medical equipment in a constant state of readiness. In addition, the paramedic must understand the various EMS system operations so that he or she may interact accordingly. Chapter 9 "Medical Incident Command"provides a detailed discussion of the Incident Command System. The Incident Command System is a system for managing resources at the emergency scene, particularly at scenes involving multiple ambulances and multiple agencies. Paramedics must intimately understand the workings of the Incident Command System and apply them in daily operations. Chapter 10 "Rescue Awareness and Operations"presents a comprehensive discussion of rescue operations. The level of EMS involvement with rescue operations varies significantly. In many EMS systems, paramedics are responsible for rescue operations. In others, paramedics are primarily responsible for patient care while rescue operations are carried out by specially trained and equipped rescue teams. Regardless, the modern paramedic must have a thorough understanding of rescue operations with an emphasis on scene safety. Chapter 11 "Hazardous Materials Incidents"gives an overview of hazardous materials operations. More and more emergency scenes involve hazardous materials. Although most hazardous material scenes are handled by specialized "hazmat" teams, paramedics are responsible for patient care. The hazardous material scene can be extremely dangerous. Because of this, the modern paramedic must have a fundamental understanding of various hazardous materials and hazmat operations. Chapter 12 "Crime Scene Awareness"details the importance of protecting the crime scene. EMS personnel are often the first to arrive at a crime scene. Although their principle responsibility is patient care, they should take great effort to avoid disturbing important aspects of the crime scene. This chapter provides an overview of crime scene operations so that EMS personnel will recognize and protect essential elements of the crime scene. Chapter 13 "Rural EMS"provides an overview of the special needs of rural EMS. Although not a part of the 1998 U.S. DOT curriculum, this chapter has been added to enhance awareness of the challenges, such as distance, faced by rural EMS personnel and the creative problem-solving used to provide high-quality care to the nearly 53 million Americans who live in rural areas. This volume,Special Considerations/Operations,describes important information that the modern paramedic needs in order to function effectively on the emergency scene. This information should prove beneficial both in initial paramedic education programs as well as in future refresher programs.

This is the eBook of the printed book and may not include any media, website access codes, or print supplements that may come packaged with the bound book. Paramedic Care: Principles & Practice, Fourth Edition, is intended to serve as a foundational guide and reference to paramedicine. Developed to stay ahead of current trends and practices in paramedicine, all seven volumes are based on the National EMS Education Standards and the accompanying Paramedic Instructional Guidelines. Volume 4, Medicine, covers medical emergencies and includes new material on the use and interpretation of capnography, the role of CPAP in respiratory diseases, comprehensive coverage of cardiology, more information about stroke therapy and similar treatments, current toxicological practices, more material on drug-induced psychosis and similar problems, and a new chapter on non-traumatic musculoskeletal disorders.

Emergency Medical Responder is an essential training program that fully meets the newly developed National Occupational Competency Profile for Emergency Medical Responders (NOCPs). This comprehensive text addresses the entire NOCPs with clarity and precision in a format that ensures student comprehension and encourages critical thinking. Concepts of team leadership and professionalism are woven throughout the chapters, challenging students to become compassionate, conscientious health care professionals as well as superior clinicians. Current, State-of-the-Art Medical Content Emergency Medical Responder includes in-depth coverage of anatomy, physiology, and pathophysiology to form an advanced understanding of the human body and disease processes expected of today's emergency medical responder. Detailed, precise illustrations clearly depict the anatomy and processes covered in each chapter. Clear Approach to Patient Assessment and Management Emergency Medical Responder teaches and reinforces the concept of patient assessment, ensuring that students understand patient assessment as an integrated process--the way that providers actually practice it in the field. The steps of the patient assessment process are reinforced within the context of the illnesses or injuries discussed in the chapter. Illustrated skill drills highlight the critical steps of the patient management skills explained throughout the text. Dynamic Technology Solutions Access to Navigate 2 online learning materials including an interactive eBook, student practice activities and assessments, sample course plans, and additional chapters covering: Rescue operations terrorism response, CBRNE, and hazardous materials events crime scene awareness Patients with special needs Acute interventions for chronic care patients Medical incident command