ISBN-10:
0134010736
ISBN-13:
9780134010731
Pub. Date:
03/31/2015
Publisher:
Pearson
Workbook for Emergency Care / Edition 13

Workbook for Emergency Care / Edition 13

by Robert Elling, J. David Bergeron

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Overview

Workbook for Emergency Care / Edition 13


This is a student supplement associated with:

Emergency Care, 13/e
Daniel Limmer / Michael F. O'Keefe / Harvey Grant / Bob Murray / J. David Bergeron / Edward T. Dickinson

ISBN: 0134024559

Product Details

ISBN-13: 9780134010731
Publisher: Pearson
Publication date: 03/31/2015
Edition description: New Edition
Pages: 504
Sales rank: 92,253
Product dimensions: 8.50(w) x 10.70(h) x 1.10(d)

About the Author

Daniel Limmer (Author). Dan Limmer, EMT-P, has been involved in EMS for over 25 years. He remains active as a paramedic with Kennebunk Fire Rescue in Kennebunk, Maine, and the Kennebunkport EMS (KEMS) in Kennebunkport, Maine. A passionate educator, Dan teaches EMT and paramedic courses at the Southern Maine Community College in South Portland, Maine, and has taught at the George Washington University in Washington, DC and the Hudson Valley Community College in Troy, New York. He is a charter member of the National Association of EMS Educators and a member of the National Association of EMTs (NAEMT) for which he serves on the Advanced Medical Life Support Committee.

Dan was formerly involved in law enforcement, beginning as a dispatcher and retiring as a police officer in Colonie, New York, where he received three command recognition awards as well as the distinguished service award (Officer of the Year) in 1987. During his 20-year law enforcement career he served in the communications, patrol, juvenile, narcotics, and training units.

In addition to authoring several EMS journal articles, Dan is co-author of a number of EMS textbooks for Brady including First Responder: A Skills Approach, Essentials of Emergency Care, Advanced Medical Life Support, the military and fire service editions of Emergency Care, and others. He speaks frequently at regional, state, and national EMS conferences.

Michael F O'Keefe (Author). Mike O'Keefe, MS, EMT-P, became the Vermont EMS State Training Coordinator in 1989. He has a Master's degree in biostatistics and was an EMT-Intermediate for 16 years before becoming a paramedic 10 years ago.

Mike was chosen to participate in the development of all four U.S. Department of Tranpsortation National Standard EMS Curricula (for First Responders, EMT-Basics, EMT-Intermediates, and EMT-Paramedics). He was also on the steering committee that developed the Geriatric Education for Emergency Medical Services (GEMS) course for the American Geriatrics Society and coauthored a chapter of the textbook for that course.

Mike is co-author of the Brady text Essentials of Emergency Care and is a contributing writer to the Brady text Paramedic Care: Principles & Practice. He is very interested in promoting EMS research, particularly in rural areas. Mike is active as a volunteer EMS provider in northwestern Vermont and is a speaker at EMS conferences.

Edward T. Dickinson (Medical Editor). Edward T. Dickinson, MD, NREMT-P, FACEP, is currently Assistant Professor and Director of EMS Field Operations in the Department of Emergency Medicine of the University of Pennsylvania School of Medicine in Philadelphia. He is Medical Director of the Malvern Fire Company, the Berwyn Fire Company, and the Township of Haverford paramedics in Pennsylvania. He is a residency-trained, board-certified emergency medicine physician who is a Fellow of the American College of Emergency Physicians.

Dr. Dickinson began his career in emergency services in 1979 as a firefighter-EMT in upstate New York. He has remained active in fire service and EMS for the past 25 years. He frequently rides with EMS units and has maintained his certification as a National Registry EMT-Paramedic.

He has served as medical editor for numerous Brady EMT-B and First Responder texts and is the author of Fire Service Emergency Care and co-author of Emergency Care, Fire Service Edition, and Emergency Incident Rehabilitation. He is co-editor of ALS Case Studies in Emergency Care.

Read an Excerpt

PREFACE:

PREFACE

Emergency Care has set the standard for EMT-B training texts for over 30 years. The famous "yellow book" has been used by over 1.6 million students to pass the National Registry and state exams. More than any other text, this book has defined the field. The thoroughly revised Ninth Edition continues this tradition of excellence, reflecting the latest techniques and innovations in emergency patient care and including the latest advances in instructional technology.

The authors have based Emergency Care on the U.S. DOT 1994 EMT-Basic National Standard Curriculum; everything in the 1994 curriculum is addressed in the text. In addition, the text and the accompanying CD-ROM were developed taking into account the years of experience that the authors, with the input of countless instructors and students, have had with the DOT curriculum since its publication. The result is a proven text with outstanding readability and a level of detail that more instructors have found appropriate for their classrooms than any other.

The content of the Ninth Edition is summarized below:

Module 1, PREPARATORY: CHAPTERS 1-5
This first module sets a framework for all the modules that follow by introducing some essential concepts, information, and skills. The EMS system and the role of the EMT-B within the system are introduced. Issues of EMT-B safety and well-being and legal and ethical issues are covered. Basic anatomy and physiology and techniques of safe lifting and moving are also included in this first module.

Module 2, AIRWAY MANAGEMENT: CHAPTER 6
There is only one chapter in Module2, but it may be considered the most important module in the text, because no patient will survive without an open airway. Basic airway management techniques are covered in detail.

Module 3, ASSESSMENT: CHAPTERS 7-15
The ability to perform a rapid but accurate assessment, treat for life-threatening conditions, and initiate transport to the hospital within optimum time limits are the essence of the EMT-B's job. In this module, all of the steps of the assessment and their application to different types of trauma and medical patients, plus the skills of measuring vital signs, taking a patient history, communication, and documentation, are explained and illustrated.

Module 4, MEDICAL EMERGENCIES: CHAPTERS 16-25
The Medical Emergencies module begins with a chapter on pharmacology in which the medications the EMT-B can administer or assist with under the 1994 curriculum are introduced. The module continues with chapters on respiratory, cardiac, diabetic, allergy, poisoning and overdose, environmental, behavioral, and obstetric/gynecological emergencies. It ends with a new chapter on caring for patients with multiple medical complaints.

Module 5, TRAUMA: CHAPTERS 26-30
The Trauma module begins with a chapter on bleeding and shock; continues with chapters on soft-tissue injuries, musculoskeletal injuries, and injuries to the head and spine; and ends with a new chapter on caring for multiple-trauma patients.

Module 6, INFANTS AND CHILDREN: CHAPTER 31
The difference between treating adult and pediatric patients often lies in understanding the physical and psychological differences in infants and children compared to adults. This module explores these special aspects of pediatric care as well as medical conditions and injury patterns that are especially common to or critical for infants and children.

Module 7, OPERATIONS: CHAPTERS 32-34
This module deals with nonmedical operations and special situations, including ambulance operations, motor-vehicle collision rescues, and multiple-casualty and hazardous materials incidents.

Module 8, ADVANCED AIRWAY MANAGEMENT (ELECTIVE): CHAPTER 35
In some states and regions, EMT-Bs will be trained to perform invasive airway management procedures, including orotracheal intubation and, in children, nasogastric intubation. Module 8 is included as an elective to cover these advanced airway management skills.

APPENDICES AND BCLS REVIEW
There are four appendices to this textbook, covering advanced life support assist skills, stress, and the National Registry of Emergency Medical Technicians skill sheets. There is also a review of the basic cardiac life support course, which is a prerequisite to the EMT-Basic course.

INNOVATIONS STUDENTS NEED—
FEATURES Of THE BOOK AND THE
COMPANION CD-ROM

The features of the Ninth Edition of Emergency Care and its accompanying Electronic Extras CD have been designed to address the needs of students training to become EMT-Bs. Some features—like the "Patient Assessment" and "Patient Care" sections and Scans—are hallmarks of Emergency Care and have been used successfully in several editions. Other new or revised features—like the Street Scenes and Topic Overview—have been added based on the comments of instructors and students who have used the book in the past and were kind enough to provide us with their suggestions.

Here's what we have found about what students need most in their studies-and here's how this latest revision of Emergency Care meets those needs:

Students want material to be relevant to real life. Only work in the field provides real life experience, but case-based learning is an effective way of integrating concepts with practice in the classroom.

  • New! Word on the Street. Each chapter opens with a brief anecdote, where experienced EMTs share their insights, wisdom, and experiences.
  • New! Street Scenes. Each chapter concludes with a case study that applies information from the chapter to a life-like scenario. The Street Scenes case study begins, then stops to ask students questions; to make decisions; to figure out what to do next. As the case study continues, the story answers the questions by explaining what the EMTs would really do.
  • An Electronic Edge. More case studies, plus on-the-scene action video footage and photos of trauma injuries, are found on the Electronic Extras CD.

Students prefer material in easy-to-read, easy-to-locate "chunks." So do we! Whether it's a mnemonic device like SAMPLE or a quick-reference Scan page that summarizes a skill, Emergency Care is designed to make important information accessible.

  • Scans. Key information and step-by-step procedures are summarized and presented for easy reference in illustrated Scans.

    Medication Scans give you all the information you need in order to administer or help administer medications. Procedure Scans list and describe the steps in performing particular procedures.
  • Study Guides. Sprinkled throughout the text, these summarize key points or mnemonic devices.
  • Special Notes. "Pediatric Notes" and "Geriatric Notes" in many chapters describe what is unique in dealing with infants, children, or older adults and how you should deal with those differences. "Safety Notes" appear throughout the book as needed to point out situations where you need to take special care.

Patient assessment practice is essential. Because today's EMTs must assess patients accurately in order to perform their jobs well, training must contain a strong focus on this important skill.

  • Patient Care and Patient Assessment sections. These segments describe the assessment and treatment you should provide for particular types of patients, disorders, or injuries. Patient Assessment typically lists the important signs and symptoms. Patient Care lists the key steps of EMT-B emergency care.
  • An Electronic Edge. Video Activities on the Electronic Extras CD emphasize patient assessment with actual video footage and interactive exercises.

Good documentation skills require practice, practice, practice. One of the most common problems students encounter when they begin work on the street is documentation of calls.

  • Documentation Tips. The Ninth Edition continues the use of the popular Documentation Tips throughout the text, with new examples added to the end of every medical, trauma, and pediatric chapter.
  • New! Sample Documentation. After the chapter on documentation (Chapter 15), each Street Scenes case study concludes with a filled-out run sheet for the call.
  • An Electronic Edge. The video activities on the Electronic Extras CD include documentation practice.

Retention improves when students have a broader framework in which to place newly learned information. When students first grasp a general overview, they are better prepared to synthesize details.

  • New! Topic Overview. The chapter opens with a list of the key topics to be covered in the chapter.
  • DOT Objectives. This list of cognitive, affective, and skills objectives opens each chapter and represents what is required by the U.S. DOT's National Standard. Includes page references to the chapter for quick review.

Sometimes students want to know more than what's in the DOT.

  • FYIs. These popular "For Your Information" sections include material that is intended to broaden your knowledge of a chapter topic but it is not essential to an understanding of your job as an EMT-B.
  • New! How and Why. This feature, posted throughout the text, brings to your attention extra information related to the topic at hand. In-depth expansions on these notes can be found on your Electronic Extras CD.
  • New! Web Medic. The internet can be a large, confusing place for students. We will show them the right places to go for the best information. Each chapter has recommended web sites for your students to check out, located on the Emergency Care Companion Website so that URLs can be updated as needed.
  • An Electronic Edge. Spanish phrases are included in audio format on the Electronic Extras CD!

Quality review material means better grades. Most students believe there is never too much opportunity for review and practice. We agree.

  • In-text Chapter Review. Each chapter concludes with a Summary, a list of Key Terms (and definitions), Review Questions, and an Application Question.
  • An Electronic Edge. Chapter Quizzes, Puzzles, Case Studies, and Patient Assessment activities are included on the CD for further practice.
  • On the Companion Website. Even more chapter questions, anatomy review material, and interactive case studies can be found here.
  • National Registry Skill Sheets. The practical skill sheets used at the EMT-Basic level by the National Registry of Emergency Medical Technicians are included in Appendix C as a tool to aid skill practice. The skill sheets also allow the instructor the opportunity to use a formal evaluation instrument when evaluating student performance. Preceding the skill sheets are instructions provided to the candidate prior to practical testing. This information should allay student fears and uncertainties about what criteria will be tested on the practical examination.

OUR GOAL: IMPROVING FUTURE TRAINING AND EDUCATION

Some of the best ideas for better training and education methods come from instructors who can tell us what areas of study caused their students the most trouble. Other sound ideas come from practicing EMT-Bs who let us know what problems they faced in the field. We welcome any of your suggestions. If you are an EMS instructor who has an idea on how to improve this book, the companion CD, or EMT-Basic training in general, please write to us at:

Brady/Prentice Hall Health
c/o EMS Editor
Pearson Education
One Lake Street
Upper Saddle River, NJ 07458

If you have access to a computer with a modem, you can also reach us through the following addresses:

danlimmer@earthlink.com
mikeokvt@aol.com

Visit Brady's Web Site
...

Table of Contents

Module 1Preparatory
Chapter 1Introduction to Emergency Medical Care4
Chapter 2The Well-Being of the EMT-Basic20
Chapter 3Medical/Legal and Ethical Issues43
Chapter 4The Human Body59
Chapter 5Lifting and Moving Patients99
Module 2Airway
Chapter 6Airway Management126
Module 3Patient Assessment
Chapter 7Scene Size-up176
Chapter 8The Initial Assessment194
Chapter 9Vital Signs and SAMPLE History210
Chapter 10Assessment of the Trauma Patient230
Chapter 11Assessment of the Medical Patient269
Chapter 12Ongoing Assessment286
Chapter 13Communications296
Chapter 14Documentation308
Module 4Medical Emergencies
Chapter 15General Pharmacology330
Chapter 16Respiratory Emergencies342
Chapter 17Cardiac Emergencies364
Chapter 18Acute Abdominal Emergencies405
Chapter 19Diabetic Emergencies and Altered Mental Status420
Chapter 20Allergic Reactions443
Chapter 21Poisoning and Overdose Emergencies457
Chapter 22Environmental Emergencies481
Chapter 23Behavioral Emergencies510
Chapter 24Obstetrics and Gynecological Emergencies524
Chapter 25Putting It All Together for the Medical Patient555
Module 5Trauma
Chapter 26Bleeding and Shock566
Chapter 27Soft-Tissue Injuries591
Chapter 28Musculoskeletal Injuries633
Chapter 29Injuries to the Head and Spine682
Chapter 30Putting It All Together for the Trauma Patient723
Module 6Younger and Older Patients
Chapter 31Infants and Children736
Chapter 32Geriatric Patients788
Module 7Operations
Chapter 33Ambulance Operations804
Chapter 34Gaining Access and Rescue Operations840
Chapter 35Special Operations864
Chapter 36EMS Response to Terrorism894
Module 8Advanced Airway Management
Chapter 37Advanced Airway Management928
Appendices
Appendix AALS-Assist Skills1
Appendix BNational Registry Skill Sheets9
Appendix CBasic Cardiac Life Support Review22
Reference Section
Anatomy and Physiology Illustrations2
Atlas of Injuries14
Medical Terminology18
Glossary1
Index1

Preface

Emergency Care has set the standard for EMT-B training texts for over 30 years. The famous "yellow book" has been used by over 1.6 million students to pass the National Registry and state exams. More than any other text, this book has defined the field. The thoroughly revised Ninth Edition continues this tradition of excellence, reflecting the latest techniques and innovations in emergency patient care and including the latest advances in instructional technology.

The authors have based Emergency Care on the U.S. DOT 1994 EMT-Basic National Standard Curriculum; everything in the 1994 curriculum is addressed in the text. In addition, the text and the accompanying CD-ROM were developed taking into account the years of experience that the authors, with the input of countless instructors and students, have had with the DOT curriculum since its publication. The result is a proven text with outstanding readability and a level of detail that more instructors have found appropriate for their classrooms than any other.

The content of the Ninth Edition is summarized below:

Module 1, PREPARATORY: CHAPTERS 1-5
This first module sets a framework for all the modules that follow by introducing some essential concepts, information, and skills. The EMS system and the role of the EMT-B within the system are introduced. Issues of EMT-B safety and well-being and legal and ethical issues are covered. Basic anatomy and physiology and techniques of safe lifting and moving are also included in this first module.

Module 2, AIRWAY MANAGEMENT: CHAPTER 6
There is only one chapter in Module 2, but it may be considered the most importantmodule in the text, because no patient will survive without an open airway. Basic airway management techniques are covered in detail.

Module 3, ASSESSMENT: CHAPTERS 7-15
The ability to perform a rapid but accurate assessment, treat for life-threatening conditions, and initiate transport to the hospital within optimum time limits are the essence of the EMT-B's job. In this module, all of the steps of the assessment and their application to different types of trauma and medical patients, plus the skills of measuring vital signs, taking a patient history, communication, and documentation, are explained and illustrated.

Module 4, MEDICAL EMERGENCIES: CHAPTERS 16-25
The Medical Emergencies module begins with a chapter on pharmacology in which the medications the EMT-B can administer or assist with under the 1994 curriculum are introduced. The module continues with chapters on respiratory, cardiac, diabetic, allergy, poisoning and overdose, environmental, behavioral, and obstetric/gynecological emergencies. It ends with a new chapter on caring for patients with multiple medical complaints.

Module 5, TRAUMA: CHAPTERS 26-30
The Trauma module begins with a chapter on bleeding and shock; continues with chapters on soft-tissue injuries, musculoskeletal injuries, and injuries to the head and spine; and ends with a new chapter on caring for multiple-trauma patients.

Module 6, INFANTS AND CHILDREN: CHAPTER 31
The difference between treating adult and pediatric patients often lies in understanding the physical and psychological differences in infants and children compared to adults. This module explores these special aspects of pediatric care as well as medical conditions and injury patterns that are especially common to or critical for infants and children.

Module 7, OPERATIONS: CHAPTERS 32-34
This module deals with nonmedical operations and special situations, including ambulance operations, motor-vehicle collision rescues, and multiple-casualty and hazardous materials incidents.

Module 8, ADVANCED AIRWAY MANAGEMENT (ELECTIVE): CHAPTER 35
In some states and regions, EMT-Bs will be trained to perform invasive airway management procedures, including orotracheal intubation and, in children, nasogastric intubation. Module 8 is included as an elective to cover these advanced airway management skills.

APPENDICES AND BCLS REVIEW
There are four appendices to this textbook, covering advanced life support assist skills, stress, and the National Registry of Emergency Medical Technicians skill sheets. There is also a review of the basic cardiac life support course, which is a prerequisite to the EMT-Basic course.

INNOVATIONS STUDENTS NEED—
FEATURES Of THE BOOK AND THE
COMPANION CD-ROM

The features of the Ninth Edition of Emergency Care and its accompanying Electronic Extras CD have been designed to address the needs of students training to become EMT-Bs. Some features—like the "Patient Assessment" and "Patient Care" sections and Scans—are hallmarks of Emergency Care and have been used successfully in several editions. Other new or revised features—like the Street Scenes and Topic Overview—have been added based on the comments of instructors and students who have used the book in the past and were kind enough to provide us with their suggestions.

Here's what we have found about what students need most in their studies-and here's how this latest revision of Emergency Care meets those needs:

Students want material to be relevant to real life. Only work in the field provides real life experience, but case-based learning is an effective way of integrating concepts with practice in the classroom.

  • New! Word on the Street. Each chapter opens with a brief anecdote, where experienced EMTs share their insights, wisdom, and experiences.
  • New! Street Scenes. Each chapter concludes with a case study that applies information from the chapter to a life-like scenario. The Street Scenes case study begins, then stops to ask students questions; to make decisions; to figure out what to do next. As the case study continues, the story answers the questions by explaining what the EMTs would really do.
  • An Electronic Edge. More case studies, plus on-the-scene action video footage and photos of trauma injuries, are found on the Electronic Extras CD.

Students prefer material in easy-to-read, easy-to-locate "chunks." So do we! Whether it's a mnemonic device like SAMPLE or a quick-reference Scan page that summarizes a skill, Emergency Care is designed to make important information accessible.

  • Scans. Key information and step-by-step procedures are summarized and presented for easy reference in illustrated Scans.
  • Study Guides. Sprinkled throughout the text, these summarize key points or mnemonic devices.
  • Special Notes. "Pediatric Notes" and "Geriatric Notes" in many chapters describe what is unique in dealing with infants, children, or older adults and how you should deal with those differences. "Safety Notes" appear throughout the book as needed to point out situations where you need to take special care.

Patient assessment practice is essential. Because today's EMTs must assess patients accurately in order to perform their jobs well, training must contain a strong focus on this important skill.

  • Patient Care and Patient Assessment sections. These segments describe the assessment and treatment you should provide for particular types of patients, disorders, or injuries. Patient Assessment typically lists the important signs and symptoms. Patient Care lists the key steps of EMT-B emergency care.
  • An Electronic Edge. Video Activities on the Electronic Extras CD emphasize patient assessment with actual video footage and interactive exercises.

Good documentation skills require practice, practice, practice. One of the most common problems students encounter when they begin work on the street is documentation of calls.

  • Documentation Tips. The Ninth Edition continues the use of the popular Documentation Tips throughout the text, with new examples added to the end of every medical, trauma, and pediatric chapter.
  • New! Sample Documentation. After the chapter on documentation (Chapter 15), each Street Scenes case study concludes with a filled-out run sheet for the call.
  • An Electronic Edge. The video activities on the Electronic Extras CD include documentation practice.

Retention improves when students have a broader framework in which to place newly learned information. When students first grasp a general overview, they are better prepared to synthesize details.

  • New! Topic Overview. The chapter opens with a list of the key topics to be covered in the chapter.
  • DOT Objectives. This list of cognitive, affective, and skills objectives opens each chapter and represents what is required by the U.S. DOT's National Standard. Includes page references to the chapter for quick review.

Sometimes students want to know more than what's in the DOT.

  • FYIs. These popular "For Your Information" sections include material that is intended to broaden your knowledge of a chapter topic but it is not essential to an understanding of your job as an EMT-B.
  • New! How and Why. This feature, posted throughout the text, brings to your attention extra information related to the topic at hand. In-depth expansions on these notes can be found on your Electronic Extras CD.
  • New! Web Medic. The internet can be a large, confusing place for students. We will show them the right places to go for the best information. Each chapter has recommended web sites for your students to check out, located on the Emergency Care Companion Website so that URLs can be updated as needed.
  • An Electronic Edge. Spanish phrases are included in audio format on the Electronic Extras CD!

Quality review material means better grades. Most students believe there is never too much opportunity for review and practice. We agree.

  • In-text Chapter Review. Each chapter concludes with a Summary, a list of Key Terms (and definitions), Review Questions, and an Application Question.
  • An Electronic Edge. Chapter Quizzes, Puzzles, Case Studies, and Patient Assessment activities are included on the CD for further practice.
  • On the Companion Website. Even more chapter questions, anatomy review material, and interactive case studies can be found here.
  • National Registry Skill Sheets. The practical skill sheets used at the EMT-Basic level by the National Registry of Emergency Medical Technicians are included in Appendix C as a tool to aid skill practice. The skill sheets also allow the instructor the opportunity to use a formal evaluation instrument when evaluating student performance. Preceding the skill sheets are instructions provided to the candidate prior to practical testing. This information should allay student fears and uncertainties about what criteria will be tested on the practical examination.

OUR GOAL: IMPROVING FUTURE TRAINING AND EDUCATION

Some of the best ideas for better training and education methods come from instructors who can tell us what areas of study caused their students the most trouble.

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