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 3, Medical Emergencies, addresses the paramedic level of care in medical emergencies. Particular emphasis is placed on respiratory and cardiovascular emergencies, which are most common EMS medical calls.
- The cardiology chapter has been extensively updated. For example:
- A number of cardiac dysrhythmias are newly covered, including sinus block, sinus pause, sick sinus syndrome, supraventricular tachycardia, 2:1 AV block, junctional bradycardia, torsades de pointes, agonal rhythm, and P wave asystole -- in addition to the dysrhythmias covered in prior editions.
- Information is now included on distinguishing ST-segment elevation myocardial infarction (STEMI) from non-ST-segment elevation myocardial infarction (NSTEMI).
- Use of continuous positive airway pressure (CPAP) devices for the management of congestive heart failure is now covered.
- AHA standards. All five volumes have been updated to conform to the 2005 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care.
- New Feature, Assessment Perals - Highlight important assessment considerations and techniques.
Table of Contents
Volume 3 - Medical Emergencies
Chapter 1. Pulmonology, 1
- Introduction, 3
- Review of Respiratory Anatomy and Physiology, 4
- Upper Airway Anatomy, 5
- Lower Airway Anatomy, 7
- Physiological Processes, 10
- Pathophysiology, 17
- Disruption in Ventilation, 17
- Disruption in Diffusion, 19
- Disruption in Perfusion, 19
- Assessment of the Respiratory System, 20
- Scene Size-Up, 20
- Initial Assessment, 21
- Focused History and Physical Examination, 23
- Management of Respiratory Disorders, 33
- Management Principles, 33
- Specific Respiratory Diseases, 34
- Upper Airway Obstruction, 34
- Noncardiogenic Pulmonary Edema/Adult Respiratory Distress Syndrome, 35
- Obstructive Lung Disease, 37
- Emphysema, 38
- Chronic Bronchitis, 40
- Asthma, 42
- Upper Respiratory Infection, 45
- Pneumonia, 48
- Severe Acute Respiratory Syndrome (SARS), 50
- Lung Cancer, 51
- Toxic Inhalation, 53
- Carbon Monoxide Inhalation, 54
- Pulmonary Embolism, 55
- Spontaneous Pneumothorax, 57
- Hyperventilation Syndrome, 57
- Central Nervous System Dysfunction, 59
- Dysfunction of the Spinal Cord, Nerves, or Respiratory Muscles, 59
Chapter 2. Cardiology, 64
- Introduction, 71
- Part 1: Cardiovascular Anatomy and Physiology, ECG Monitoring, and Dysrhythmia Analysis, 73
- Cardiovascular Anatomy, 73
- Anatomy of the Heart, 73
- Anatomy of the Peripheral Circulation, 77
- Cardiac Physiology, 79
- The Cardiac Cycle, 79
- Nervous Control of the Heart, 82
- The Heart as an Endocrine Organ, 82
- Role of Electrolytes, 85
- Electrophysiology, 85
- Electrocardiographic Monitoring, 90
- The Electrocardiogram, 90
- Relationship of the ECG to Electrical Events in the Heart, 94
- Interpretation of Rhythm Strips, 101
- Dysrhythmias, 103
- Mechanism of Impulse Formation, 103
- Classification of Dysrhythmias, 104
- Dysrhythmias Originating in the SA Node, 104
- Dysrhythmias Originating in the Atria, 113
- Dysrhythmias Originating Within the AV Junction (AV Blocks), 123
- Dysrhythmias Sustained or Originating in the AV Junction, 130
- Dysrhythmias Originating in the Ventricles, 134
- Pulseless Electrical Activity, 148
- Dysrhythmias Resulting from Disorders of Conduction, 149
- ECG Changes Due to Electrolyte Abnormalities and Hypothermia, 151
- Part 2: Assessment and Management of the Cardiovascular Patient, 153
- Assessment of the Cardiovascular Patient, 153
- Scene Size-Up and Initial Assessment, 154
- Focused History, 154
- Physical Examination, 159
- Management of Cardiovascular Emergencies, 163
- Basic Life Support, 163
- Advanced Life Support, 163
- Monitoring ECG in the Field, 163
- Vagal Maneuvers, 166
- Precordial Thump, 167
- Pharmacological Management, 167
- Defibrillation, 172
- Emergency Synchronized Cardioversion, 175
- Transcutaneous Cardiac Pacing, 176
- Carotid Sinus Massage, 179
- Support and Communication, 181
- Managing Specific Cardiovascular Emergencies, 182
- Acute Coronary Syndrome, 183
- Angina Pectoris, 184
- Myocardial Infarction, 187
- Heart Failure, 196
- Cardiac Tamponade, 202
- Hypertensive Emergencies, 205
- Cardiogenic Shock, 206
- Cardiac Arrest, 209
- Peripheral Vascular and Other Cardiovascular Emergencies, 215
- Part 3: 12-Lead ECG Monitoring and Interpretation, 219
- Reviewing the Cardiac Conductive System, 220
- ECG Recording, 220
- ECG Leads, 222
- Bipolar Limb Leads, 224
- Unipolar or Augmented Limb Leads, 224
- Precordial Leads, 225
- Mean QRS Axis Determination, 227
- Axis Deviation, 227
- The Normal 12-Lead ECG, 230
- Disease Findings, 230
- Evolution of Acute Coronary Syndrome, 232
- Localization of Acute Myocardial Infarction, 236
- Conduction Abnormalities, 245
- AV Blocks, 245
- Bundle Branch Blocks, 246
- Chamber Enlargement, 250
- Prehospital ECG Monitoring, 256
- Prehospital 12-Lead ECG Monitoring, 256
Chapter 3. Neurology, 265
- Introduction, 268
- Anatomy and Physiology, 268
- The Central Nervous System, 268
- The Peripheral Nervous System, 279
- The Autonomic Nervous System, 280
- Pathophysiology, 280
- Alteration in Cognitive Systems, 280
- Central Nervous System Disorders, 280
- Cerebral Homeostasis, 282
- Peripheral Nervous System Disorders, 282
- General Assessment Findings, 282
- Scene Size-Up and Initial Assessment, 282
- Focused History and Physical Exam, 284
- Ongoing Assessment, 292
- Management of Specific Nervous System Emergencies, 292
- Altered Mental Status, 293
- Stroke and Intracranial Hemorrhage, 294
- Seizures and Epilepsy, 302
- Syncope, 307
- Headache, 308
- “Weak and Dizzy”, 310
- Neoplasms, 311
- Brain Abscess, 312
- Degenerative Neurologic Disorders, 313
- Back Pain and Nontraumatic Spinal Disorders, 316
Chapter 4. Endocrinology, 323
- Introduction, 326
- Anatomy and Physiology, 326
- Hypothalamus, 327
- Pituitary Gland, 330
- Thyroid Gland, 332
- Parathyroid Glands, 333
- Thymus Gland, 333
- Pancreas, 333
- Adrenal Glands, 334
- Gonads, 335
- Pineal Gland, 336
- Other Organs with Endocrine Activity, 336
- Endocrine Disorders and Emergencies, 337
- Disorders of the Pancreas, 337
- Disorders of the Thyroid Gland, 347
- Disorders of the Adrenal Glands, 350
Chapter 5. Allergies and Anaphylaxis, 356
- Introduction, 358
- Pathophysiology, 358
- The Immune System, 359
- Allergies, 361
- Anaphylaxis, 363
- Assessment Findings in Anaphylaxis, 364
- Management of Anaphylaxis, 366
- Protect the Airway, 368
- Administer Medications, 368
- Offer Psychological Support, 369
- Assessment Findings in Allergic Reaction, 370
- Management of Allergic Reactions, 370
- Patient Education, 371
Chapter 6. Gastroenterology, 375
- Introduction, 378
- General Pathophysiology, Assessment, and Treatment, 378
- General Pathophysiology, 378
- General Assessment, 380
- General Treatment, 383
- Specific Illnesses, 383
- Upper Gastrointestinal Diseases, 383
- Lower Gastrointestinal Diseases, 391
- Accessory Organ Diseases, 401
Chapter 7. Urology and Nephrology, 410
- Introduction, 413
- Anatomy and Physiology, 414
- Kidneys, 414
- Ureters, 419
- Urinary Bladder, 419
- Urethra, 419
- Testes, 419
- Epididymis and Vas Deferens, 420
- Prostate Gland, 420
- Penis, 420
- General Mechanisms of Nontraumatic Tissue Problems, 421
- General Pathophysiology, Assessment, and Management, 421
- Pathophysiologic Basis of Pain, 421
- Assessment and Management, 422
- Renal and Urologic Emergencies, 426
- Acute Renal Failure, 426
- Chronic Renal Failure, 430
- Renal Calculi, 435
- Priapism, 438
- Urinary Tract Infection, 439
Chapter 8. Toxicology and Substance Abuse, 444
- Introduction, 447
- Epidemiology, 447
- Poison Control Centers, 448
- Routes of Toxic Exposure, 448
- Ingestion, 448
- Inhalation, 449
- Surface Absorption, 449
- Injection, 449
- General Principles of Toxicologic Assessment and Management, 450
- Scene Size-Up, 450
- Initial Assessment, 451
- History, Physical Exam, and Ongoing Assessment, 451
- Treatment, 451
- Suicidal Patients and Protective Custody, 452
- Ingested Toxins, 453
- Inhaled Toxins, 455
- Surface-Absorbed Toxins, 456
- Specific Toxins, 457
- Carbon Monoxide, 457
- Cyanide, 468
- Cardiac Medications, 471
- Caustic Substances, 473
- Hydrofluoric Acid, 474
- Alcohol, 475
- Hydrocarbons, 475
- Tricyclic Antidepressants, 476
- MAO Inhibitors, 477
- Newer Antidepressants, 478
- Lithium, 479
- Salicylates, 481
- Acetaminophen, 481
- Other Nonprescription Pain Medications, 482
- Theophylline, 483
- Metals, 484
- Contaminated Food, 485
- Poisonous Plants and Mushrooms, 486
- Injected Toxins, 487
- General Principles of Management, 487
- Insect Bites and Stings, 488
- Snakebites, 493
- Marine Animal Injection, 497
- Ciguatera Poisoning, 498
- Substance Abuse and Overdose, 499
- Drugs of Abuse, 500
- Alcohol Abuse, 503
- Physiological Effects, 503
- General Alcoholic Profile, 504
- Consequences of Chronic Alcohol Ingestion, 504
Chapter 9. Hematology, 510
- Introduction, 512
- Anatomy, Physiology, and Pathophysiology, 512
- Components of Blood, 513
- Hemostasis, 521
- Blood Products and Blood Typing, 524
- Transfusion Reactions, 526
- General Assessment and Management, 526
- Scene Size-Up, 527
- Initial Assessment, 527
- Focused History and Physical Exam, 527
- General Management of Hematopoietic Emergencies, 532
- Managing Specific Patient Problems, 532
- Diseases of the Red Blood Cells, 532
- Diseases of the White Blood Cells, 536
- Diseases of the Platelets/Blood Clotting Abnormalities, 538
- Other Hematopoietic Disorders, 540
Chapter 10. Environmental Emergencies, 544
- Introduction, 547
- Homeostasis, 547
- Pathophysiology of Heat and Cold Disorders, 548
- Mechanisms of Heat Gain and Loss, 548
- Thermogenesis (Heat Generation), 548
- Thermolysis (Heat Loss), 548
- Thermoregulation, 549
- Heat Disorders, 551
- Hyperthermia, 551
- Predisposing Factors, 552
- Preventive Measures, 552
- Specific Heat Disorders, 553
- Role of Dehydration in Heat Disorders, 557
- Fever (Pyrexia), 558
- Cold Disorders, 559
- Hypothermia, 559
- Mechanisms of Heat Conservation and Loss, 559
- Predisposing Factors, 559
- Preventive Measures, 560
- Degrees of Hypothermia, 560
- Assessment and Management of Hypothermia, 562
- Frostbite, 566
- Trench Foot, 567
- Drowning, 567
- Pathophysiology of Drowning, 568
- Treatment for Drowning, 570
- Diving Emergencies, 571
- The Effects of Air Pressure on Gases, 571
- Pathophysiology of Diving Emergencies, 572
- Classification of Diving Injuries, 572
- General Assessment of Diving Emergencies, 574
- Pressure Disorders, 574
- Other Diving-Related Illnesses, 578
- Divers Alert Network, 578
- High Altitude Illness, 578
- Prevention, 579
- Types of High Altitude Illness, 580
- Nuclear Radiation, 582
- Basic Nuclear Physics, 582
- Effects of Radiation on the Body, 583
- Principles of Safety, 584
- Management, 586
Chapter 11. Infectious Disease, 591
- Introduction, 594
- Public Health Principles, 595
- Public Health Agencies, 596
- Microorganisms, 596
- Bacteria, 597
- Viruses, 598
- Other Microorganisms, 599
- Contraction, Transmission, and Stages of Disease, 601
- Phases of the Infectious Process, 603
- The Body’s Defenses Against Disease, 603
- The Immune System, 604
- The Complement System, 605
- The Lymphatic System, 605
- Individual Host Immunity, 606
- Infection Control in Prehospital Care, 607
- Preparation for Response, 607
- Response, 608
- Patient Contact, 608
- Recovery, 610
- Infectious Disease Exposures, 612
- Assessment of the Patient with Infectious Disease, 613
- Past Medical History, 614
- The Physical Examination, 614
- Selected Infectious Diseases, 615
- Diseases of Immediate Concern to EMS Providers, 615
- Other Infectious Conditions of the Respiratory System, 637
- GI System Infections, 639
- Nervous System Infections, 641
- Sexually Transmitted Diseases, 646
- Diseases of the Skin, 651
- Nosocomial Infections, 654
- Patient Education, 654
- Preventing Disease Transmission, 654
Chapter 12. Psychiatric and Behavioral Disorders, 660
- Introduction, 662
- Behavioral Emergencies, 662
- Pathophysiology of Psychiatric Disorders, 663
- Biological, 664
- Psychosocial, 664
- Sociocultural, 664
- Assessment of Behavioral Emergency Patients, 664
- Scene Size-Up, 665
- Initial Assessment, 665
- Focused History and Physical Examination, 666
- Mental Status Examination, 667
- Psychiatric Medications, 668
- Specific Psychiatric Disorders, 668
- Cognitive Disorders, 669
- Schizophrenia, 669
- Anxiety and Related Disorders, 671
- Mood Disorders, 672
- Substance-Related Disorders, 674
- Somatoform Disorders, 674
- Factitious Disorders, 675
- Dissociative Disorders, 675
- Eating Disorders, 676
- Personality Disorders, 676
- Impulse Control Disorders, 678
- Suicide, 679
- Age-Related Conditions, 680
- Excited Delirium, 681
- Management of Behavioral Emergencies, 682
- Medical, 682
- Psychological, 682
- Violent Patients and Restraint, 683
- Methods of Restraint, 684
Chapter 13. Gynecology, 691
- Introduction, 693
- Anatomy and Physiology, 693
- Female Reproductive Organs, 694
- The Menstrual Cycle, 698
- The Proliferative Phase, 698
- The Secretory Phase, 698
- The Ischemic Phase, 699
- The Menstrual Phase, 699
- Assessment of the Gynecological Patient, 699
- History, 700
- Physical Exam, 701
- Management of Gynecological Emergencies, 702
- Specific Gynecological Emergencies, 703
- Medical Gynecological Emergencies, 703
- Traumatic Gynecological Emergencies, 707
Chapter 14. Obstetrics, 712
- Introduction, 714
- The Prenatal Period, 714
- Anatomy and Physiology of the Obstetric Patient, 714
- Fetal Development, 718
- Fetal Circulation, 720
- General Assessment of the Obstetric Patient, 723
- Initial Assessment, 723
- History, 723
- Physical Examination, 725
- General Management of the Obstetric Patient, 725
- Complications of Pregnancy, 726
- Trauma, 726
- Medical Conditions, 727
- Bleeding in Pregnancy, 727
- Medical Complications of Pregnancy, 732
- Braxton-Hicks Contractions, 736
- Preterm Labor, 736
- The Puerperium, 737
- Labor, 738
- Management of a Patient in Labor, 739
- Field Delivery, 741
- Neonatal Care, 744
- Abnormal Delivery Situations, 747
- Other Delivery Complications, 750
- Maternal Complications of Labor and Delivery, 753
Precautions on Bloodborne Pathogens and Infectious Diseases, 759
Suggested Responses to “You Make the Call”, 761
Answers to “Review Questions”, 769
Glossary, 771
Index, 789
Product Details
- Hardcover: 888 pages
- Publisher: Prentice Hall; 3 edition (March 20, 2008)
- Language: English
- ISBN-10: 0135137020
- ISBN-13: 978-0135137024
- Product Dimensions: 10.6 x 8.7 x 1.4 inches
List Price: $80.00