Paramedic Care: Principles & Practice. was developed to stay ahead of current trends and practices in Paramedic education and practice. Changes in cardiac care guidelines and equipment, spinal trauma, neonatology, pediatrics, and incident management necessitated one of the most extensive revisions yet. Hundreds of photos and illustrations were updated.
Volume 1: Introduction to Advanced Prehospital Care presents the foundations of paramedic practice as well as an introduction to pathophysiology, pharmacology, medication administration and airway management and ventilation.
Features
Paramedic Care: Principles & Practice series features include:
- Chapter Objectives with Page References. List the objectives that form the basis of each chapter, in addition to the page(s) on which each objective is covered.
- Key Points. Help students identify and learn fundamental points.
- Key Terms. Located in margins near the paragraphs in which they first appear, these help students master new terminology.
- Content Review. Summarizes important content, giving students a format for quick review.
- Tables and Illustrations. Provide visual support to enhance understanding.
- Summary. Provides students with a concise review of important chapter information.
- Review Questions. Ask students to recall information and to apply the principles they’ve just learned.
- NEW! Media Resources. Refer students to resources on the accompanying Student CD and on the book’s Companion Website (accessed through www.prenhall.com/bledsoe), where additional activities and information can be found on the chapter’s topics. Also, provides links to other topicspecific websites.
- Case Study. Draws students into the reading and creates a link between the text content and real-life situations and experiences.
- You Make the Call. Promotes critical thinking by requiring students to apply principles to actual practice.
- Procedure Scans. Provide step-by-step visual support on how to perform skills.
- Patient Care Algorithms. Provide graphic “pathways” that integrate assessment and care procedures.
- Patho Pearls. Offer a snapshot of pathological considerations students will encounter in the field.
- Legal Notes. Present instances in which legal or ethical considerations should be evaluated.
- Cultural Considerations. Provide an awareness of beliefs that might affect patient care.
- NEW! Assessment Pearls. Highlight important assessment considerations and techniques.
Table of Contents
Volume 1 — Introduction to Advanced Prehospital Care
Chapter 1. Introduction to Advanced Prehospital Care, 1 - Introduction, 4
- Description of the Profession, 4
- Paramedic Characteristics, 6
- The Paramedic: A True Health Professional, 6
- Expanded Scope of Practice, 9
- Critical Care Transport, 9
- Primary Care, 10
- Industrial Medicine, 10
- Sports Medicine, 11
- Introduction, 16
- Basic Physical Fitness, 17
- Core Elements, 17
- Nutrition, 18
- Habits and Addictions, 20
- Back Safety, 21
- Personal Protection from Disease, 24
- Infectious Diseases, 24
- Infection Control Practices, 24
- Death and Dying, 31
- Loss, Grief, and Mourning, 31
- What to Say, 32
- When It Is Someone You Know, 34
- Stress and Stress Management, 35
- Shift Work, 36
- Signs of Stress, 37
- Common Techniques for Managing Stress, 38
- Specific EMS Stresses, 39
- Mental Health Services, 40
- Disaster Mental Health Services, 40
- General Safety Considerations, 41
- Interpersonal Relations, 41
- Roadway Safety, 41
- Introduction, 49
- History of EMS, 51
- Ancient Times, 51
- The Eighteenth and Nineteenth Centuries, 51
- The Twentieth Century, 53
- EMS in the Future, 55
- The EMS Agenda for the Future, 55
- The National EMS Scope of Practice Model, 56
- The Twenty-First Century, 57
- Today’s EMS Systems, 59
- Local and State-Level Agencies, 59
- Medical Direction, 59
- Public Information and Education, 61
- Communications, 62
- Education and Certification, 64
- Patient Transportation, 68
- Receiving Facilities, 71
- Mutual Aid and Mass-Casualty Preparation, 72
- Quality Assurance and Improvement, 72
- Research, 75
- System Financing, 76
- Introduction, 83
- Primary Responsibilities, 83
- Preparation, 84
- Response, 84
- Scene Size-Up, 84
- Patient Assessment, 85
- Recognition of Illness or Injury, 86
- Patient Management, 86
- Appropriate Disposition, 87
- Patient Transfer, 89
- Documentation, 89
- Returning to Service, 90
- Additional Responsibilities, 90
- Community Involvement, 90
- Support for Primary Care, 91
- Citizen Involvement in EMS, 91
- Personal and Professional Development, 91
- Professionalism, 92
- Professional Ethics, 92
- Professional Attitudes, 93
- Professional Attributes, 94
- Continuing Education, 98
- Introduction, 104
- Epidemiology, 104
- Prevention Within EMS, 105
- Organizational Commitment, 105
- EMS Provider Commitment, 107
- Prevention in the Community, 109
- Areas of Need, 109
- Implementation of Prevention Strategies, 112
- Introduction, 120
- Legal Duties and Ethical Responsibilities, 120
- The Legal System, 121
- Anatomy of a Civil Lawsuit, 122
- Laws Affecting EMS and the Paramedic, 123
- Legal Accountability of the Paramedic, 125
- Negligence and Medical Liability, 125
- Special Liability Concerns, 129
- Paramedic-Patient Relationships, 130
- Confidentiality, 130
- Consent, 132
- Legal Complications Related to Consent, 137
- Reasonable Force, 138
- Patient Transportation, 138
- Resuscitation Issues, 139
- Advance Directives, 139
- Death in the Field, 142
- Crime and Accident Scenes, 143
- Duty to Report, 143
- Documentation, 144
- Introduction, 151
- Overview of Ethics, 151
- Relationship of Ethics to Law and Religion, 151
- Making Ethical Decisions, 152
- Codes of Ethics, 153
- Impact of Ethics on Individual Practice, 153
- The Fundamental Questions, 153
- Fundamental Principles, 154
- Resolving Ethical Conflicts, 155
- Ethical Issues in Contemporary Paramedic Practice, 158
- Resuscitation Attempts, 158
- Confidentiality, 160
- Consent, 162
- Allocation of Resources, 162
- Obligation to Provide Care, 163
- Teaching, 164
- Professional Relations, 164
- Research, 166
- Introduction, 173
- Part 1: The Cell and the Cellular Environment, 173
- The Normal Cell, 173
- Cell Structure, 174
- Cell Function, 176
- Tissues, 176
- Organs, Organ Systems, and the Organism, 177
- System Integration, 178
- How Cells Respond to Change and Injury, 181
- Cellular Adaptation, 182
- Cellular Injury, 183
- Cellular Death: Apoptosis and Necrosis, 187
- The Cellular Environment: Fluids and Electrolytes, 187
- Water, 188
- Electrolytes, 191
- Osmosis and Diffusion, 193
- Intravenous Therapy, 197
- Acid-Base Balance, 202
- The pH Scale, 202
- Bodily Regulation of Acid-Base Balance, 203
- Acid-Base Derangements, 205
- Part 2: Disease—Causes and Pathophysiology, 207
- Genetic and Other Causes of Disease, 207
- Genetics, Environment, Lifestyle, Age, and Gender, 207
- Family History and Associated Risk Factors, 209
- Hypoperfusion, 213
- The Physiology of Perfusion, 213
- The Pathophysiology of Hypoperfusion, 218
- Types of Shock, 223
- Multiple Organ Dysfunction Syndrome, 232
- Part 3: The Body’s Defenses Against Disease and Injury, 234
- Self-Defense Mechanisms, 234
- Infectious Agents, 235
- Three Lines of Defense, 237
- The Immune Response, 238
- How the Immune Response Works: An Overview, 238
- Characteristics of the Immune Response and Immunity, 239
- Induction of the Immune Response, 241
- Humoral Immune Response, 245
- Cell-Mediated Immune Response, 249
- Cellular Interactions in Immune Response, 251
- Fetal and Neonatal Immune Function, 252
- Aging and the Immune Response, 253
- Inflammation, 254
- Inflammation Contrasted to the Immune Response, 254
- How Inflammation Works: An Overview, 254
- Acute Inflammatory Response, 255
- Mast Cells, 256
- Plasma Protein Systems, 258
- Cellular Components of Inflammation, 261
- Cellular Products, 263
- Systemic Responses of Acute Inflammation, 263
- Chronic Inflammatory Responses, 264
- Local Inflammatory Responses, 264
- Resolution and Repair, 265
- Age and the Mechanisms of Self-Defense, 267
- Variances in Immunity and Inflammation, 267
- Hypersensitivity: Allergy, Autoimmunity, and Isoimmunity, 267
- Deficiencies in Immunity and Inflammation, 272
- Stress and Disease, 275
- Concepts of Stress, 275
- Stress Responses, 277
- Stress, Coping, and Illness Interrelationships, 282
- Introduction, 293
- Part 1: Basic Pharmacology, 293
- General Aspects, 293
- Names, 293
- Sources, 294
- Reference Materials, 294
- Components of a Drug Profile, 295
- Legal Aspects, 296
- Federal, 296
- State, 297
- Local, 297
- Standards, 297
- Drug Research and Bringing a Drug to Market, 298
- Phases of Human Studies, 299
- FDA Classification of Newly Approved Drugs, 299
- Patient Care Using Medications, 300
- Six Rights of Medication Administration, 300
- Special Considerations, 301
- Pharmacology, 304
- Pharmacokinetics, 304
- Pharmacodynamics, 312
- Part 2: Drug Classifications, 318
- Classifying Drugs, 318
- Drugs Used to Affect the Nervous System, 318
- Central Nervous System Medications, 319
- Autonomic Nervous System Medications, 331
- Drugs Used to Affect the Cardiovascular System, 346
- Cardiovascular Physiology Review, 346
- Classes of Cardiovascular Drugs, 351
- Drugs Used to Affect the Respiratory System, 363
- Antiasthmatic Medications, 363
- Drugs Used for Rhinitis and Cough, 365
- Drugs Used to Affect the Gastrointestinal System, 367
- Drugs Used to Treat Peptic Ulcer Disease, 367
- Drugs Used to Treat Constipation, 369
- Drugs Used to Treat Diarrhea, 369
- Drugs Used to Treat Emesis, 369
- Drugs Used to Aid Digestion, 370
- Drugs Used to Affect the Eyes, 371
- Drugs Used to Affect the Ears, 371
- Drugs Used to Affect the Endocrine System, 371
- Drugs Affecting the Pituitary Gland, 372
- Drugs Affecting the Parathyroid and Thyroid Glands, 373
- Drugs Affecting the Adrenal Cortex, 374
- Drugs Affecting the Pancreas, 374
- Drugs Affecting the Female Reproductive System, 377
- Drugs Affecting the Male Reproductive System, 378
- Drugs Affecting Sexual Behavior, 379
- Drugs Used to Treat Cancer, 379
- Drugs Used to Treat Infectious Diseases and Inflammation, 380
- Drugs Used to Affect the Skin, 382
- Drugs Used to Supplement the Diet, 382
- Vitamins and Minerals, 385
- Fluids and Electrolytes, 386
- Drugs Used to Treat Poisoning and Overdoses, 386
- Introduction, 395
- Part 1: Principles and Routes of Medication Administration, 395
- General Principles, 395
- Medical Direction, 396
- Standard Precautions, 396
- Medical Asepsis, 397
- Disposal of Contaminated Equipment and Sharps, 398
- Medication Administration and Documentation, 398
- Percutaneous Drug Administration, 399
- Transdermal Administration, 399
- Mucous Membranes, 399
- Pulmonary Drug Administration, 404
- Nebulizer, 404
- Metered Dose Inhaler, 405
- Endotracheal Tube, 407
- Enteral Drug Administration, 407
- Oral Administration, 408
- Gastric Tube Administration, 410
- Rectal Administration, 412
- Parenteral Drug Administration, 414
- Syringes and Needles, 414
- Medication Packaging, 415
- Parenteral Routes, 421
- Part 2: Intravenous Access, Blood Sampling, and Intraosseous Infusion, 430
- Intravenous Access, 430
- Types of Intravenous Access, 431
- Equipment and Supplies for Venous Access, 433
- Intravenous Access in the Hand, Arm, and Leg, 442
- Intravenous Access in the External Jugular Vein, 444
- Intravenous Access with a Measured Volume Administration Set, 446
- Intravenous Access with Blood Tubing, 446
- Factors Affecting Intravenous Flow Rates, 449
- Complications of Peripheral Intravenous Access, 450
- Changing an IV Bag or Bottle, 451
- Intravenous Drug Administration, 451
- Venous Blood Sampling, 461
- Removing a Peripheral IV, 465
- Intraosseous Infusion, 465
- Access Sites, 465
- Equipment for Intraosseous Access, 466
- Placing an Intraosseous Infusion, 468
- Intraosseous Access Complications and Precautions, 472
- Contraindications to Intraosseous Placement, 473
- Part 3: Medical Mathematics, 473
- Metric System, 473
- Conversion Between Prefixes, 474
- Household and Apothecary Systems of Measure, 475
- Weight Conversion, 475
- Temperature, 475
- Units, 476
- Medical Calculations, 476
- Calculating Dosages for Oral Medications, 477
- Converting Prefixes, 478
- Calculating Dosages for Parenteral Medications, 478
- Calculating Weight-Dependent Dosages, 479
- Calculating Infusion Rates, 479
- Introduction, 489
- Basic Elements of Communication, 489
- Trust and Rapport, 490
- Professional Behaviors, 490
- Communication Techniques, 492
- General Guidelines, 492
- Nonverbal Communication, 492
- Interview Techniques, 494
- Patients with Special Needs, 498
- Transferring Patient Care, 503
- Introduction, 508
- Infancy, 509
- Physiological Development, 509
- Psychosocial Development, 513
- Toddler and Preschool Age, 514
- Physiological Development, 514
- Psychosocial Development, 515
- School Age, 517
- Physiological Development, 517
- Psychosocial Development, 517
- Adolescence, 518
- Physiological Development, 518
- Psychosocial Development, 519
- Early Adulthood, 519
- Middle Adulthood, 520
- Late Adulthood, 521
- Physiological Development, 521
- Psychosocial Development, 524
- Introduction, 533
- Anatomy of the Respiratory System, 534
- Upper Airway Anatomy, 534
- Lower Airway Anatomy, 537
- The Pediatric Airway, 540
- Physiology of the Respiratory System, 541
- Respiration and Ventilation, 541
- Measuring Oxygen and Carbon Dioxide Levels, 543
- Regulation of Respiration, 546
- Respiratory Problems, 549
- Airway Obstruction, 549
- Inadequate Ventilation, 551
- Respiratory System Assessment, 551
- Initial Assessment, 551
- Focused History and Physical Examination, 553
- Noninvasive Respiratory Monitoring, 556
- Basic Airway Management, 564
- Manual Airway Maneuvers, 565
- Basic Mechanical Airways, 568
- Advanced Airway Management, 572
- Endotracheal Intubation, 572
- Nasotracheal Intubation, 604
- Field Extubation, 606
- Esophageal Tracheal Combitube, 607
- Pharyngotracheal Lumen Airway, 609
- Laryngeal Mask Airway, 611
- Cobra Perilaryngeal Airway, 613
- Ambu Laryngeal Mask, 613
- King LT Airway, 614
- Esophageal Gastric Tube and Esophageal Obturator Airways, 614
- Foreign Body Removal Under Direct Laryngoscopy, 615
- Surgical Airways, 615
- Approach to the Difficult Airway, 620
- Managing Patients with Stoma Sites, 627
- Suctioning, 629
- Suctioning Equipment, 629
- Suctioning Techniques, 630
- Gastric Distention and Decompression, 632
- Oxygenation, 633
- Oxygen Supply and Regulation, 633
- Oxygen Delivery Devices, 633
- Ventilation, 635
- Mouth-to-Mouth/Mouth-to-Nose Ventilation, 635
- Mouth-to-Mask Ventilation, 635
- Bag-Valve Devices, 636
- Bag-Valve Ventilation of Pediatric Patients, 637
- Demand Valve Device, 637
- Automatic Transport Ventilator, 638
- Documentation, 639
Precautions on Bloodborne Pathogens and Infectious Diseases, 665
Suggested Responses to “You Make the Call”, 667
Answers to “Review Questions”, 675
Glossary, 677
Index, 693
Product Details
- Hardcover: 750 pages
- Publisher: Prentice Hall; 3 edition (March 22, 2008)
- Language: English
- ISBN-10: 0135137047
- ISBN-13: 978-0135137048
- Product Dimensions: 11 x 8.7 x 1.4 inches
List Price: $78.67