Prehospital Emergency Care / Edition 10

by Joseph J. Mistovich, Keith J. Karren, Brent Hafen

Overview

Prehospital Emergency Care , Tenth Edition, meets the National EMS Education Standards and is the most complete resource for EMT-B training. This best-selling, student-friendly book contains clear, step-by-step explanations with comprehensive, stimulating, and challenging material that prepares users for real on-the-job situations. Featuring case studies, state-of-the-art scans, algorithms, protocols, and the inclusion of areas above and beyond the DOT protocols, the tenth edition effectively prepares students for success. The assessment and emergency care sections provide the most up-to-date strategies for providing competent care; and the enrichment sections further enhance students’ ability to assess and manage ill and injured patients in prehospital environments. The text’s table of contents is organized to follow the National EMS Educational Standards.

Product Details

ISBN-13:	9780133369137
Publisher:	Pearson
Publication date:	07/22/2013
Edition description:	Older Edition
Pages:	1440
Product dimensions:	11.00(w) x 8.50(h) x 1.90(d)

About the Author

Joseph J. Mistovich, MEd, NRP, is Chairperson of the Department of Health Professions and a Professor at Youngstown State University in Youngstown, Ohio. He has more than 33 years of experience as an educator in emergency medical services. Mr. Mistovich received his Master of Education degree in Community Health Education from Kent State University in 1988. He completed a Bachelor of Science in Applied Science degree with a major in Allied Health in 1985, and an Associate in Applied Science degree in Emergency Medical Technology in 1982 from Youngstown State University. Mr. Mistovich is an author or coauthor of numerous EMS books and journal articles and is a frequent presenter at national and state EMS conferences.

Keith J. Karren, PhD, EMT-B, is Professor Emeritus and former Chair of the Department of Health Science at Brigham Young University in Provo, Utah. He has been a professional Health Science and EMS educator and author for 40 years. Dr. Karren received his Bachelor of Science and Master of Science degrees from Brigham Young University in 1969 and 1970 and his PhD in Health Science from Oregon State University in 1975. Dr. Karren was one of the earliest certified EMTs in Utah and helped found SAVERS, a community volunteer EMS ambulance association in Utah. Dr. Karren co-founded the Prehospital Emergency Care and Crisis Intervention Conference, held annually in Salt Lake City for 36 years, one of the premier EMS conferences in North America. Dr. Karren is the author or coauthor of numerous books on prehospital emergency care and health, including First Aid for Colleges and Universities, First Responder: A Skills Approach, and Mind/Body Health.

Table of Contents

PART 1

Standard Preparatory

Standard Public Health

1. Emergency Medical Care Systems, Research, and Public Health

2. Workforce Safety and Wellness of the EMT

3. Medical, Legal, and Ethical Issues

4. Documentation

5. Communication

6. Lifting and Moving Patients

PART 2

Standard Anatomy and Physiology

Standard Medical Terminology

7. Anatomy, Physiology, and Medical Terminology

PART 3

Standard Pathophysiology

8. Pathophysiology

PART 4

Standard Life Span Development

9. Life Span Development

PART 5

Standard Airway Management, Respiration, and Artificial Ventilation

10. Airway Management, Artificial Ventilation, and Oxygenation

PART 6

Standard Assessment

11. Baseline Vital Signs, Monitoring Devices, and History Taking

12. Scene Size-Up

13. Patient Assessment

PART 7

Standard Pharmacology

14. Pharmacology and Medication Administration

PART 8

Standard Shock and Resuscitation

15. Shock and Resuscitation

PART 9

Standard Medicine

16. Respiratory Emergencies

17. Cardiovascular Emergencies

18. Altered Mental Status, Stroke, and Headache

19. Seizures and Syncope

20. Acute Diabetic Emergencies

21. Anaphylactic Reactions

22. Toxicologic Emergencies

23. Abdominal, Gynecologic, Genitourinary, and Renal Emergencies

24. Environmental Emergencies

25. Submersion Incidents: Drowning and Diving Emergencies

26. Behavioral Emergencies

PART 10

Standard Trauma

27. Trauma Overview: The Trauma Patient and the Trauma System

28. Bleeding and Soft Tissue Trauma

29. Burns

30. Musculoskeletal Trauma

31. Head Trauma

32. Spinal Column and Spinal Cord Trauma

33. Eye, Face, and Neck Trauma

34. Chest Trauma

35. Abdominal and Genitourinary Trauma

36. Multisystem Trauma and Trauma in Special Patient Populations

PART 11

Standard Special Patient Populations

37. Obstetrics and Care of the Newborn

38. Pediatrics

39. Geriatrics

40. Patients with Special Challenges

41. The Returning Combat Veteran

PART 12

Standard EMS Operations

42. Ambulance Operations and Air Medical Response

43. Gaining Access and Patient Extrication

44. Hazardous Materials

45. Multiple-Casualty Incidents and Incident Management

46. EMS Response to Terrorism Involving Weapons of Mass Destruction

Appendix 1. ALS-Assist Skills

Appendix 2. Advanced Airway Management

Answer Key

Glossary

Index

Introduction

I would like to commend you for your decision to undertake an EMT-Basic educational program. The field of emergency medical services is extremely rewarding and will provide you with experiences you will find both challenging and gratifying. In your EMS career, you will respond to a variety of calls in uncontrolled environments requiring confidence, compassion, and a high degree of competence. As an EMT-Basic, you will be put to the test to think critically and respond instantaneously. The foundation for these skills will be provided in your educational program; you will learn further and gain better clinical insight through patient contact, continuing education, and experience. Once you have read this textbook and completed your EMT-Basic program, you will have only begun your educational experience as an EMT-Basic. Every day you should strive to learn something new that may enhance your emergency patient care. Due to the dynamic nature of emergency medical services, you will become a lifelong learner.

Patient assessment is one of the most important skills that an EMT-Basic performs, requiring good practical ability and also the capability to think critically. You must take each finding from the assessment, determine if an immediate life-saving intervention is required, store the information learned in the back of your mind as you continue with the assessment, and finally put all the pieces of the assessment together to provide effective emergency medical care. The challenge is similar to putting a puzzle together. You start out with individual pieces of the puzzle that have to be connected together to form a meaningful picture. The pieces of the puzzle correlate tosigns, symptoms, and other findings of the assessment. You must take the findings, consider them individually, and then put them together to form a whole picture of your patient. Specific findings are meaningless without fitting them into the entire picture.

Prehospital Emergency Care, Seventh Edition, provides a strong, comprehensive approach to patient assessment, which is reinforced at several points in the chapters—in the case study, chapter text, assessment summaries, and algorithms. This approach reinforces assessment information and also provides an alternative learning method. You will find the necessary clinical information integrated into the assessment approach for each section, unlike other sources that integrate the assessment information into the clinical information.

This textbook uses a two-tiered approach to patient assessment: assessment-based and diagnostic-based. An assessment-based approach to patient injuries and illnesses is used initially. This approach teaches you to identify life-threatening conditions and provide immediate interventions to reverse those problems. An assessment-based approach to acute patient care is followed no matter what level of care is provided. Once you have managed life-threatening conditions, you will then move to the next level of assessment, the diagnostic-based approach. The diagnostic-based approach entails putting the signs, symptoms, and other assessment findings together to come to a probability of what condition the patient may be suffering from. Many EMS providers refer to this as their "field impression." Prehospital Emergency Care, Seventh Edition, presents the necessary information to move naturally, successfully, and effectively from the assessment-based approach to the diagnostic-based approach. Much of the "field impression" information is contained in enrichment sections throughout the textbook.

As you progress through your educational program, you will learn a new system of communication that involves the use of appropriate medical terminology. It is important to establish a basic understanding of medical terminology so that you may communicate effectively, by both written and oral means, with other members of the medical team. Prehospital Emergency Care, Seventh Edition, has integrated a basic foundation of medical terminology that will allow you to enhance your professional image and communication skills. You should expand your medical terminology base as you continue your education.

Because of continued threats of terrorism, a chapter has been added on weapons of mass destruction. Chapter 44, "EMS Response to Weapons of Mass Destruction," presents critical information regarding biological, chemical, and nuclear weapons and the assessment and management of patients who have been exposed to the use of these weapons. It is always better to be proactive and have knowledge that will enable you to preplan and react in a situation that may involve weapons of mass destruction. The chapter also emphasizes what is necessary to keep you safe as an EMT-Basic when responding to such incidents and provides you with the ability to recognize a potential biological or chemical exposure.

You will find that Prehospital Emergency Care, Seventh Edition, provides current information regarding the practice of emergency medical services. The assessment and emergency care sections provide the most up-to-date strategies for providing competent care. The enrichment sections will allow you to further enhance your ability to assess and manage ill and injured patients in the prehospital environment.

I wish you the best of luck in emergency medical services. My best piece of advice to you is to provide the best emergency care possible and always do what is right for the patient. This will allow you to contribute to the mission of emergency medical services.

Good luck and best wishes!

Joseph J. Mistovich

Editorial Reviews

4 Stars! from Doody

This comprehensive text for basic EMTs includes advanced medication and airway management techniques. The purpose is to educate the student to the level of a basic EMT. The education of basic EMTs is essential for out-of-hospital emergency care. The authors meet this goal with a comprehensive, up-to-date text. This book is written for basic EMT students. It is a comprehensive text that exceeds the level of basic EMT knowledge for those students who desire more information. The principal author is a recognized expert in the field of EMT education. All aspects of the body of knowledge necessary for the education of the basic EMT are covered in this book. The book is well organized and easy to read and includes additional information for those students seeking a higher level of understanding.

Craig B. Key