| Acknowledgments |
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| Associate Editors |
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| Contributors |
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| Preface |
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1 Don't have a failed airway because you failed to prepare |
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4 | (3) |
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2 Don't forget to properly position the patient prior to attempting intubation! |
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7 | (4) |
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3 Which patients should undergo RSI? Its not just about the clenched jaw! |
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11 | (3) |
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4 If a nonrebreather is not cutting it, slap on the PAP! Use noninvasive positive pressure ventilation in patients with moderate to severe respiratory distress |
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14 | (3) |
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5 Cannulas aren't just for supplemental oxygen anymore: the use of EtCO2 for differentiating causes of respiratory distress |
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17 | (4) |
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6 Errors in difficult airway assessment: always assess the anatomy first |
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21 | (4) |
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7 Problems encountered with movement and airway management: confirm and reconfirm endotracheal intubation |
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25 | (3) |
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8 High pressure airway? Lay off the cricoid! |
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28 | (3) |
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9 Don't be so quick to throw your battery operated laryngoscope away! |
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31 | (3) |
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10 Drop that tube! Alternative airways in the prehospital setting |
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34 | (4) |
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11 It's not all about intubation: new perspectives on prehospital airway management |
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38 | (3) |
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12 GCS less than 8? Don't automatically intubate! |
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41 | (3) |
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13 I can't see cords! What to do when you're already in too deep |
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44 | (3) |
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14 Pediatric airway management: don't underestimate the value of a step-wise approach |
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47 | (2) |
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15 Intubation practice makes perfect: there's not enough practice |
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49 | (2) |
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16 RSI without paralytics? Just don't do it |
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51 | (3) |
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17 Tantalizingly tangible techniques for telegraphing the tough tube |
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54 | (6) |
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18 Avoid becoming a patient when transporting one |
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60 | (3) |
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19 Know the downfalls of hyperventilation and positive pressure in the intubated patient |
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63 | (2) |
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20 Hemoptysis: be careful of just a little blood! |
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65 | (3) |
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21 Fear the tracheostomy patient! |
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68 | (3) |
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22 Don't assume the pulse oximeter is perfect! |
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71 | (2) |
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23 Beware the intubated patient! |
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73 | (2) |
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24 Don't underestimate waveform capnography in the intubated patient |
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75 | (2) |
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25 Know the pros and cons of nitroglycerin in acute respiratory distress |
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77 | (3) |
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26 Fear the elderly patient with new onset wheezing |
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80 | (2) |
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27 The perils and pitfalls of needle decompression |
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82 | (3) |
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28 Don't forget CPAP in prehospital respiratory distress |
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85 | (3) |
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29 Use morphine with caution in the treatment of acute cardiogenic pulmonary edema |
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88 | (3) |
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30 To PE or not to PE? Don't forget embolism in the patient with shortness of breath! |
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91 | (3) |
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31 Avoid overzealous use of furosemide |
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94 | (2) |
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32 Shortness of breath: remember that it's not always the lungs! |
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96 | (3) |
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33 Be vigilant for stridor in adults |
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99 | (3) |
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34 Pearls and pitfalls for treating status asthmaticus |
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102 | (3) |
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35 Toxic inhalation pitfalls |
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105 | (2) |
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36 Don't administer too much or too little oxygen to the COPD patient |
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107 | (5) |
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CARDIAC EMERGENCIES AND ECG |
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37 Don't give up when it comes to interpreting tachycardias |
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112 | (3) |
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38 Don't give up when it comes to interpreting bradycardias |
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115 | (3) |
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39 Don't be fooled by these ECG mimics |
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118 | (3) |
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40 Don't forget that there are many causes of chest pain |
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121 | (3) |
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41 Don't forget to analyze wide complex tachycardias |
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124 | (2) |
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42 Don't miss the subtle ECG findings of STEMI |
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126 | (8) |
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MANAGEMENT OF CARDIAC ARREST |
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43 Don't overlook the role of hands-only CPR in community-based strategies for survival |
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134 | (3) |
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44 Don't overlook the uses of capnography in cardiac arrest |
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137 | (3) |
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45 Do not interrupt CPR for more than 10 seconds: it can be the difference between staying alive and biting the dust |
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140 | (3) |
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46 Pay close attention to BLS intervention! |
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143 | (3) |
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47 Refer your patients with ROSC to the most appropriate facility |
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146 | (3) |
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48 It's a cold day on the horizon: chill your ROSC patients out! |
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149 | (3) |
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49 Chest compressions are your most "advanced" BLS technique |
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152 | (3) |
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50 CPR devices: don't believe everything you hear |
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155 | (2) |
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51 Confirmation is about more than direct visualization, especially in cardiac arrest |
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157 | (3) |
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52 Know when to say, "when!" termination of resuscitation efforts in cardiac arrest |
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160 | (3) |
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53 Noninvasive airway management in cardiac arrest: think beyond intubation |
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163 | (3) |
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54 Do not fail to ensure quality chest compressions! |
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166 | (3) |
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55 Involve your community in cardiac arrest: together you can make a difference |
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169 | (3) |
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Cassandra Maria Chiras Godar |
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56 Teamwork in cardiac arrest: no one codes alone |
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172 | (4) |
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57 Think about where to begin your resuscitation |
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176 | (4) |
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58 Remember to take a thorough patient history! |
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180 | (3) |
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59 The patient assessment: don't fail to do it right every time |
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183 | (3) |
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60 Be sure to avoid these pitfalls in confirming death at scene |
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186 | (2) |
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61 It's not over until you document, and you have to do it right! |
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188 | (3) |
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62 Don't transport a patient to an inappropriate facility |
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191 | (2) |
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63 Avoid pitfalls in spinal immobilization |
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193 | (4) |
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64 Don't forget to look for a "cardiac cause" of an accident |
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197 | (3) |
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65 Don't underestimate hemorrhage from pelvic and long bone fractures |
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200 | (2) |
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66 Avoid these pitfalls in vascular access in the trauma patient |
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202 | (3) |
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67 The patient's airway: manage it the right way! |
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205 | (3) |
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68 The bleeding patient: try to control hemorrhage if possible! |
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208 | (4) |
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69 Pain hurts! Don't forget to treat it! |
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212 | (3) |
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70 Examine the patient: find that penetrating trauma! |
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215 | (5) |
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71 Don't wait for hypotension to diagnose shock |
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220 | (2) |
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72 Kids with altered mental status need a glucose check |
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222 | (3) |
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73 Refusing pediatric refusals: beneath the surface of the iceberg |
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225 | (2) |
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74 Don't intubate that child! |
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227 | (3) |
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75 Weight-based care is essential in the care of children |
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230 | (2) |
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76 Think intraosseous not intravenous |
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232 | (2) |
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Laurie MacPherson Lawrence |
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77 Pain management is not just for adults |
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234 | (3) |
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78 If you are missing the vital signs, you are missing the point! |
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237 | (3) |
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79 Not all pediatric seizures are status |
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240 | (3) |
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80 All that wheezes is not asthma |
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243 | (5) |
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AEROMEDICAL/CRITICAL CARE CONSIDERATIONS |
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81 Trauma transport: don't forget you can drive |
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248 | (3) |
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82 Don't be afraid to use existing central venous catheters! |
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251 | (3) |
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83 The dynamic environment of a helicopter landing zone: always remain aware! |
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254 | (3) |
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84 Know your HEMS providers: they're not all alike! |
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257 | (3) |
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85 Requesting a helicopter is a medical decision: choose the right patient for aviation utilization |
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260 | (3) |
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86 Don't wait for the helicopter! Pitfalls in aviation selection |
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263 | (3) |
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87 Pearls and pitfalls of interhospital transport: it's about much more than paperwork! |
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266 | (4) |
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88 Sedation during transport: think beyond paralysis! |
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270 | (4) |
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89 Understand the spectrum of sepsis: how to identify, monitor, and treat! |
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274 | (3) |
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90 Don't fear the pressor! |
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277 | (5) |
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INCIDENT COMMAND/DISASTER |
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91 Avoid being the modern day canary: ensure scene safety when responding to a mass casualty event |
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282 | (3) |
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92 Prepare, prepackage, and pre-plan the disaster pack you need |
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285 | (2) |
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93 Don't forget the special populations that require special response |
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287 | (3) |
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94 From the hot zone to hospitals: transport your patients safely and efficiently |
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290 | (3) |
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95 Understand how your PPE works before the big day |
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293 | (3) |
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96 Know the value of stakeholder communications |
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296 | (3) |
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97 Know the principles of disaster management before an event occurs |
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299 | (3) |
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98 Know how to interact with the media |
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302 | (3) |
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99 Ensure optimal communication between all parties |
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305 | (2) |
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100 Use an appropriate triage system to guide decision making in the mass casualty setting |
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307 | (5) |
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CUSTOMER SERVICE/MEDICOLEGAL |
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101 Never forget: EMS is mostly about great customer service! |
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312 | (3) |
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102 Don't forget to keep an open mind with each new call |
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315 | (3) |
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103 Don't fail to manage the difficult, but still manageable consumer |
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318 | (3) |
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104 The buck has to stop at the quality assurance/leadership offices |
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321 | (2) |
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105 Don't leave high risk chief complaints on the scene |
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323 | (3) |
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106 Don't drop the ball in the dispatch center |
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326 | (2) |
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107 Avoid engaging in conflict when responding to health care facilities |
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328 | (3) |
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108 Don't fail to consider the family |
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331 | (3) |
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109 Don't post patient or family info on social media |
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334 | (2) |
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110 Consent and confidentiality in EMS: mistakes that you shouldn't make |
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336 | (4) |
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111 Don't be guilty of showing negligence |
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340 | (3) |
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112 Don't confuse roles in the EMS |
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343 | (4) |
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113 Don't make these errors in managing medications, and keep that patient area clean! |
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347 | (5) |
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114 Know the pros and cons of chemical restraint |
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352 | (3) |
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115 Consider physical restraint as a last resort option for the combative patient |
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355 | (3) |
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116 Do not overdiagnose anxiety |
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358 | (3) |
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117 Don't assume the intoxicated patient is just drunk |
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361 | (3) |
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118 Consider neuroleptic malignant syndrome and serotonin syndrome in psychiatric patients |
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364 | (4) |
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119 Don't miss the diagnosis of excited delirium |
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368 | (2) |
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120 Keep yourself safe on the scene |
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370 | (3) |
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121 Recognize the malingerer! |
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373 | (4) |
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122 Be wary of the suicidal patient! |
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377 | (5) |
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123 Don't miss pulmonary embolism in the pregnant patient! |
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382 | (3) |
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124 Don't get tangled up in a cord emergency! |
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385 | (3) |
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125 Don't throw your hands up just yet: what you need to know about hyperemesis |
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388 | (3) |
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126 Don't dismiss headaches in the postpartum patient |
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391 | (3) |
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127 It can still be a surprise, even after nine months! Do not fail to prepare for the emergent delivery |
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394 | (3) |
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128 Don't be shocked when it's occult shock! |
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397 | (5) |
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129 Pediatric altered mental status: Did you think about the possibility of child abuse? |
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402 | (2) |
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130 Remember that drugs, toxins, and meds can cause AMS |
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404 | (2) |
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131 Did you think about excited delirium as the cause of that patient's agitation? |
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406 | (3) |
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132 Always remember to consider hypoglycemia! |
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409 | (3) |
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133 Remember that hypoxia may be causing that altered mental status! |
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412 | (3) |
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134 Those may be stroke symptoms and the patient should go to a stroke center! |
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415 | (3) |
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135 The patient with headache: what might be the cause? |
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418 | (3) |
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136 The patient with CNS injuries: did you remember to immobilize? |
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421 | (2) |
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137 Remember! That back pain may be due to a spinal cord problem! |
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423 | (2) |
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138 Always remember to think about increased ICP and manage the airway appropriately! |
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425 | (2) |
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| Index |
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