Paramedic Lab Manual / Edition 1

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Product Details

  • ISBN-13: 9780131194373
  • Publisher: Prentice Hall
  • Publication date: 10/24/2005
  • Edition description: New Edition
  • Edition number: 1
  • Pages: 640
  • Product dimensions: 8.00 (w) x 9.70 (h) x 1.40 (d)

Read an Excerpt

Welcome to the stimulating and challenging world of EMS education. This lab manual was devised to aid you in the pursuit of your educational goals. Developed to document compliance with the 1998 DOT National Standard Curriculum (NSC) psychomotor and affective domain objectives, completion of the skills (one sheet per skill) and all the scenarios ensures that programs meet CAAHEP/CoAEMSP Joint Review for National Accreditation.

The understanding that lab experiences are an integral part of your educational experience needs to be embraced. Prepare for your labs beforehand by reading the required skills, "Daily Discussions and Pertinent Points" and the corresponding chapter(s) in your textbook. The lab manual is designed to be used in coordination with the Brady text for explanations of the procedures and theories behind the skills. "Fabulous Factoids" make interesting reading - trivia gleaned from the Brady text, books, and programs on The Learning Channel and Discovery. The "Pathophysiologies" section covers all the 1998 NSC pathophysiology objectives, and the scenarios assigned to each section meet the diagnosis-based patient assessment requirements of the curriculum.

The manual itself is a comprehensive compilation of the psychomotor and affective domain objectives required by the 1998 NSC. It also meets many of the cognitive domain objectives. If utilized as designed by the authors, students and educators can be assured that they are in compliance with the psychomotor, affective domain and pathophysiology essentials in the NSC. Please understand, however, that no hands-on (psychomotor) skill is learned from reading a book. Competence in performing these skills will be achieved under the guidance of the experienced, qualified instructors your program provides in your classroom, lab and clinical areas.

It is the sincere hope that this manual is implemented as a valuable resource to your EMS education.

THANK YOU!

Read More Show Less

Table of Contents

Introduction and Instructions.

Student Skills Verification.

Sample: Scenario Completion Record.

Scenario Completion Record.

Scenario Chart: Diagnoses.

Master Skills Log.

Patient Data Sheet (PDS).

Emergency Drug Quiz Key.

SECTION 1: EMT and SPECIAL OPS .

BASIC EMT SKILLS.

Fabulous Factoids.

Proper Handwashing.

PPE Removal.

Proper Lifting Techniques.

Stretcher Operation.

Scoop.

Stair Chair.

Spinal Motion Restriction Exercise.

Supine Long Backboard (LBB).

Standing LBB.

Seated Spinal Motion Restriction.

Rapid Extrication.

BLS Skills.

Fixation Splint.

Traction Splint.

Vital Signs.

Oxygen Administration.

Blow-by Oxygen.

Manual Airway Maneuvers.

Nasopharyngeal Airway (NPA) and Oropharyngeal Airway (OPA).

Bag-Valve-Mask.

Bag-Valve-Tube.

Pulse Oximetry.

Glucometer.

Patient Restraints.

Bleeding Control and Shock Management.

Pneumatic Anti-Shock Garment (PASG).

Radio Skills.

Daily Discussions/Pertinent Points.

ADVANCED EMT SKILLS.

Fabulous Factoids.

Initial Assessment Algorithm.

Scene Size-up and Initial Assessment.

Rapid Trauma Assessment.

Helmet Removal.

Infant/Child Car Seat Spinal Motion Restriction (SMR).

Glasgow Coma Score (GCS).

Rule of Nines.

Supine Pregnant LBB.

General Patient Survey.

“SAMPLE” History.

Obtaining Patient History.

Stroke Exam.

Stethoscope Placement.

Breath Sounds Identification.

Nasopharyngeal/Oropharyngeal Suction.

Dual Lumen Airway Insertion.

Ventilation via Tracheostomy.

Ventilation via Stoma.

Automated External Defibrillator (AED).

Lead Placement.

IV Solution Set-up.

Discontinuing an IV.

Auto-injector.

Prolapsed Cord.

Breech.

APGAR.

Childbirth.

Neonatal Resucitation Equipment.

Post-Partum Hemorrhage.

Pediatric Manual Airway Maneuvers.

Pediatric NPA/OPA.

Humidifed Oxygen.

Heat Disorders.

Hypothermia.

Basic Patient Care Report (PCR).

Radio Report.

Daily Discussions/Pertinent Points.

EMT PATIENT SCENARIO ASSESSMENT SHEETS - all assessment forms include sheets for Radio Report, Basic PCR, and Overall Scenario Management.

.

Abdominal.

Allergy.

Cardiac.

Diabetic.

Medical Shock.

Respiratory.

Stroke.

Medical — Examiner’s Choice.

Burn Trauma.

Chest Trauma.

Extremity Fracture.

Fractured Femur.

Head Injury.

Pediatric.

Shock/Hemorrhage.

SPECIAL OPERATIONS.

Rescue.

Phases of Rescue Operations.

Highway Operations Strategies.

Extrication.

Determining Mechanism of Injury (MOI).

Vehicle Stabilization.

Using Basic Hand Tools.

High-Angle.

Stokes for Lift/Rough Terrain.

Vertical Lift without Stokes.

Litter Carrying.

Aerial Evacuation.

Water Rescue.

H-E-L-P/Self-Rescue.

Personal Flotation Device.

Reach-Throw-Row-Go.

Throw Bag/Rescue Buoy/Noodle.

In-Water Spinal Motion Restriction (SMR).

Hazardous Materials (Haz-Mat).

Research and Risk Determination.

Two-Step Decontamination.

Eight-Step Decontamination.

Mass Casualty Incident.

START System.

Mass Casualty Incident (MCI) Tabletop Exercise.

Special Operations.

Contact and Cover.

Cover and Conceal.

Evasive Tactics.

Daily Discussions/Pertinent Points.

SECTION 2: ADVANCED AIRWAY.

Fabulous Factoids.

Bag-Valve-Mask.

Adult Ventilatory Management.

Endotracheal (ET) Intubation — Trauma.

Dual Lumen Airway Insertion.

Nasotracheal Intubation.

Lighted Stylet.

Digital Intubation.

EGTA/EOA Insertion.

Orogastric Tube/Unresponsive.

Nasogastric Tube Insertion.

Automatic Transport Ventilator (ATV).

Pleural Decompression.

Ventilation of an Obstructed Trach.

CPAP/BiPAP.

Rapid Sequence Induction (RSI).

Needle Cricothyrotomy.

Surgical Cricothyrotomy.

Pediatric Ventilatory Management.

End Tidal Carbon Dioxide Monitoring.

Extubation.

Daily Discussions/Pertinent Points.

SECTION 3: PATIENT ASSESSMENT and RESPIRATORY.

Fabulous Factoids.

Stethoscope Placement.

Breath Sounds Identification.

Complete Physical Examination.

GCS.

One-minute Cranial Examination.

Peak Expiratory Flow.

Clinical Decision-Making.

Advanced PCR.

Dyspnea.

ET.

IV.

Radio Report.

PCR.

Overall Scenario Management.

Dyspnea.

ET.

IV.

Radio Report.

PCR.

Overall Scenario Management.

Allergy.

IV.

Radio Report.

Overall Scenario Management.

Allergy.

IV.

Radio Report.

PCR.

Overall Scenario Management.

Anaphylaxis.

ET.

IV.

Radio Report.

PCR.

Overall Scenario Management.

Daily Discussions/Pertinent Points.

SECTION 4: IV and MEDICATION ADMINISTRATION.

Fabulous Factoids.

Blood Draw - Vacutainer/Syringe.

IV Solution Set-up.

Changing IV Solution Bag.

Changing IV Bag and Tubing.

Calculating IV Drip Rates.

IV Therapy.

IV Push/Bolus.

IV Piggyback (IVPB).

IV Pump.

Adjusting IV Pump Rate.

Discontinue an IV.

Med from Ampule.

Med from Vial.

Med from 2 Vials/1 syringe.

Med from Ampule and Vial.

Six Rs of Medication Administration.

PO Med.

SL Med.

Rectal Med.

MDI Med.

Hand-held Nebulizer.

In-line Nebulizer.

ET Med.

Nasal Spray.

Eye Med.

Nasogastric Tube Med.

Gastric Tube Med.

Guidelines for Parenteral Meds.

Subcutaneous Injection.

Intramuscular Injection.

EJ Cannulation.

Daily Discussions/Pertinent Points.

SECTION 5: TRAUMA.

Fabulous Factoids.

MVC Charting.

Rapid Extrication.

Rapid Trauma Assessment.

GCS.

Rule of Nines.

Helmet Removal.

Infant/Child Car Seat SMR.

Critical Trauma “Load and Go”.

Pleural Decompression.

Abdominal Trauma.

ET.

IV.

Radio Report.

PCR.

Overall Scenario Management.

Abuse/Assault.

ET.

IV.

Radio Report.

PCR.

Overall Scenario Management.

Burns.

ET.

IV.

Radio Report.

PCR.

Overall Scenario Management.

Geriatric.

ET.

IV.

Radio Report.

PCR.

Overall Scenario Management.

Head/Facial/Neck.

ET.

IV.

Radio Report.

PCR.

Overall Scenario Management.

Musculoskeletal.

ET.

IV.

Radio Report.

PCR.

Overall Scenario Management.

Shock/Hemorrhage.

ET.

IV.

Radio Report.

PCR.

Overall Scenario Management.

Soft Tissue.

ET.

IV.

Radio Report.

PCR.

Overall Scenario Management.

Spinal.

ET.

IV.

Radio Report.

PCR.

Overall Scenario Management.

Thoracic.

ET.

IV.

Radio Report.

PCR.

Overall Scenario Management.

Trauma Mix.

ET.

IV.

Radio Report.

PCR.

Overall Scenario Management.

Trauma Mix.

ET.

IV.

Radio Report.

PCR.

Overall Scenario Management.

Trauma Arrest.

ET.

IV.

Radio Report.

PCR.

Overall Scenario Management.

Daily Discussions/Pertinent Points.

SECTION 6. MEDICAL.

Patient Restraints.

Heat Disorders.

Hypothermia.

Abdominal.

ET.

IV.

Radio Report.

PCR.

Overall Scenario Management.

Abdominal.

IV.

Radio Report.

PCR.

Overall Scenario Management.

Altered LOC.

ET.

IV.

Radio Report.

PCR.

Overall Scenario Management.

Behavioral.

ET.

IV.

Radio Report.

PCR.

Overall Scenario Management.

Behavioral.

ET.

IV.

Radio Report.

PCR.

Overall Scenario Management.

Behavioral.

ET.

IV.

Radio Report.

PCR.

Overall Scenario Management.

Chest Pain.

Radio Report.

PCR.

Overall Scenario Management.

Diabetic.

ET.

IV.

Radio Report.

PCR.

Overall Scenario Management.

Environmental/Thermal.

ET.

IV.

Radio Report.

PCR.

Overall Scenario Management.

GI Bleeding.

IV.

Radio Report.

Overall Scenario Management.

Seizure.

ET.

IV.

Radio Report.

PCR.

Overall Scenario Management.

Toxicological/Haz-Mat.

ET.

IV.

Radio Report.

PCR.

Overall Scenario Management.

Daily Discussions/Pertinent Points.

SECTION 7: CARDIOLOGY.

Fabulous Factoids.

Lead Placement.

AED.

Defibrillation.

Synchronized Cardioversion.

Transcutaneous Pacing.

Vagal Maneuvers.

Carotid Sinus Massage.

Pleural Decompression.

Static Cardiology.

Dynamic Cardiology.

Asystole Flow Sheet.

ET.

Radio Report.

PCR.

Overall Scenario Management.

VF Flow Sheet.

ET.

Radio Report.

PCR.

Overall Scenario Management.

VT Flow Sheet.

ET.

Radio Report.

PCR.

Overall Scenario Management.

PEA Flow Sheet.

ET.

Radio Report.

PCR.

Overall Scenario Management.

AMI.

ET.

Radio Report.

PCR.

Overall Scenario Management.

Bradycardia.

ET.

Radio Report.

PCR.

Overall Scenario Management.

Cardiogenic Shock.

ET.

Radio Report.

PCR.

Overall Scenario Management.

Medical Arrest.

ET.

Radio Report.

PCR.

Overall Scenario Management.

Pulmonary Edema.

ET.

Radio Report.

PCR.

Overall Scenario Management.

Renal Dialysis Code.

ET.

Radio Report.

PCR.

Overall Scenario Management.

Stable Tachycardia.

Radio Report.

PCR.

Overall Scenario Management.

Syncope.

Radio Report.

PCR.

Overall Scenario Management.

Unstable Tachycardia.

Radio Report.

PCR.

Overall Scenario Management.

Daily Discussions/Pertinent Points.

SECTION 8: SPECIALTY: Gyn/OB/Neonatal/PEDS/Chronic Care.

Fabulous Factoids.

Vaginal Bleeding.

Radio Report.

PCR.

Overall Scenario Management.

Infant/Child Car Seat SMR.

Supine Pregnant LBB.

Prolapsed Cord.

Breech.

APGAR.

Childbirth.

Neonatal Resuscitation Equipment.

Meconium Aspiration.

Neonatal Ventilatory Management.

Neonatal Resuscitation.

Umbilical Vein Cannulation.

Neonatal Orogastric Tube.

Neonatal Pleural Decompression.

Post-partum Hemorrhage.

Pediatric Manual Airway Maneuvers.

Pediatric NPA/OPA Insertion.

Pediatric Ventilatory Management.

Pediatric Pleural Decompression.

Pediatric Hand-held Nebulizer.

Pediatric Nebulizer via Mask.

Pediatric Intraosseus.

Childbirth.

Overall Scenario Management.

Pediatric Medical.

Radio Report.

PCR.

Overall Scenario Management.

Pediatric Medical.

Radio Report.

PCR.

Overall Scenario Management.

Pediatric Trauma.

Radio Report.

PCR.

Overall Scenario Management.

Daily Discussions/Pertinent Points.

Chronic Care/Home Health.

Using an Implantable Venous Access Device (VAD).

CVC Blood Draw.

Hemodialysis Site Care.

Nasogastric/Nasointestinal Tube for Suction and Enteral Feedings.

Enteral Tube Feedings.

NP/OP Suction in Chronic Care.

Tracheostomy Suction.

Tracheostomy Care.

Changing an Inner Cannula.

Wound Irrigation.

Wound Culture.

Changing a Dry Sterile Dressing.

Changing a Wet-to-Dry Dressing.

Urinary Catheterization — Male.

Urinary Catheterization — Female.

Open Catheter Irrigation.

Changing a Colostomy Pouch.

SECTION 9: PERTINENT POINTS for PARAMEDIC REVIEW.

SECTION 10: PATHOPHYSIOLOGIES

Glossary.

Student Skills Verification.

Sample: Student Scenario Completion Record.

Scenario Completion Record.

Scenario Diagnoses Chart.

Master Skills Log.

Patient Data Sheet (PDS).

Read More Show Less

Preface

Welcome to the stimulating and challenging world of EMS education. This lab manual was devised to aid you in the pursuit of your educational goals. Developed to document compliance with the 1998 DOT National Standard Curriculum (NSC) psychomotor and affective domain objectives, completion of the skills (one sheet per skill) and all the scenarios ensures that programs meet CAAHEP/CoAEMSP Joint Review for National Accreditation.

The understanding that lab experiences are an integral part of your educational experience needs to be embraced. Prepare for your labs beforehand by reading the required skills, "Daily Discussions and Pertinent Points" and the corresponding chapter(s) in your textbook. The lab manual is designed to be used in coordination with the Brady text for explanations of the procedures and theories behind the skills. "Fabulous Factoids" make interesting reading - trivia gleaned from the Brady text, books, and programs on The Learning Channel and Discovery. The "Pathophysiologies" section covers all the 1998 NSC pathophysiology objectives, and the scenarios assigned to each section meet the diagnosis-based patient assessment requirements of the curriculum.

The manual itself is a comprehensive compilation of the psychomotor and affective domain objectives required by the 1998 NSC. It also meets many of the cognitive domain objectives. If utilized as designed by the authors, students and educators can be assured that they are in compliance with the psychomotor, affective domain and pathophysiology essentials in the NSC. Please understand, however, that no hands-on (psychomotor) skill is learned from reading a book. Competence in performing these skills will be achieved under the guidance of the experienced, qualified instructors your program provides in your classroom, lab and clinical areas.

It is the sincere hope that this manual is implemented as a valuable resource to your EMS education.

THANK YOU!

Read More Show Less

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