| Acknowledgments |
|
v | |
| Associate Editors |
|
vii | |
| Contributors |
|
viii | |
| Preface |
|
xv | |
|
|
|
|
1 Don't have a failed airway because you failed to prepare |
|
|
4 | (3) |
|
|
|
|
|
2 Don't forget to properly position the patient prior to attempting intubation! |
|
|
7 | (4) |
|
|
|
|
|
3 Which patients should undergo RSI? Its not just about the clenched jaw! |
|
|
11 | (3) |
|
|
|
|
|
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 |
|
|
14 | (3) |
|
|
|
5 Cannulas aren't just for supplemental oxygen anymore: the use of EtCO2 for differentiating causes of respiratory distress |
|
|
17 | (4) |
|
|
|
6 Errors in difficult airway assessment: always assess the anatomy first |
|
|
21 | (4) |
|
|
|
7 Problems encountered with movement and airway management: confirm and reconfirm endotracheal intubation |
|
|
25 | (3) |
|
|
|
8 High pressure airway? Lay off the cricoid! |
|
|
28 | (3) |
|
|
|
9 Don't be so quick to throw your battery operated laryngoscope away! |
|
|
31 | (3) |
|
|
|
10 Drop that tube! Alternative airways in the prehospital setting |
|
|
34 | (4) |
|
|
|
11 It's not all about intubation: new perspectives on prehospital airway management |
|
|
38 | (3) |
|
|
|
12 GCS less than 8? Don't automatically intubate! |
|
|
41 | (3) |
|
|
|
13 I can't see cords! What to do when you're already in too deep |
|
|
44 | (3) |
|
|
|
14 Pediatric airway management: don't underestimate the value of a step-wise approach |
|
|
47 | (2) |
|
|
|
15 Intubation practice makes perfect: there's not enough practice |
|
|
49 | (2) |
|
|
|
|
|
16 RSI without paralytics? Just don't do it |
|
|
51 | (3) |
|
|
|
17 Tantalizingly tangible techniques for telegraphing the tough tube |
|
|
54 | (6) |
|
|
|
|
|
|
|
|
18 Avoid becoming a patient when transporting one |
|
|
60 | (3) |
|
|
|
|
|
19 Know the downfalls of hyperventilation and positive pressure in the intubated patient |
|
|
63 | (2) |
|
|
|
20 Hemoptysis: be careful of just a little blood! |
|
|
65 | (3) |
|
|
|
21 Fear the tracheostomy patient! |
|
|
68 | (3) |
|
|
|
22 Don't assume the pulse oximeter is perfect! |
|
|
71 | (2) |
|
|
|
23 Beware the intubated patient! |
|
|
73 | (2) |
|
|
|
|
|
24 Don't underestimate waveform capnography in the intubated patient |
|
|
75 | (2) |
|
|
|
25 Know the pros and cons of nitroglycerin in acute respiratory distress |
|
|
77 | (3) |
|
|
|
26 Fear the elderly patient with new onset wheezing |
|
|
80 | (2) |
|
|
|
27 The perils and pitfalls of needle decompression |
|
|
82 | (3) |
|
|
|
28 Don't forget CPAP in prehospital respiratory distress |
|
|
85 | (3) |
|
|
|
29 Use morphine with caution in the treatment of acute cardiogenic pulmonary edema |
|
|
88 | (3) |
|
|
|
|
|
30 To PE or not to PE? Don't forget embolism in the patient with shortness of breath! |
|
|
91 | (3) |
|
|
|
|
|
31 Avoid overzealous use of furosemide |
|
|
94 | (2) |
|
|
|
32 Shortness of breath: remember that it's not always the lungs! |
|
|
96 | (3) |
|
|
|
33 Be vigilant for stridor in adults |
|
|
99 | (3) |
|
|
|
34 Pearls and pitfalls for treating status asthmaticus |
|
|
102 | (3) |
|
|
|
35 Toxic inhalation pitfalls |
|
|
105 | (2) |
|
|
|
36 Don't administer too much or too little oxygen to the COPD patient |
|
|
107 | (5) |
|
|
|
|
|
CARDIAC EMERGENCIES AND ECG |
|
|
|
37 Don't give up when it comes to interpreting tachycardias |
|
|
112 | (3) |
|
|
|
|
|
38 Don't give up when it comes to interpreting bradycardias |
|
|
115 | (3) |
|
|
|
|
|
39 Don't be fooled by these ECG mimics |
|
|
118 | (3) |
|
|
|
40 Don't forget that there are many causes of chest pain |
|
|
121 | (3) |
|
|
|
41 Don't forget to analyze wide complex tachycardias |
|
|
124 | (2) |
|
|
|
42 Don't miss the subtle ECG findings of STEMI |
|
|
126 | (8) |
|
|
|
MANAGEMENT OF CARDIAC ARREST |
|
|
|
43 Don't overlook the role of hands-only CPR in community-based strategies for survival |
|
|
134 | (3) |
|
|
|
44 Don't overlook the uses of capnography in cardiac arrest |
|
|
137 | (3) |
|
|
|
|
|
45 Do not interrupt CPR for more than 10 seconds: it can be the difference between staying alive and biting the dust |
|
|
140 | (3) |
|
|
|
46 Pay close attention to BLS intervention! |
|
|
143 | (3) |
|
|
|
47 Refer your patients with ROSC to the most appropriate facility |
|
|
146 | (3) |
|
|
|
48 It's a cold day on the horizon: chill your ROSC patients out! |
|
|
149 | (3) |
|
|
|
|
|
49 Chest compressions are your most "advanced" BLS technique |
|
|
152 | (3) |
|
|
|
|
|
50 CPR devices: don't believe everything you hear |
|
|
155 | (2) |
|
|
|
51 Confirmation is about more than direct visualization, especially in cardiac arrest |
|
|
157 | (3) |
|
|
|
|
|
52 Know when to say, "when!" termination of resuscitation efforts in cardiac arrest |
|
|
160 | (3) |
|
|
|
53 Noninvasive airway management in cardiac arrest: think beyond intubation |
|
|
163 | (3) |
|
|
|
54 Do not fail to ensure quality chest compressions! |
|
|
166 | (3) |
|
|
|
|
|
55 Involve your community in cardiac arrest: together you can make a difference |
|
|
169 | (3) |
|
Cassandra Maria Chiras Godar |
|
|
|
|
56 Teamwork in cardiac arrest: no one codes alone |
|
|
172 | (4) |
|
|
|
|
|
57 Think about where to begin your resuscitation |
|
|
176 | (4) |
|
|
|
|
|
|
|
|
58 Remember to take a thorough patient history! |
|
|
180 | (3) |
|
|
|
59 The patient assessment: don't fail to do it right every time |
|
|
183 | (3) |
|
|
|
60 Be sure to avoid these pitfalls in confirming death at scene |
|
|
186 | (2) |
|
|
|
61 It's not over until you document, and you have to do it right! |
|
|
188 | (3) |
|
|
|
62 Don't transport a patient to an inappropriate facility |
|
|
191 | (2) |
|
|
|
63 Avoid pitfalls in spinal immobilization |
|
|
193 | (4) |
|
|
|
64 Don't forget to look for a "cardiac cause" of an accident |
|
|
197 | (3) |
|
|
|
65 Don't underestimate hemorrhage from pelvic and long bone fractures |
|
|
200 | (2) |
|
|
|
66 Avoid these pitfalls in vascular access in the trauma patient |
|
|
202 | (3) |
|
|
|
67 The patient's airway: manage it the right way! |
|
|
205 | (3) |
|
|
|
68 The bleeding patient: try to control hemorrhage if possible! |
|
|
208 | (4) |
|
|
|
69 Pain hurts! Don't forget to treat it! |
|
|
212 | (3) |
|
|
|
70 Examine the patient: find that penetrating trauma! |
|
|
215 | (5) |
|
|
|
|
|
|
71 Don't wait for hypotension to diagnose shock |
|
|
220 | (2) |
|
|
|
72 Kids with altered mental status need a glucose check |
|
|
222 | (3) |
|
|
|
73 Refusing pediatric refusals: beneath the surface of the iceberg |
|
|
225 | (2) |
|
|
|
|
|
74 Don't intubate that child! |
|
|
227 | (3) |
|
|
|
75 Weight-based care is essential in the care of children |
|
|
230 | (2) |
|
|
|
76 Think intraosseous not intravenous |
|
|
232 | (2) |
|
Laurie MacPherson Lawrence |
|
|
77 Pain management is not just for adults |
|
|
234 | (3) |
|
|
|
78 If you are missing the vital signs, you are missing the point! |
|
|
237 | (3) |
|
|
|
79 Not all pediatric seizures are status |
|
|
240 | (3) |
|
|
|
80 All that wheezes is not asthma |
|
|
243 | (5) |
|
|
|
AEROMEDICAL/CRITICAL CARE CONSIDERATIONS |
|
|
|
81 Trauma transport: don't forget you can drive |
|
|
248 | (3) |
|
|
|
|
|
82 Don't be afraid to use existing central venous catheters! |
|
|
251 | (3) |
|
|
|
|
|
83 The dynamic environment of a helicopter landing zone: always remain aware! |
|
|
254 | (3) |
|
|
|
84 Know your HEMS providers: they're not all alike! |
|
|
257 | (3) |
|
|
|
85 Requesting a helicopter is a medical decision: choose the right patient for aviation utilization |
|
|
260 | (3) |
|
|
|
86 Don't wait for the helicopter! Pitfalls in aviation selection |
|
|
263 | (3) |
|
|
|
87 Pearls and pitfalls of interhospital transport: it's about much more than paperwork! |
|
|
266 | (4) |
|
|
|
|
|
88 Sedation during transport: think beyond paralysis! |
|
|
270 | (4) |
|
|
|
|
|
89 Understand the spectrum of sepsis: how to identify, monitor, and treat! |
|
|
274 | (3) |
|
|
|
|
|
90 Don't fear the pressor! |
|
|
277 | (5) |
|
|
|
INCIDENT COMMAND/DISASTER |
|
|
|
91 Avoid being the modern day canary: ensure scene safety when responding to a mass casualty event |
|
|
282 | (3) |
|
|
|
92 Prepare, prepackage, and pre-plan the disaster pack you need |
|
|
285 | (2) |
|
|
|
93 Don't forget the special populations that require special response |
|
|
287 | (3) |
|
|
|
|
|
94 From the hot zone to hospitals: transport your patients safely and efficiently |
|
|
290 | (3) |
|
|
|
95 Understand how your PPE works before the big day |
|
|
293 | (3) |
|
|
|
96 Know the value of stakeholder communications |
|
|
296 | (3) |
|
|
|
|
|
97 Know the principles of disaster management before an event occurs |
|
|
299 | (3) |
|
|
|
98 Know how to interact with the media |
|
|
302 | (3) |
|
|
|
99 Ensure optimal communication between all parties |
|
|
305 | (2) |
|
|
|
100 Use an appropriate triage system to guide decision making in the mass casualty setting |
|
|
307 | (5) |
|
|
|
CUSTOMER SERVICE/MEDICOLEGAL |
|
|
|
101 Never forget: EMS is mostly about great customer service! |
|
|
312 | (3) |
|
|
|
102 Don't forget to keep an open mind with each new call |
|
|
315 | (3) |
|
|
|
103 Don't fail to manage the difficult, but still manageable consumer |
|
|
318 | (3) |
|
|
|
104 The buck has to stop at the quality assurance/leadership offices |
|
|
321 | (2) |
|
|
|
105 Don't leave high risk chief complaints on the scene |
|
|
323 | (3) |
|
|
|
106 Don't drop the ball in the dispatch center |
|
|
326 | (2) |
|
|
|
107 Avoid engaging in conflict when responding to health care facilities |
|
|
328 | (3) |
|
|
|
108 Don't fail to consider the family |
|
|
331 | (3) |
|
|
|
109 Don't post patient or family info on social media |
|
|
334 | (2) |
|
|
|
110 Consent and confidentiality in EMS: mistakes that you shouldn't make |
|
|
336 | (4) |
|
|
|
|
|
|
|
111 Don't be guilty of showing negligence |
|
|
340 | (3) |
|
|
|
|
|
|
|
112 Don't confuse roles in the EMS |
|
|
343 | (4) |
|
|
|
|
|
|
|
113 Don't make these errors in managing medications, and keep that patient area clean! |
|
|
347 | (5) |
|
|
|
|
|
|
114 Know the pros and cons of chemical restraint |
|
|
352 | (3) |
|
|
|
115 Consider physical restraint as a last resort option for the combative patient |
|
|
355 | (3) |
|
|
|
|
|
116 Do not overdiagnose anxiety |
|
|
358 | (3) |
|
|
|
117 Don't assume the intoxicated patient is just drunk |
|
|
361 | (3) |
|
|
|
118 Consider neuroleptic malignant syndrome and serotonin syndrome in psychiatric patients |
|
|
364 | (4) |
|
|
|
|
|
119 Don't miss the diagnosis of excited delirium |
|
|
368 | (2) |
|
|
|
120 Keep yourself safe on the scene |
|
|
370 | (3) |
|
|
|
121 Recognize the malingerer! |
|
|
373 | (4) |
|
|
|
122 Be wary of the suicidal patient! |
|
|
377 | (5) |
|
|
|
|
|
|
123 Don't miss pulmonary embolism in the pregnant patient! |
|
|
382 | (3) |
|
|
|
124 Don't get tangled up in a cord emergency! |
|
|
385 | (3) |
|
|
|
125 Don't throw your hands up just yet: what you need to know about hyperemesis |
|
|
388 | (3) |
|
|
|
|
|
126 Don't dismiss headaches in the postpartum patient |
|
|
391 | (3) |
|
|
|
127 It can still be a surprise, even after nine months! Do not fail to prepare for the emergent delivery |
|
|
394 | (3) |
|
|
|
|
|
128 Don't be shocked when it's occult shock! |
|
|
397 | (5) |
|
|
|
|
|
|
129 Pediatric altered mental status: Did you think about the possibility of child abuse? |
|
|
402 | (2) |
|
|
|
130 Remember that drugs, toxins, and meds can cause AMS |
|
|
404 | (2) |
|
|
|
131 Did you think about excited delirium as the cause of that patient's agitation? |
|
|
406 | (3) |
|
|
|
132 Always remember to consider hypoglycemia! |
|
|
409 | (3) |
|
|
|
133 Remember that hypoxia may be causing that altered mental status! |
|
|
412 | (3) |
|
|
|
134 Those may be stroke symptoms and the patient should go to a stroke center! |
|
|
415 | (3) |
|
|
|
135 The patient with headache: what might be the cause? |
|
|
418 | (3) |
|
|
|
136 The patient with CNS injuries: did you remember to immobilize? |
|
|
421 | (2) |
|
|
|
137 Remember! That back pain may be due to a spinal cord problem! |
|
|
423 | (2) |
|
|
|
138 Always remember to think about increased ICP and manage the airway appropriately! |
|
|
425 | (2) |
|
|
| Index |
|
427 | |
Daugiau apie elektronines knygas