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

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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.

The book contains color illustrations.

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Editorial Reviews

Doody's Review Service
Reviewer: Marc M. Meyer, RN, MS, LP (City of Houston)
Description: This book is part of a five volume series designed to expand on the patient assessment material contained in Bledsoe's previous paramedic text, Paramedic Emergency Care (Prentice Hall, 1997).
Purpose: This new volume is designed to be the text for a course in patient assessment at the paramedic level.
Audience: It is aimed at paramedic students, especially those in degree-based EMS programs. The series is written primarily for paramedic students in classes following the 1998 USDOT EMT-Paramedic National Standard Curriculum.
Features: This text is organized into six chapters. In Chapters 1-3 the focus is on the nuts and bolts of patient assessment for paramedics, including detailed information on expanded patient assessment techniques. Clinical decision-making is covered in Chapter 4, and is new material for paramedic texts. In Chapters 5 and 6 the focus is on communicating the assessment information to other members of the healthcare team. There are ample illustrations and photos demonstrating procedures and equipment used in patient assessment and communication. Important information is summarized and key points are flagged in the margins of the text, drawing attention to those points not to be missed.
Assessment: Considering that the same material in Bledsoe's previous text was covered in two chapters and only 58 pages, a volume of over 300 pages clearly is in line with the increased emphasis on educating paramedics to be professional healthcare providers . The wealth of information contained in this volume easily exceeds that in any other paramedic text in both detail and depth. The chapter on clinical decision making is a first in a paramedic text, and is a welcome adjunct to a field that is evolving in new and exciting directions. If the rest of this series meets the potential shown by this volume, the series will be the new standard in paramedic texts.
Marc M. Meyer
This book is part of a five volume series designed to expand on the patient assessment material contained in Bledsoe's previous paramedic text, Paramedic Emergency Care (Prentice Hall, 1997). "This new volume is designed to be the text for a course in patient assessment at the paramedic level. "It is aimed at paramedic students, especially those in degree-based EMS programs. The series is written primarily for paramedic students in classes following the 1998 USDOT EMT-Paramedic National Standard Curriculum. "This text is organized into six chapters. In Chapters 1-3 the focus is on the nuts and bolts of patient assessment for paramedics, including detailed information on expanded patient assessment techniques. Clinical decision-making is covered in Chapter 4, and is new material for paramedic texts. In Chapters 5 and 6 the focus is on communicating the assessment information to other members of the healthcare team. There are ample illustrations and photos demonstrating procedures and equipment used in patient assessment and communication. Important information is summarized and key points are flagged in the margins of the text, drawing attention to those points not to be missed. "Considering that the same material in Bledsoe's previous text was covered in two chapters and only 58 pages, a volume of over 300 pages clearly is in line with the increased emphasis on educating paramedics to be professional healthcare providers . The wealth of information contained in this volume easily exceeds that in any other paramedic text in both detail and depth. The chapter on clinical decision making is a first in a paramedic text, and is a welcome adjunct to a field that isevolving in new and exciting directions. If the rest of this series meets the potential shown by this volume, the series will be the new standard in paramedic texts.

4 Stars! from Doody
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Product Details

  • ISBN-13: 9780130215970
  • Publisher: Prentice Hall
  • Publication date: 12/17/1999
  • Edition description: Older Edition
  • Edition number: 1
  • Pages: 312
  • Product dimensions: 8.64 (w) x 11.12 (h) x 0.77 (d)

Read an Excerpt

PREFACE:

Series Preface

Congratulations on your decision to further your EMS career by undertaking the course of education required for certification as an Emergency Medical TechnicianParamedic! The world of paramedic emergency care is one that you will find both challenging and rewarding. Whether you will be working as a volunteer or paid paramedic, you will find the field of advanced prehospital care very interesting.

This textbook will serve as your guide and reference to advanced out-of-hospital care. It is based upon the 1998 United States Department of Transportation EMT Paramedic National Standard Curriculum and is divided into five volumes. The first volume is entitled Introduction to Advanced Prehospital Care and addresses the fundamentals of paramedic practice, including pathophysiology, pharmacology, medication administration and advanced airway management. The second volume, Patient Assessment, builds on the assessment skills of the basic EMT with special emphasis on advanced patient assessment at the scene. The third volume of the series, Medical Emergencies, is the most extensive and addresses paramedic level care of medical emergencies. Particular emphasis is placed upon the most common medical problems; respiratory and cardiovascular emergencies. Trauma Emergencies, the fourth volume of the text, discusses advanced prehospital care from the mechanism of injury analysis to shock/trauma resuscitation. The last volume in the series addresses Special Considerations/Operations including neonatal, pediatric, geriatric, home health care, and specially challenged patients, and incident command, ambulance service,rescue, hazardous material, and crime scene operations. These five volumes will help prepare you for the challenges of prehospital care.

SKILLS

The psychomotor skills of fluid and medication administration, advanced airway care, ECG monitoring and defibrillation, and advanced medical and trauma patient care are best learned in the classroom, skills laboratory, and then the clinical and field setting. Common advanced prehospital skills are discussed in the text as well as outlined in the accompanying procedure sheets. Review these before and while practicing the skill. It is important to point out that this or any other text cannot teach skills. Care skills are only learned under the watchful eye of a paramedic instructor and perfected during your clinical and field internship.

HOW TO USE THIS TEXTBOOK

Paramedic Care: Principles & Practice is designed to accompany a paramedic education program that follows the 1998 United States Department of Transportation Emergency Medical Technician-Paramedic: National Standard Curriculum. The education program should include ample classroom, practical labratory, in-hospital clinical, and prehospital field experience. These educational experiences must be guided by instructors and preceptors with special training `.and experience in their areas of participation in your program.

It is intended that your program coordinator will assign reading from Paramedic Care: Principles & Practice in preparation for each classroom lecture and discussion section. The knowledge gained from reading this text will form the foundation of the information you will need in order to function effectively as a paramedic in your EMS system. Your instructors will build upon this information to strengthen your knowledge and understanding of advanced prehospital care so that you may apply it in your practice. The in-hospital clinical and prehospital field experiences will further refine your knowledge and skills under the watchful eyes of your preceptors.

In preparing for each classroom session, read the assigned chapter carefully. First, review the chapter objectives. They will identify important concepts to be learned from the reading. Read the Case Study to get a feeling of why a chapter is important and how the knowledge it contains can be applied in the field. Read the chapter content carefully, while keeping the chapter objectives in mind. Read the You Make the Call feature and answer the questions to assure you understand the application of the knowledge presented in the chapter. Last, re-read the chapter objectives and be sure that you are able to answer each one completely. If you cannot, reread the section of the chapter to which the objective relates. If you still do not understand the objective or any portion of what you have read, ask your instructor to explain it at your next class session.

Ideally, you should read this entire text series at least three times. The volume chapter should be read in preparation for the class session, the entire volume should be read before the division or course test, and the entire text series should be reread before the program final exam and/or certification testing. While this might seem like a lot of reading, it will improve your classroom performance, your knowledge of emergency care, and ultimately, the care you provide to emergency patients.

The workbook that accompanies this text can also assist in improving classroom performance. It contains information, sample test questions, and exercises designed to assist learning. Its use can be very helpful in identifying the important elements of paramedic education, in exercising the knowledge of prehospital care, and in helping you self-test your knowledge.

Paramedic Care: Principles & Practice presents the knowledge of emergency care in as accurate, standardized, and clear a manner as is possible. However, each EMS system is uniquely different, and it is beyond the scope of this text to address all differences. You must count heavily on your instructors, the program coordinator, and ultimately the program medical director to identify how specific emergency care procedures are applied in your system.

Preface to Volume 2, Patient Assesment

The authors of the 1998 U.S. DOT EMT-Paramedic National Standard Curriculum have made one thing perfectly clear. They are no longer interested in training programs that prepare technicians, or skilled tradesmen, at the paramedic level. Twenty-first century paramedics are practitioners of emergency field medicine and professional health care clinicians. The expanded curriculum provides both a broad-based medical education and a specific, intensive training program. They designed it to prepare paramedics to perform their traditional role as providers of emergency field medicine. They also have provided a much broader foundation in anatomy and physiology, patient assessment, pathophysiology of disease, and pharmacology. This dual-purpose curriculum will allow paramedics to expand their roles in the health care industry. This change in philosophy marks a new ' beginning for the paramedic field. Patient Assessment reflects that philosophy.

This book provides paramedic students with the principles of patient assessment. The first two chapters present the techniques of conducting a comprehensive history and physical exam. The remaining chapters discuss ways to integrate the techniques learned in the first two chapters to real patient situations. Like the entire curriculum, this book is both broad-based and specific.

Chapter 1 "The History" provides the basic components of a complete health history. The components include the chief complaint, the present history, the past history, the current health status, and the review of systems. It is comprehensive and not meant to be used in its entirety in emergency field situations. It also discusses how to effectively conduct an interview and use nonverbal communication skills to elicit vital information from your patients. In addition, it t, provides suggestions for communicating with difficult patients, hostile patients, and patients with language barriers.

Chapter 2 "Physical Exam Techniques" presents the techniques of conducting a comprehensive physical exam. Like the history, it is complete and not intended for all situations. With time and clinical experience you will learn which . components of the history and physical exam are appropriate to assess and man" age your particular situation. If you are hired to conduct pre-employment physical exams, you may use the history and physical exam in its entirety. If you are assessing and managing a critical patient in the field, you will select those components most appropriate for your situation. Topics in this chapter include assessing the skin; the head; the neck; the chest along with the respiratory and care diovascular systems; the abdomen and digestive system; the extremities and musculoskeletal system; the peripheral vascular system; and how to conduct a comprehensive neurological exam. With each section is a review of the anatomy and physiology of the areas you are examining.

Chapter 3 "Patient Assessment in the Field" offers a practical approach to conducting problem-oriented history and physical exams. It deals with ways to use your new skills to assess patients in the field. With time and clinical experience, you will learn which components are appropriate for different situations. Topics include scene safety; the initial assessment; the focused history and physical exam for the following types of patients: responsive medical patient, unresponsive medical patient, trauma patient with significant mechanism of injury, and the trauma patient with an isolated injury; the detailed physical exam, and the ongoing assessment.

Chapter 4 "Clinical Decision Making" provides the basic steps for making clinical decisions. It describes each step in detail and discusses how to think critically in emergency situations. Topics include forming a concept, interpreting the data, applying principles of emergency medicine, evaluating your treatment plan, and reflecting on your care after the emergency response. This chapter is unique to emergency medical services textbooks.

Chapter 5 "Communications" deals with verbal communication. Communication is the key component that links every phase of an EMS response and helps ensure a continuity of care. Topics include the principles of communication, communication during the different phases of an EMS response, communication technology, and giving a medical report. We have provided several examples of typical radio medical reports.

Chapter 6 "Documentation" deals with writing a Prehospital Care Report, or PCR. Topics include the use of medical terminology and abbreviations, the elements of a good report, writing the narrative, and dealing with patient refusals. Again, we have provided examples of the various narrative writing styles.

This volume, Patient Assessment, describes how to conduct a comprehensive history and physical exam and document your findings appropriately. It also describes how to perform a problem-oriented patient assessment on a real patient in the field, report your findings to your medical direction physician, and document the response on your PCR. It represents the philosophy of the new paramedic curriculum and helps the student prepare to meet the challenge of being a twenty-first century paramedic. Good luck!

Brady's Paramedic Care: Principles & Practice, is a five-volume series designed to provide educational enrichment as prescribed by the 1998 U.S. DOT EMT—Paramedic National Standard Curriculum. 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. Volume 2, Patient Assessment adds the cognitive and psychomotor skills of patient assessment, communications, and documentation. This knowledge base expands as the series applies it to the medical patient in Volume 3, Medical Emergencies and to the trauma patient in Volume 4, Trauma Emergencies. Volume 5, Special Considerations/Operations enriches these general patient care concepts and principles with applications to special patients and circumstances we commonly see as paramedics. The product of this complete and integrated series is a set of principles of paramedic care you will be required to practice in the 21st century.

Read More Show Less

Table of Contents

Series Preface xiii
Preface to Volume 2 xv
Acknowledgments xvii
About the Authors xix
Notices xxi
Precautions on Bloodborne Pathogens and Infectious Diseases xxiii
Chapter 1 The History 2
Introduction 5
Establishing Patient Rapport 5
Setting the Stage 5
The First Impression 6
Introductions 7
Asking Questions 8
Language and Communication 9
Taking a History on Sensitive Topics 10
The Comprehensive Patient History 11
Preliminary Data 11
The Chief Complaint 11
The Present Illness 12
The Past History 13
Current Health Status 14
Review of Systems 17
Special Challenges 19
Silence 19
Overly Talkative Patients 19
Patients with Multiple Symptoms 20
Anxious Patients 20
Patients Needing Reassurance 20
Anger and Hostility 20
Intoxication 21
Crying 21
Depression 21
Sexually Attractive or Seductive Patients 21
Confusing Behaviors or Histories 21
Limited Intelligence 22
Language Barriers 22
Hearing Problems 22
Blindness 23
Talking with Families or Friends 23
Chapter 2 Physical Exam Techniques 26
Physical Examination Approach and Overview 28
Examination Techniques 29
Equipment 37
The General Approach 40
Overview of a Comprehensive Examination 41
The General Survey 41
Anatomical Regions 49
The Skin 49
The Hair 53
The Nails 55
The Head 57
The Eyes 59
The Ears 65
The Nose 67
The Mouth 70
The Neck 74
The Chest and Lungs 77
The Cardiovascular System 83
The Abdomen 89
The Female Genitalia 95
The Male Genitalia 98
The Anus 99
The Musculoskeletal System 100
The Peripheral Vascular System 128
The Nervous System 133
Physical Examination of Infants and Children 158
Building Patient and Family Rapport 158
General Appearance and Behavior 158
Anatomy and the Physical Exam 160
Recording Examination Findings 164
Chapter 3 Patient Assessment in the Field 170
Scene Size-Up 174
Body Substance Isolation 175
Scene Safety 176
Location of All Patients 182
Mechanism of Injury 184
Nature of the Illness 185
The Initial Assessment 185
Forming a General Impression 186
Mental Status 187
Airway Assessment 189
Breathing Assessment 194
Circulation Assessment 195
Priority Determination 198
The Focused History and Physical Exam 200
The Major Trauma Patient 200
The Isolated Injury Trauma Patient 212
The Responsive Medical Patient 213
The Unresponsive Medical Patient 220
The Detailed Physical Exam 222
Vital Signs 228
Recording Exam Findings 228
Ongoing Assessment 229
Mental Status 229
Airway Patency 229
Breathing Rate and Quality 229
Pulse Rate and Quality 231
Skin Condition 231
Transport Priorities 231
Vital Signs 231
Focused Assessment 231
Effects of Interventions 231
Management Plans 232
Chapter 4 Clinical Decision Making 234
Introduction 236
Paramedic Practice 237
Patient Acuity 237
Protocols and Algorithms 238
Critical Thinking Skills 240
Fundamental Knowledge and Abilities 240
Useful Thinking Styles 242
Thinking Under Pressure 243
Mental Check List 243
The Critical Decision Process 244
Form a Concept 245
Interpret the Data 245
Apply the Principles 246
Evaluate 246
Reflect 246
Putting It All Together 247
Chapter 5 Communications 250
Introduction to Communication 252
Basic Communication Model 253
Verbal Communication 254
Written Communication 255
Terminology 256
The EMS Response 257
Communication Technology 260
Radio Communication 261
Alternative Technologies 263
New Technology 264
Reporting Procedures 265
Standard Format 265
General Radio Procedures 266
Model Verbal Reports 267
Regulation 268
Chapter 6 Documentation 270
Introduction 272
Uses for Documentation 273
Medical 273
Administrative 274
Research 274
Legal 274
General Considerations 274
Medical Terminology 275
Abbreviations and Acronyms 275
Times 285
Communications 285
Pertinent Negatives 286
Oral Statements 286
Additional Resources 286
Elements of Good Documentation 287
Completeness and Accuracy 287
Legibility 287
Timeliness 289
Absence of Alterations 289
Professionalism 290
Narrative Writing 290
Narrative Sections 290
General Formats 293
Special Considerations 296
Patient Refusals 296
Services Not Needed 297
Mass Casualty Incidents 298
Consequences of Inappropriate Documentation 299
Closing 300
Read More Show Less

Preface

PREFACE:

Series Preface

Congratulations on your decision to further your EMS career by undertaking the course of education required for certification as an Emergency Medical TechnicianParamedic! The world of paramedic emergency care is one that you will find both challenging and rewarding. Whether you will be working as a volunteer or paid paramedic, you will find the field of advanced prehospital care very interesting.

This textbook will serve as your guide and reference to advanced out-of-hospital care. It is based upon the 1998 United States Department of Transportation EMT Paramedic National Standard Curriculum and is divided into five volumes. The first volume is entitled Introduction to Advanced Prehospital Care and addresses the fundamentals of paramedic practice, including pathophysiology, pharmacology, medication administration and advanced airway management. The second volume, Patient Assessment, builds on the assessment skills of the basic EMT with special emphasis on advanced patient assessment at the scene. The third volume of the series, Medical Emergencies, is the most extensive and addresses paramedic level care of medical emergencies. Particular emphasis is placed upon the most common medical problems; respiratory and cardiovascular emergencies. Trauma Emergencies, the fourth volume of the text, discusses advanced prehospital care from the mechanism of injury analysis to shock/trauma resuscitation. The last volume in the series addresses Special Considerations/Operations including neonatal, pediatric, geriatric, home health care, and specially challenged patients, and incident command, ambulanceservice,rescue, hazardous material, and crime scene operations. These five volumes will help prepare you for the challenges of prehospital care.

SKILLS

The psychomotor skills of fluid and medication administration, advanced airway care, ECG monitoring and defibrillation, and advanced medical and trauma patient care are best learned in the classroom, skills laboratory, and then the clinical and field setting. Common advanced prehospital skills are discussed in the text as well as outlined in the accompanying procedure sheets. Review these before and while practicing the skill. It is important to point out that this or any other text cannot teach skills. Care skills are only learned under the watchful eye of a paramedic instructor and perfected during your clinical and field internship.

HOW TO USE THIS TEXTBOOK

Paramedic Care: Principles & Practice is designed to accompany a paramedic education program that follows the 1998 United States Department of Transportation Emergency Medical Technician-Paramedic: National Standard Curriculum. The education program should include ample classroom, practical labratory, in-hospital clinical, and prehospital field experience. These educational experiences must be guided by instructors and preceptors with special training `.and experience in their areas of participation in your program.

It is intended that your program coordinator will assign reading from Paramedic Care: Principles & Practice in preparation for each classroom lecture and discussion section. The knowledge gained from reading this text will form the foundation of the information you will need in order to function effectively as a paramedic in your EMS system. Your instructors will build upon this information to strengthen your knowledge and understanding of advanced prehospital care so that you may apply it in your practice. The in-hospital clinical and prehospital field experiences will further refine your knowledge and skills under the watchful eyes of your preceptors.

In preparing for each classroom session, read the assigned chapter carefully. First, review the chapter objectives. They will identify important concepts to be learned from the reading. Read the Case Study to get a feeling of why a chapter is important and how the knowledge it contains can be applied in the field. Read the chapter content carefully, while keeping the chapter objectives in mind. Read the You Make the Call feature and answer the questions to assure you understand the application of the knowledge presented in the chapter. Last, re-read the chapter objectives and be sure that you are able to answer each one completely. If you cannot, reread the section of the chapter to which the objective relates. If you still do not understand the objective or any portion of what you have read, ask your instructor to explain it at your next class session.

Ideally, you should read this entire text series at least three times. The volume chapter should be read in preparation for the class session, the entire volume should be read before the division or course test, and the entire text series should be reread before the program final exam and/or certification testing. While this might seem like a lot of reading, it will improve your classroom performance, your knowledge of emergency care, and ultimately, the care you provide to emergency patients.

The workbook that accompanies this text can also assist in improving classroom performance. It contains information, sample test questions, and exercises designed to assist learning. Its use can be very helpful in identifying the important elements of paramedic education, in exercising the knowledge of prehospital care, and in helping you self-test your knowledge.

Paramedic Care: Principles & Practice presents the knowledge of emergency care in as accurate, standardized, and clear a manner as is possible. However, each EMS system is uniquely different, and it is beyond the scope of this text to address all differences. You must count heavily on your instructors, the program coordinator, and ultimately the program medical director to identify how specific emergency care procedures are applied in your system.

Preface to Volume 2, Patient Assesment

The authors of the 1998 U.S. DOT EMT-Paramedic National Standard Curriculum have made one thing perfectly clear. They are no longer interested in training programs that prepare technicians, or skilled tradesmen, at the paramedic level. Twenty-first century paramedics are practitioners of emergency field medicine and professional health care clinicians. The expanded curriculum provides both a broad-based medical education and a specific, intensive training program. They designed it to prepare paramedics to perform their traditional role as providers of emergency field medicine. They also have provided a much broader foundation in anatomy and physiology, patient assessment, pathophysiology of disease, and pharmacology. This dual-purpose curriculum will allow paramedics to expand their roles in the health care industry. This change in philosophy marks a new ' beginning for the paramedic field. Patient Assessment reflects that philosophy.

This book provides paramedic students with the principles of patient assessment. The first two chapters present the techniques of conducting a comprehensive history and physical exam. The remaining chapters discuss ways to integrate the techniques learned in the first two chapters to real patient situations. Like the entire curriculum, this book is both broad-based and specific.

Chapter 1 "The History" provides the basic components of a complete health history. The components include the chief complaint, the present history, the past history, the current health status, and the review of systems. It is comprehensive and not meant to be used in its entirety in emergency field situations. It also discusses how to effectively conduct an interview and use nonverbal communication skills to elicit vital information from your patients. In addition, it t, provides suggestions for communicating with difficult patients, hostile patients, and patients with language barriers.

Chapter 2 "Physical Exam Techniques" presents the techniques of conducting a comprehensive physical exam. Like the history, it is complete and not intended for all situations. With time and clinical experience you will learn which . components of the history and physical exam are appropriate to assess and man" age your particular situation. If you are hired to conduct pre-employment physical exams, you may use the history and physical exam in its entirety. If you are assessing and managing a critical patient in the field, you will select those components most appropriate for your situation. Topics in this chapter include assessing the skin; the head; the neck; the chest along with the respiratory and care diovascular systems; the abdomen and digestive system; the extremities and musculoskeletal system; the peripheral vascular system; and how to conduct a comprehensive neurological exam. With each section is a review of the anatomy and physiology of the areas you are examining.

Chapter 3 "Patient Assessment in the Field" offers a practical approach to conducting problem-oriented history and physical exams. It deals with ways to use your new skills to assess patients in the field. With time and clinical experience, you will learn which components are appropriate for different situations. Topics include scene safety; the initial assessment; the focused history and physical exam for the following types of patients: responsive medical patient, unresponsive medical patient, trauma patient with significant mechanism of injury, and the trauma patient with an isolated injury; the detailed physical exam, and the ongoing assessment.

Chapter 4 "Clinical Decision Making" provides the basic steps for making clinical decisions. It describes each step in detail and discusses how to think critically in emergency situations. Topics include forming a concept, interpreting the data, applying principles of emergency medicine, evaluating your treatment plan, and reflecting on your care after the emergency response. This chapter is unique to emergency medical services textbooks.

Chapter 5 "Communications" deals with verbal communication. Communication is the key component that links every phase of an EMS response and helps ensure a continuity of care. Topics include the principles of communication, communication during the different phases of an EMS response, communication technology, and giving a medical report. We have provided several examples of typical radio medical reports.

Chapter 6 "Documentation" deals with writing a Prehospital Care Report, or PCR. Topics include the use of medical terminology and abbreviations, the elements of a good report, writing the narrative, and dealing with patient refusals. Again, we have provided examples of the various narrative writing styles.

This volume, Patient Assessment, describes how to conduct a comprehensive history and physical exam and document your findings appropriately. It also describes how to perform a problem-oriented patient assessment on a real patient in the field, report your findings to your medical direction physician, and document the response on your PCR. It represents the philosophy of the new paramedic curriculum and helps the student prepare to meet the challenge of being a twenty-first century paramedic. Good luck!

Brady's Paramedic Care: Principles & Practice, is a five-volume series designed to provide educational enrichment as prescribed by the 1998 U.S. DOT EMT—Paramedic National Standard Curriculum. 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. Volume 2, Patient Assessment adds the cognitive and psychomotor skills of patient assessment, communications, and documentation. This knowledge base expands as the series applies it to the medical patient in Volume 3, Medical Emergencies and to the trauma patient in Volume 4, Trauma Emergencies. Volume 5, Special Considerations/Operations enriches these general patient care concepts and principles with applications to special patients and circumstances we commonly see as paramedics. The product of this complete and integrated series is a set of principles of paramedic care you will be required to practice in the 21st century.

Read More Show Less

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