Prehospital Emergency Care, 10th Edition
Prehospital Emergency Care, Tenth Edition, meets the National EMS Education Standards and is the most complete resource for EMT-B training. This best-selling, student-friendly book contains clear, step-by-step explanations with comprehensive, stimulating, and challenging material that prepares users for real on-the-job situations. Featuring case studies, state-of-the-art scans, algorithms, protocols, and the inclusion of areas above and beyond the DOT protocols, the tenth edition effectively prepares students for success. The assessment and emergency care sections provide the most up-to-date strategies for providing competent care; and the enrichment sections further enhance students’ ability to assess and manage ill and injured patients in prehospital environments. The text’s table of contents is organized to follow the National EMS Educational Standards.
New chapter! Chapter 41, “The Combat Soldier,” informs readers about patients who are veterans of combat, whether they saw service recently or long ago.
Covers patients whom are likely suffering from the effects of post-traumatic stress disorder (PTSD) and possibly also from traumatic brain injury (TBI), which may be the cause of or an exacerbating factor in the present emergency.
The chapter lists clues that may be present at the scene or in the patient's demeanor or behavior that should alert the EMT to the patient's status as a combat veteran.
The chapter also presents advice about special considerations for assessment and treatment of this patient.
The tenth edition reflects the latest medical knowledge and best practices in emergency medical services in the United States.
Includes updated information on cell phone access to 911 as well as Voice over Internet Protocol (VoIP) access to 911.
Includes new information on diseases that are infectious but not communicable, such as malaria, and added information on severe acute respiratory distress syndrome (SARS) transmission, incubation, and protective measures.
Offers new information on power cots with mechanisms that reduce repetitive motion and back strain for EMTs.
Presents an expanded discussion of guidelines for administration of supplemental oxygen according to the 2010 AHA guidelines.
Chapter 26 has been extensively revised to include expanded definitions and discussion of behavior and psychiatric disorders, including these topics: mood, affect, “word salad,” tardive dyskinesia, anxiety, phobias, depression, bipolar disorder, paranoia, psychosis, and schizophrenia. There is also expanded discussion of assessment and care for violence, including attemtped suicide and violence to others. The section “Dealing with Behavioral Emergencies” has been thoroughly revised and updated.
Current AHA guidelines for assessment and initial management of the newborn are now included.
Includes the American Heart Association Pediatric Advanced Life Support (PALS) assessment– as an alternative to the American Academy of Pediatrics Pediatric Assessment Triangle [PAT]– which is still included -- both assessment methods are now discussed.
An expanded discussion of guidelines for administration of supplemental oxygen is included throughout the text.
New sections throughout the text expand on the latest equipment, standards, and practices in EMS.
Contains a new section on medical alert tattoos and a new section on baby safe haven laws regarding infant abandonment.
A new section covers advanced automatic collision notification (AACN) technology.
There are new sections on initiating and administering CPAP and a new section titled “Clinical Decision Making Regarding Oxygen Administration.”
A new section is included: “The Dangers of Administering Too Much Oxygen in Acute Coronary Syndrome."
Includes new sections on “Suicide Bags” (a method of committing suicide) and “Bath Salts” (an illegal psychoactive drug).
Includes a new section, “Hematologic Emergencies,” that includes discussion of anemia, hemophilia, and sickle cell anemia/sickle cell crisis.
Includes a new section on non-traumatic fractures (now included in the chapter title).
Includes a new section, “Indications for Spinal Immobilization Based on Assessment Findings.”
New tables throughout the text distill and convey essential information for readers.
A table concerning “Physical Assessment Indicators of Hypovolemic Shock” has been added.
New tables have been inserted: “Signs of Improvement During the Administration of CPAP” and “Signs of Deterioration During the Administration of CPAP.”
A new table, “Stages of Hypothermia and Associated Physiological Changes,” has been added.
Standard Public Health
1. Emergency Medical Care Systems, Research, and Public Health
2. Workforce Safety and Wellness of the EMT
3. Medical, Legal, and Ethical Issues
6. Lifting and Moving Patients
Standard Anatomy and Physiology
Standard Medical Terminology
7. Anatomy, Physiology, and Medical Terminology
Standard Life Span Development
9. Life Span Development
Standard Airway Management, Respiration, and Artificial Ventilation
10. Airway Management, Artificial Ventilation, and Oxygenation
11. Baseline Vital Signs, Monitoring Devices, and History Taking
12. Scene Size-Up
13. Patient Assessment
14. Pharmacology and Medication Administration
Standard Shock and Resuscitation
15. Shock and Resuscitation
16. Respiratory Emergencies
17. Cardiovascular Emergencies
18. Altered Mental Status, Stroke, and Headache
19. Seizures and Syncope
20. Acute Diabetic Emergencies
21. Anaphylactic Reactions
22. Toxicologic Emergencies
23. Abdominal, Gynecologic, Genitourinary, and Renal Emergencies
24. Environmental Emergencies
25. Submersion Incidents: Drowning and Diving Emergencies
26. Behavioral Emergencies
27. Trauma Overview: The Trauma Patient and the Trauma System
28. Bleeding and Soft Tissue Trauma
30. Musculoskeletal Trauma
31. Head Trauma
32. Spinal Column and Spinal Cord Trauma
33. Eye, Face, and Neck Trauma
34. Chest Trauma
35. Abdominal and Genitourinary Trauma
36. Multisystem Trauma and Trauma in Special Patient Populations
Standard Special Patient Populations
37. Obstetrics and Care of the Newborn
40. Patients with Special Challenges
41. The Returning Combat Veteran
Standard EMS Operations
42. Ambulance Operations and Air Medical Response
43. Gaining Access and Patient Extrication
44. Hazardous Materials
45. Multiple-Casualty Incidents and Incident Management
46. EMS Response to Terrorism Involving Weapons of Mass Destruction
Appendix 1. ALS-Assist Skills
Appendix 2. Advanced Airway Management