Sanders' Paramedic Textbook with Navigate Premier Access, 6e (Feb 15, 2024)_(1284277496)_(Jones & Bartlett Learning).pdf

Featuring current print and digital content, engaging illustrations and photos, and accessible technology, Sanders' Paramedic Textbook, Sixth Edition with Navigate Premier Access resources spur critical thinking for paramedic students and provide a must-have reference for emergency physicians. The new edition has been reviewed and endorsed by the American Academy of Orthopaedic Surgeons (AAOS) and the National Association of EMS Physicians (NAEMSP), and its content meets or exceeds the scientific recommendations by the International Liaison Committee on Resuscitation (ILCOR) and is consistent with the ECC Guidelines as established by the American Heart Association and other resuscitation councils around the world. Sanders' robust resources for educators and students deliver teaching and learning solutions to best fit educators' unique classroom needs. Its single volume provides portability to learners while limiting repetition of content, and its inclusion of detailed anatomy and physiology negate the need for additional reference texts. Even more, its emergency drug index incorporates detailed drug information in an easy-to-find location. Developed by a renowned team of authors, Sanders' Paramedic Textbook, Sixth Edition with Navigate Premier Access provides a comprehensive training program and curriculum to prepare students for long-term success in the field and focuses on inclusion and diversity to engage every student. What's new in the Sixth Edition: - Updated discussion of core EMS guidelines, including EMS Agenda 2050, the National EMS Scope of Practice Model 2019, and the 2021 National EMS - Education Standards - Expanded discussion of paramedic well-being and mental health, including self-care, injury prevention, stress management, resilience, avoidance of compassion fatigue, and suicide prevention - Emphasis on current spinal motion restriction guidelines - Updated descriptions and discussions of medications, including analgesics, sedative-hypnotics, push-dose drugs, and medications used in fibrinolytic therapy and the management of diabetes - Inclusion of special considerations for geriatric and pediatric patients - New insights on evolving topics, such as diagnostic testing methods and use of analgesics for abdominal pain - New guidance to ensure personal safety when responding to behavioral emergencies - Increased focus on cultural awareness, advice on avoiding implicit and explicit biases, and guidance on using gender-sensitive language Sanders' Paramedic Textbook, Sixth Edition with Navigate Premier Access includes the following resources: - Print textbook - Audiobook - eBook - Instructor Guide - Assessments - Learning Objectives - Slides - Lecture Outlines - Case Study Slides - Simulation Training Support and Scenarios document - Skill Videos - Active Learning Activities - Practice Activities - TestPrep - Flashcards - Simulations (Soft-Skill Simulations; First Responder Resiliency and Support Simulations) - Interactive Lectures - Virtual Ride-Alongs Paramedic Textbook Title Page Copyright Page Contents in Brief Contents About the Authors and Editors Acknowledgments PART 1 Preparatory 1 EMS Systems: Roles, Responsibilities, and Professionalism EMS System Development Current Medical Services Systems EMS Education EMS Personnel Levels National EMS Group Involvement Licensure, Certification, Registration, and Credentialing Professionalism Roles and Responsibilities of the Paramedic Medical Oversight of EMS Improving System Quality Patient Safety 2 Safety and Wellness of the Paramedic Wellness Components Physical Well-Being Mental and Emotional Health Dealing With Death, Dying, Grief, and Loss 3 Injury Prevention, Health Promotion, and Public Health Basic Principles of Public Health Key Concepts in Prevention EMS Involvement in Public Health EMS Participation in Prevention Programs 4 Documentation Importance of Documentation General Considerations The Narrative Attributes of a Properly Written EMS Document Systems of Narrative Writing Billing Considerations Special Considerations in Documentation Document Revision and Correction Consequences of Inappropriate Documentation 5 EMS Communications Communications Systems Land Mobile Radio Systems Technologies Modes of Radio Transmission Basic Network Configurations Computer Integration and Telemedicine Components and Functions of Dispatch Communications Systems Procedures for EMS Communications The Communications System at Work 6 Medical and Legal Issues Legal Duties and Ethical Responsibilities The United States Legal System Legal Accountability of the Paramedic Paramedic-Patient Relationships Resuscitation Issues Crime Scene Responsibilities Documentation 7 Ethics Ethics Overview Ethical Tests in Health Care Rapid Approach to Ethical Problems in an Emergency Resolving Ethical Dilemmas Patient Advocacy and Paramedic Accountability Ethical Leadership in Paramedicine 8 Research Principles and Evidence-Based Practice EMS Research Basic Principles of Research Evidence-Based Practice PART 2 Anatomy and Physiology 9 Medical Terminology The Language of Medicine Word Parts: The Building Blocks of Medical Terminology Plural Forms of Medical Terms Medical Abbreviations, Acronyms, and Symbols Pronunciation of Medical Terms Do Not Use List 10 Review of Human Systems Anatomy Overview Cell Structure Body Tissues Organ Systems Special Senses 11 General Principles of Pathophysiology Cellular Physiology: Basic Cellular Review Water Balance, Sodium, and Chloride Alterations in Cells and Tissues: Injury and Disease Hypoperfusion and Shock Self-Defense Mechanisms Variances in Immunity and Inflammation Stress and Disease Genetics and Familial Diseases 12 Life Span Development Newborn to Infant Toddler and Preschool Years School-Age Years Adolescence Early Adulthood Middle Adulthood Late Adulthood Advanced Old Age PART 3 Pharmacology 13 Principles of Pharmacology and Emergency Medications Historical Trends in Pharmacology General Properties of Drugs Drug Interactions Drug Forms, Preparations, and Storage Drug Profiles and Special Considerations in Drug Therapy Drugs That Affect the Nervous System Drugs That Affect the Cardiovascular System Drugs That Affect the Blood Drugs That Affect the Respiratory System Drugs That Affect the Gastrointestinal System Drugs That Affect the Eye and Ear Drugs That Affect the Endocrine System Drugs That Affect the Reproductive System Drugs Used in Neoplastic Diseases Drugs Used in Infectious Disease and Inflammation Drugs That Affect the Immune System 14 Medication Administration Mathematical Equivalents Used in Pharmacology Drug Calculations Drug Administration Medical Asepsis Standard Precautions in Medication Administration Enteral Administration of Medications Parenteral Administration of Medications Transmucosal Medication Administration Administration of Transdermal Medications Administration of Inhaled Drugs Administration of ET Drugs Special Considerations for Geriatric Patients Special Considerations for Pediatric Patients Obtaining a Blood Sample Disposal of Contaminated Items and Sharps PART 4 Airway 15 Airway Management, Respiration, and Artificial Ventilation The Airway: Anatomy Respiratory Physiology: Mechanics of Respiration Measurement of Gases Pulmonary Circulation Regulation of Respiration Respiratory Pathophysiology Upper Airway Obstruction Pulmonary Aspiration Essential Parameters of Airway Evaluation: Ventilation Supplemental Oxygen Therapy Augmenting Patient Ventilations Rescue Breathing and Mechanical Ventilation Airway Management Suction Mechanical Adjuncts in Airway Management Advanced Airway Procedures Adjuncts to Assess and Manage Airway, Ventilation, and Oxygenation Drug-Assisted Airway Management Cricothyrotomy PART 5 Patient Assessment 16 Therapeutic Communications Fundamentals of Communication The Patient Interview Process Methods of Assessing Mental Status During the Interview Special Interview Situations 17 History Taking Components of the Patient History Content of the Patient History Techniques of History Taking Getting More Information Clinical Reasoning The Process of Clinical Reasoning Special Challenges 18 Scene Size-up and Primary Assessment Scene Size-up Scene Safety Evaluation of the Scene Scene Management Patient Assessment Priorities Identifying Patients Who Need Priority Care and Transport 19 Secondary Assessment and Reassessment Secondary Assessment: Approach and Overview Mental Status General Survey Anatomic Regions Physical Examination of Infants and Children Physical Examination of Older Adults 20 Clinical Decision Making Effective Assessment Crew Resource Management The “Right Stuff” General Approach to the Patient Decision-Making Strategies During Prehospital Care The Critical-Thinking Process for Paramedics Field Application of Assessment-Based Patient Care Patient Handoff Reporting PART 6 Cardiovascular 21 Cardiology Risk Factors and Prevention Strategies for Cardiovascular Disease Anatomy Review of the Heart Physiology of the Heart Electrophysiology of the Heart Basic Concepts of Electrocardiogram Monitoring ECG Interpretation: Steps in Rhythm Analysis Introduction to Dysrhythmias and Their Classifications Dysrhythmias Originating in the SA Node Dysrhythmias Originating in the Atria Dysrhythmias Sustained or Originating in the AV Junction Dysrhythmias Originating in the Ventricles Disorders of Conduction Twelve-Lead ECG Monitoring Ventricular Conduction Disturbances Determination of the Axis Axis and Hemiblocks Twelve-Lead Strategies for WCTs ST-Segment and T-Wave Changes Use of a 12-Lead ECG to Assess Infarcts Right-Side and Posterior ECGs Assessment of the Patient With Cardiac Disease Pathophysiology and Management of Cardiovascular Disease Specific Heart Diseases Cardiomyopathy Techniques for Managing Cardiac Emergencies Defibrillation Synchronized Cardioversion Transcutaneous Cardiac Pacing Implantable Cardioverter-Defibrillators Wearable Cardioverter-Defibrillator Mechanical Circulatory Support Devices Cardiac Arrest and Sudden Cardiac Death Termination of Resuscitation PART 7 Medical 22 Diseases of the Eyes, Ears, Nose, and Throat Conditions of the Eye Conditions of the Ear Conditions of the Nose Conditions of the Oropharynx and Throat 23 Respiratory Anatomy and Physiology Review Pathophysiology Diffusion Assessment Findings Diagnostic Testing Obstructive Airway Disease COVID-19 Pneumonia Acute Respiratory Distress Syndrome Pulmonary Embolism Upper Respiratory Tract Infection Spontaneous Pneumothorax Hyperventilation Syndrome Lung Cancer Respiratory Failure 24 Neurology Anatomy and Physiology of the Nervous System Neurologic Pathophysiology Neurologic Evaluation Pathophysiology and Management of Specific CNS Disorders 25 Endocrinology Anatomy and Physiology of the Endocrine System Disorders of the Pancreas: Diabetes Mellitus Disorders of the Thyroid Gland Disorders of the Adrenal Glands 26 Immune System Disorders Overview of the Immune System Immune Response Allergic Reactions Anaphylaxis Allergic Reaction Without Anaphylaxis Collagen Vascular Disease Organ Transplantation Immunologic Syndromes 27 Infectious and Communicable Diseases Public Health Principles Related to Infectious Diseases Pathophysiology of Infectious Disease Physiology of the Human Response to Infection Stages of Infectious Disease Systemic Dysfunction Caused by Infection Human Immunodeficiency Virus Hepatitis Coronavirus Disease 2019 Tuberculosis Bacterial Meningitis Bacterial Endocarditis Pneumonia Rabies Hantavirus Mosquito-Borne Illness Antibiotic-Resistant Infections Infectious Diseases of Childhood Other Important Infectious Diseases Sexually Transmitted Infections Lice and Scabies Emerging Infectious Diseases Reporting an Exposure to an Infectious or a Communicable Disease The Paramedic’s Role in Preventing Disease Transmission 28 Abdominal and Gastrointestinal Disorders Review of Gastrointestinal Anatomy Assessment of the Patient With Acute Abdominal Pain Care for the Patient With an Abdominal Emergency Specific Abdominal Emergencies High-Risk Patients and Evaluation of Acute Abdominal Pain 29 Genitourinary and Renal Disorders Anatomy and Physiology Review Renal Diseases Renal Replacement Therapy Urinary System Conditions Male Genital Tract Conditions Physical Examination of Patients with Genitourinary or Renal Disorders 30 Hematology Blood and Blood Components Hemostasis Specific Hematologic Disorders General Assessment and Treatment of Patients With Hematologic Disorders 31 Nontraumatic Musculoskeletal Disorders Anatomy and Physiology Review General Assessment Strategies General Management Strategies Osteomyelitis Bone Tumors Low Back Pain Joint Disorders Muscle Disorders Overuse Syndromes Peripheral Nerve Syndromes Soft-Tissue Infections 32 Toxicology Poisoning Poison Control Centers Management Principles for Toxic Syndromes Guidelines for Managing a Patient Who Has Been Poisoned Poisoning by Ingestion Poisoning by Inhalation Poisoning by Injection Poisoning by Absorption Substance Use Disorder Alcohol Use Disorder 33 Behavioral and Psychiatric Disorders Understanding Behavioral Emergencies The Mental Health System Assessment and Management of Behavioral Emergencies Specific Behavioral and Psychiatric Disorders Special Considerations for Patients With Behavioral Problems PART 8 Shock and Resuscitation 34 Shock Shock Oxygen Delivery to the Tissues The Body as a Container Capillary–Cellular Relationship in Shock Classifications of Shock Progression of Shock Assessment of the Patient in Shock Resuscitation Management of Specific Forms of Shock Integration of Patient Assessment and the Treatment Plan PART 9 Trauma 35 Trauma Overview and Mechanism of Injury Epidemiology of Trauma Kinematics Blunt Trauma Restraints Organ Injuries From Crashes Other Motorized Vehicular Crashes Pedestrian Injuries Other Causes of Blunt Trauma Penetrating Trauma Trauma Assessment Role of Documentation in Trauma 36 Bleeding and Soft-Tissue Trauma Hemorrhage Anatomy and Physiology of the Skin Pathophysiology Pathophysiology and Assessment of Soft-Tissue Injuries Management Principles for Soft-Tissue Injuries Hemorrhage and Control of Bleeding Dressing Materials Used With Soft-Tissue Trauma Management of Specific Soft-Tissue Injuries Not Requiring Closure Special Considerations for Soft-Tissue Injuries 37 Burns Prevalence of Burn Injury Major Sources of Burns Classification of Burn Depth Physiologic Response to Burn Injuries Estimation of Burn Extent and Severity Assessment of the Burn Patient General Principles in Burn Management Inhalation Burn Injuries Chemical Burn Injuries Electrical Burn Injuries Radiation Exposure 38 Head, Face, and Neck Trauma Maxillofacial Injuries Ear, Eye, and Dental Trauma Anterior Neck Trauma Head Trauma Traumatic Brain Injury Injury Rating Systems 39 Spine and Nervous System Trauma Spinal Trauma: Incidence, Morbidity, and Mortality Review of Spinal Anatomy Mechanisms of Spinal Injury Classifications of Spinal Injury Spinal Assessment Criteria Evaluation of SCI General Management of Spinal Injuries SCI Presentations Nontraumatic Spinal Conditions 40 Chest Trauma Skeletal Injuries Pulmonary Contusion Other Pulmonary Injuries Heart and Great Vessel Injuries Other Thoracic Injuries 41 Abdominal Trauma Review of Abdominal Anatomy Mechanisms of Abdominal Injury Specific Abdominal Injuries Assessment of Abdominal Trauma Management of Abdominal Trauma 42 Orthopaedic Trauma Review of the Musculoskeletal System Classifications of Musculoskeletal Injuries Signs and Symptoms of Extremity Trauma Assessment and Management of Musculoskeletal Injuries Upper Extremity Injuries Lower Extremity Injuries Open Fractures Straightening Angular Fractures and Reducing Dislocations 43 Environmental Conditions Thermoregulation Hyperthermia Hypothermia Frostbite Drowning Diving Emergencies High-Altitude Illness PART 10 Special Patient Populations 44 Gynecology Organs of the Female Reproductive System Menstruation and Ovulation Gynecologic Emergencies Assessment and Management of Gynecologic Emergencies Sexual Assault 45 Obstetrics Review of Female Reproductive Anatomy Normal Events of Pregnancy Specialized Structures of Pregnancy Fetal Growth and Development Pregnancy Terminology (GTPAL) Patient Assessment Complications of Pregnancy Antepartum Disorders Intrapartum Considerations Postpartum Disorders Trauma During Pregnancy Cardiac Arrest in the Pregnant Patient 46 Neonatal Care Risk Factors Associated With the Need for Resuscitation Physiologic Adaptations at Birth Assessment and Management of the Newborn: The Golden Minute Resuscitation of the Distressed Newborn Postresuscitation Care Neonatal Transport Psychological and Emotional Support Specific Situations Congenital Anomalies 47 Pediatrics The Paramedic’s Role in Caring for Pediatric Patients EMS for Children Pediatric Growth and Development Anatomy and Physiology General Principles of Pediatric Assessment General Principles of Patient Care Specific Pathophysiology, Assessment, and Management Infants and Children With Special Needs 48 Geriatrics Demographics, Epidemiology, and Societal Issues Social Determinants of Health in the Geriatric Population Living Environments and Referral Sources Physiologic Changes of Aging General Principles in Assessment of the Geriatric Patient System Pathophysiology, Assessment, and Management 49 Abuse and Neglect Abuse and Maltreatment Intimate Partner Violence Elder Abuse Child Abuse Sexual Assault 50 Patients With Special Challenges Physical Challenges Developmental and Intellectual Disabilities Pathologic Conditions Social Determinants of Health High System Utilizers 51 Acute Interventions for Home Care Overview of Care Provided to Patients at Home General Principles and Management Specific Acute Home Health Care Interventions PART 11 EMS Operations 52 Ground and Air Ambulance Operations Ambulance Standards Checking Ambulances Ambulance Stationing Safe Ambulance Operation Aeromedical Transport 53 Medical Incident Command Incident Command System Mass-Casualty Incidents Principles and Technology of Triage Stress Management 54 Rescue Awareness and Operations Appropriate Training for Rescue Operations Rescuer PPE Surface Water Rescue Hazardous Atmospheres Highway Operations Hazardous Terrain Assessment Procedures During Rescue 55 Crime Scene Awareness Approaching the Scene Dangerous Residence Dangerous Highway Encounters Violent Street Crimes Violent Groups and Situations Safety Tactics Tactical Patient Care EMS at Crime Scenes 56 Hazardous Materials Awareness Scope of Hazmat Laws and Regulations Identification of Hazmat Personal Protective Clothing and Equipment Health Hazards Response to Hazmat Emergencies Rehabilitation and Medical Monitoring Emergency Care for Contaminated Patients 57 Bioterrorism and Weapons of Mass Destruction History of Biologic Weapons Critical Biologic Agents and Responder Databases Specific Biologic Threats Nuclear and Radiologic Threats Incendiary Threats Specific Chemical Threats Explosive Threats Department of Homeland Security General Guidelines for Emergency Response Appendix A: Emergency Drug Index Appendix B: Advanced Practice Procedures for Critical Care Paramedics Glossary Index