Paramedic Care: Principles Practice, Volume 2: Patient Assessment / Edition 1

Paramedic Care: Principles Practice, Volume 2: Patient Assessment / Edition 1

by Robert S. Porter, Bryan E. Bledsoe, Richard A. Cherry
     
 

ISBN-10: 013021597X

ISBN-13: 9780130215970

Pub. Date: 12/17/1999

Publisher: Prentice Hall

Paramedic Care: Principles & Practice is the first text program to take the student beyond the skills necessary to practice as a paramedic and into the underlying principles upon which those practices are based. Correlated to the U.S. Department of Transportation's 1998 National Standard Curriculum for EMT -- Paramedic, this series of textbooks provides all the

Overview

Paramedic Care: Principles & Practice is the first text program to take the student beyond the skills necessary to practice as a paramedic and into the underlying principles upon which those practices are based. Correlated to the U.S. Department of Transportation's 1998 National Standard Curriculum for EMT -- Paramedic, this series of textbooks provides all the background content and skills coverage required for paramedic education.

Product Details

ISBN-13:
9780130215970
Publisher:
Prentice Hall
Publication date:
12/17/1999
Edition description:
Older Edition
Pages:
312
Product dimensions:
8.64(w) x 11.12(h) x 0.77(d)

Table of Contents

Series Prefacexiii
Preface to Volume 2xv
Acknowledgmentsxvii
About the Authorsxix
Noticesxxi
Precautions on Bloodborne Pathogens and Infectious Diseasesxxiii
Chapter 1The History2
Introduction5
Establishing Patient Rapport5
Setting the Stage5
The First Impression6
Introductions7
Asking Questions8
Language and Communication9
Taking a History on Sensitive Topics10
The Comprehensive Patient History11
Preliminary Data11
The Chief Complaint11
The Present Illness12
The Past History13
Current Health Status14
Review of Systems17
Special Challenges19
Silence19
Overly Talkative Patients19
Patients with Multiple Symptoms20
Anxious Patients20
Patients Needing Reassurance20
Anger and Hostility20
Intoxication21
Crying21
Depression21
Sexually Attractive or Seductive Patients21
Confusing Behaviors or Histories21
Limited Intelligence22
Language Barriers22
Hearing Problems22
Blindness23
Talking with Families or Friends23
Chapter 2Physical Exam Techniques26
Physical Examination Approach and Overview28
Examination Techniques29
Equipment37
The General Approach40
Overview of a Comprehensive Examination41
The General Survey41
Anatomical Regions49
The Skin49
The Hair53
The Nails55
The Head57
The Eyes59
The Ears65
The Nose67
The Mouth70
The Neck74
The Chest and Lungs77
The Cardiovascular System83
The Abdomen89
The Female Genitalia95
The Male Genitalia98
The Anus99
The Musculoskeletal System100
The Peripheral Vascular System128
The Nervous System133
Physical Examination of Infants and Children158
Building Patient and Family Rapport158
General Appearance and Behavior158
Anatomy and the Physical Exam160
Recording Examination Findings164
Chapter 3Patient Assessment in the Field170
Scene Size-Up174
Body Substance Isolation175
Scene Safety176
Location of All Patients182
Mechanism of Injury184
Nature of the Illness185
The Initial Assessment185
Forming a General Impression186
Mental Status187
Airway Assessment189
Breathing Assessment194
Circulation Assessment195
Priority Determination198
The Focused History and Physical Exam200
The Major Trauma Patient200
The Isolated Injury Trauma Patient212
The Responsive Medical Patient213
The Unresponsive Medical Patient220
The Detailed Physical Exam222
Vital Signs228
Recording Exam Findings228
Ongoing Assessment229
Mental Status229
Airway Patency229
Breathing Rate and Quality229
Pulse Rate and Quality231
Skin Condition231
Transport Priorities231
Vital Signs231
Focused Assessment231
Effects of Interventions231
Management Plans232
Chapter 4Clinical Decision Making234
Introduction236
Paramedic Practice237
Patient Acuity237
Protocols and Algorithms238
Critical Thinking Skills240
Fundamental Knowledge and Abilities240
Useful Thinking Styles242
Thinking Under Pressure243
Mental Check List243
The Critical Decision Process244
Form a Concept245
Interpret the Data245
Apply the Principles246
Evaluate246
Reflect246
Putting It All Together247
Chapter 5Communications250
Introduction to Communication252
Basic Communication Model253
Verbal Communication254
Written Communication255
Terminology256
The EMS Response257
Communication Technology260
Radio Communication261
Alternative Technologies263
New Technology264
Reporting Procedures265
Standard Format265
General Radio Procedures266
Model Verbal Reports267
Regulation268
Chapter 6Documentation270
Introduction272
Uses for Documentation273
Medical273
Administrative274
Research274
Legal274
General Considerations274
Medical Terminology275
Abbreviations and Acronyms275
Times285
Communications285
Pertinent Negatives286
Oral Statements286
Additional Resources286
Elements of Good Documentation287
Completeness and Accuracy287
Legibility287
Timeliness289
Absence of Alterations289
Professionalism290
Narrative Writing290
Narrative Sections290
General Formats293
Special Considerations296
Patient Refusals296
Services Not Needed297
Mass Casualty Incidents298
Consequences of Inappropriate Documentation299
Closing300

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