Sick/Not Sick: A Guide To Rapid Patient Assessment / Edition 2

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More About This Textbook



  • Scenarios and Case Studies: Allow you to see how the SICK/NOT SICK approach to patient assessment enables rapid decision making and action on scene, for both adult and pediatric patients.
  • SICK/NOT SICK Principles: Tip boxes highlight and elaborate on SICK/NOT SICK topics presented in the text.
  • SICK/NOT SICK Flowchart: Organizes observations made during a call, so that you can quickly make decisions about treatment and transport.
  • Prep Kit: Reviews what you have learned in each chapter, using—
    • Summary: A quick review of the main topics covered in each chapter, in bulleted format.
    • Vital Vocabulary: Key terms highlighted throughout the text and listed with definitions at the end of each chapter.
    • Section Review: End-of-section review questions test your SICK/NOT SICK knowledge.
  • Pretest, Quizzes, and Skills Checklists: Test your ability to make rapid patient assessments.

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Product Details

  • ISBN-13: 9780763758769
  • Publisher: Jones & Bartlett Learning
  • Publication date: 7/14/2010
  • Edition description: 2E
  • Edition number: 2
  • Pages: 178
  • Sales rank: 866,429
  • Product dimensions: 8.30 (w) x 10.70 (h) x 0.40 (d)

Table of Contents


Section 1 Adult Sick/Not Sick 1

Chapter 1 Why Sick/Not Sick? 2

The Truth Revealed 3

The Essence of EMS Care 3

Sick/Not Sick Does Not Change How You Do Business 3

Use Your Own Terms 4

Sick/Not Sick Sets the Tone 4

Prep Kit 4

Chapter 2 Sick/Not Sick in a Nutshell 5

Sick 6

Not Sick 6

Make a Decision 6

Action 6

Prep Kit 7

Chapter 3 Sick/Not Sick Starts While You Are en Route 8

Start With What You Know 9

Ask Questions 9

While en Route, Use Your Time Wisely 9

Prep Kit 10

Chapter 4 The Clinical Picture of a Medical Patient 11

Chief Complaint/Nature of Illness 13

Respirations 13

Pulse 14

Mental Status 14

Skin Signs/Color 15

Color 15

Temperature 15

Moisture 15

Body Position 15

Prep Kit 18

Chapter 5 The Clinical Picture of a Trauma Patient 19

Chief Complaint/Mechanism of Injury 20

Obvious Trauma 21

Prep Kit 22

Chapter 6 Make a Decision 23

Forming the Clinical Picture 24

Sick 24

Not Sick 25

Red Flags for Sick 25

Make a Decision 25

Index of Suspicion 26

Applying the Sick/Not Sick Method 27

Case Study 6.1 Abdominal Pain and Near Syncope 29

Case Study 6.2 Drug Overdose 31

Case Study 6.3 Motor Vehicle Collision 33

Prep Kit 35

Chapter 7 What if I Make the Wrong Decision? 36

What if I Can't Tell? 37

The Choice Is Not Always Clear 37

Why Not Classify All Patients as Sick? 38

What if I Make the Wrong Choice? 38

Changing a Patient's Status to Sick 39

Always Provide the ABCs 39

Can I Change My Mind? 39

Prep Kit 40

Chapter 8 Common Mistakes 41

Delaying the Initial Decision 42

Failing to Respond to New Information 42

Intimidation 42

Tunnel Vision 42

Poor Planning 43

Prep Kit 43

Section 2 Pediatric Sic/Not Sick 45

Chapter 9 Pediatric Sick/Not Sick in a Nutshell 46

Forming the Clinical Picture of a Pediatric Patient 47

Preparing for a Pediatric Call 47

A Note on the ABCs 48

Prep Kit 49

Chapter 10 The Pediatric Triangle 50

Appearance 51

Age-Appropriate Behaviors 53

Work of Breathing 53

Circulation/Skin Signs 55

A Word on Pediatric Vital Signs 56

Pediatric Assessment: Related Terms 56

Prep Kit 57

Chapter 11 Pediatrics: Make a Decision 59

Make a Decision 60

Nature of Illness 61

Mechanism of Injury 61

Index of Suspicion 62

Applying the Sick/Not Sick Method 62

Case Study 11.1 Apnea 63

Case Study 11.2 Seizures 65

Case Study 11.3 Difficulty Breathing 67

Prep Kit 69

Section 3 Case Studies 71

Chapter 12 Medical Case Studies 72

Case Study 12.1 Abdominal Pain 73

Case Study 12.2 Loss of Consciousness and Seizure 75

Case Study 12.3 Unconscious Unknown 77

Case Study 12.4 Possible Stroke 79

Case Study 12.5 Behavioral Emergency 81

Case Study 12.6 Diabetic Who is Not Feeling Well 83

Case Study 12.7 Chest Pain 85

Case Study 12.8 Asthma Attack 87

Case Study 12.9 Female Abdominal Pain 89

Case Study 12.10 Slurred Speech 91

Case Study 12.11 Vaginal Bleeding 93

Case Study 12.12 Rapid Pulse Rate 95

Case Study 12.13 Fall in Bathroom 97

Case Study 12.14 Fall at a Tavern 99

Case Study 12.15 Dizziness 101

Case Study 12.16 Woman in Labor 103

Case Study 12.17 Syncope in the Bathroom 105

Chapter 13 Trauma Case Studies 107

Case Study 13.1 Sledding Incident 109

Case Study 13.2 Elderly Woman Who Has Fallen 111

Case Study 13.3 Power Tool Accident 113

Case Study 13.4 Fall 115

Case Study 13.5 Auto versus Tree 117

Case Study 13.6 Bicycle Accident 119

Case Study 13.7 Near Drowning 121

Case Study 13.8 Motorcycle Accident 123

Case Study 13.9 Extremity Injury 125

Case Study 13.10 Glass in the Eye 127

Case Study 13.11 Truck Accident 129

Chapter 14 Pediatric Case Studies 131

Case Study 14.1 Fall From Trampoline 133

Case Study 14.2 Choking 135

Case Study 14.3 Accidental Ingestion 137

Case Study 14.4 Pediatric Pedestrian versus Truck 139

Case Study 14.5 Car versus Pediatric Pedestrian 141

Case Study 14.6 Breathing Difficulty 143

Case Study 14.7 Unconscious Child 145

Case Study 14.8 Pediatric "Sick Unknown" 147

Case Study 14.9 Pediatric Choking 149

Case Study 14.10 Accidental Ingestion 151

Case Study 14.11 Burn on Arm 153

Case Study 14.12 Trauma to Head 155

Case Study 14.13 Punch in the Belly 157

Case Study 14.14 Accidental Stabbing 159

Case Study 14.15 Fall from Bike 161

Appendix A Quizzes 163

Adult Sick/Not Sick Quiz 163

Pediatric Sick/Not Sick Quiz 165

Appendix B Skills Checklists 167

Adult Sick/Not Sick Checklist 167

Pediatric Sick/Not Sick Checklist 170

Glossary 172

Index 174

Photo Credits 178

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