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PHTLS: Prehospital Trauma Life Support (Print) with Course Manual (eBook) 10th edition [Minkštas viršelis]

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National Association of Emergency Medical Technicians (NAEMT)

Formatas: Paperback / softback, 277 pages, weight: 1474 g
Išleidimo metai: 04-May-2023
Leidėjas: Jones and Bartlett Publishers, Inc
ISBN-10: 1284272257
ISBN-13: 9781284272253

Kitos knygos pagal šią temą:

Accident & emergency medicine - (Šiuo metu turimos knygos: 12 prekės)

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Formatas: Paperback / softback, 277 pages, weight: 1474 g
Išleidimo metai: 04-May-2023
Leidėjas: Jones and Bartlett Publishers, Inc
ISBN-10: 1284272257
ISBN-13: 9781284272253

Kitos knygos pagal šią temą:

Accident & emergency medicine - (Šiuo metu turimos knygos: 12 prekės)

Pastovi nuoroda: https://www.kriso.lt/db/9781284272253.html

Raktažodžiai:

Over three decades ago, PHTLS: Prehospital Trauma Life Support transformed the assessment and management of trauma patients in the field, improving the quality of trauma patient care and saving lives around the world. The tenth edition of this trusted, comprehensive resource continues the PHTLS mission to promote excellence in trauma patient management by all prehospital care practitioners through global education. First developed by the National Association of Emergency Medical Technicians (NAEMT) in the early 1980s in cooperation with the American College of Surgeons Committee on Trauma (ACS-COT), this proven program includes updated medical content to reflect current, evidence-based knowledge and practice. PHTLS promotes critical thinking as the foundation for providing quality care, knowing that EMS practitioners make the best decisions on behalf of their patients when given a solid foundation of knowledge and key principles to fuel their critical-thinking skills. A Clear Approach to Assessing a Trauma Patient In the field, seconds count. The tenth edition of PHTLS: Prehospital Trauma Life Support teaches and reinforces the principles of rapidly assessing a trauma patient using an orderly approach, immediately treating life-threatening problems as they are identified, and minimizing delays in initiating transport to an appropriate destination. PHTLS, Tenth Edition features:- The updated ACS National Guidelines for the Field Triage of Injured Patients- An advanced discussion on the challenges of prolonged scene time- Consideration of when to shift efforts from search and rescue to recovery in the setting of a drowning victim- The United Kingdom Fire and Rescue Guidelines for search and rescue- New content on blast injuries- Clarification on the role of pelvic binders- Presentation of the emerging role of prehospital blood transfusion in hemorrhagic shock in reducing 30-day mortality - Current content addressing special considerations, including weapons of mass destruction and environmental trauma

Division 1 Introduction

(46)

Chapter 1 PHTLS: Past, Present, and Future

(20)

History of Trauma Care in Emergency Medical Services (EMS)

(4)

Ancient Period

(1)

Larrey Period (Late 1700s to Approximately 1950)

(1)

Farrington Era (Approximately 1950 to 1970)

(1)

Modern Era of Prehospital Care (Approximately 1970 to Today)

(2)

Philosophy of PHTLS

(4)

Epidemiology and Financial Burden

(4)

The Phases of Trauma Care

(4)

Pre-event Phase

(1)

Event Phase

(1)

Post-event Phase

(2)

PHTLS-Past, Present, Future

(3)

Advanced Trauma Life Support

(2)

PHTLS

(1)

PHTLS in the Military

(1)

International PHTLS

(1)

Vision for the Future

(1)

Summary

(1)

References

(2)

Suggested Reading

(2)

Chapter 2 Golden Principles, Preferences, and Critical Thinking

(24)

Principles and Preferences

(4)

Situation

(1)

Condition of the Patient

(1)

Fund of Knowledge of the Prehospital Care Practitioner

(1)

Local Protocols

(1)

Equipment Available

(1)

Critical Thinking

(2)

Using Critical Thinking to Control Biases

(1)

Using Critical Thinking in Rapid Decision Making

(1)

Using Critical Thinking in Data Analysis

(1)

Using Critical Thinking Throughout the Phases of Patient Care

(1)

Ethics

(2)

Ethical Principles

(2)

The Golden Period: Time-Sensitive Conditions

(1)

Why Trauma Patients Die

(1)

The Golden Principles of Prehospital Trauma Care

(6)

1 Ensure the Safety of the Prehospital Care Practitioners and the Patient

(1)

2 Assess the Scene Situation to Determine the Need for Additional Resources

(2)

3 Control Any Significant External Hemorrhage

(1)

4 Use the Primary Survey Approach to Identify Life-Threatening Conditions

(1)

5 Recognize the Physics of Trauma that Produced the Injuries

(1)

6 Provide Appropriate Airway Management While Maintaining Spinal Motion Restrictionas Indicated

(1)

7 Support Ventilation and Deliver Oxygen to Maintain an SpO2 ≥ 94%

(1)

8 Provide Basic Shock Therapy, Including Appropriately Splinting Musculoskeletal Injuries and Restoring and Maintaining Normal Body Temperature

(1)

9 Apply Appropriate Spinal Motion Restriction Principles Based on the Patient's Complaints and Mental Status and Considering the Mechanism of Injury

(1)

10 For Critically Injured Trauma Patients, Initiate Transport to the Closest Appropriate Facility as Soon as Possible After EMS Arrival on Scene

(1)

11 Initiate Fluid Replacement en Route to the Receiving Facility as Necessary to Restore Basic Perfusion

(1)

12 Ascertain the Patient's Medical History and Perform a Secondary Survey When Life-Threatening Problems Have Been Satisfactorily Managed or Have Been Ruled Out

(1)

13 Provide Adequate Pain Relief

(1)

14 Provide Thorough and Accurate Communication Regarding the Patient and the Circumstances of the Injury to the Receiving Facility

(1)

Research

(2)

Reading the EMS Literature

(1)

Levels of Medical Evidence

(1)

Summary

(2)

References

(1)

Suggested Reading

(1)

Division 2 Assessment and Management

(220)

Chapter 3 Shock: Pathophysiology of Life and Death

(54)

Physiology of Shock

(1)

Metabolism

(1)

Definition of Shock

(1)

Pathophysiology of Shock

(3)

Metabolism: The Human Motor

(1)

Oxygen Delivery (Fick Principle)

(1)

Cellular Perfusion and Shock

(1)

Anatomy and Pathophysiology of Shock

(4)

Cardiovascular Response

(3)

Hemodynamic Response

(1)

Endocrine Response

(1)

Classification of Traumatic Shock

(1)

Types of Traumatic Shock

(5)

Hypovolemic Shock

(2)

Distributive (Vasogenic) Shock

(2)

Cardiogenic Shock

(1)

Assessment

(7)

Primary Survey

(4)

Secondary Survey

(1)

Musculoskeletal Injuries

(1)

Confounding Factors

(1)

Management

(15)

Exsanguinating Hemorrhage

(4)

Airway

(1)

Breathing

(1)

Circulation

(1)

Disability

(1)

Expose/Environment

(1)

Patient Transport

(1)

Vascular Access

(1)

Volume Resuscitation

(7)

Complications of Shock

(1)

Acute Renal Failure

(1)

Acute Respiratory Distress Syndrome

(1)

Hematologic Failure

(1)

Hepatic Failure

(1)

Overwhelming Infection

(1)

Multiple Organ Failure

(1)

Prolonged Transport

(1)

Summary

(2)

References

(2)

Suggested Reading

(11)

Chapter 4 The Physics of Trauma

103

(46)

General Principles

104

(2)

Pre-event

104

(1)

Event

105

(1)

Post-event

105

(1)

Energy

106

(6)

Laws of Energy and Motion

106

(2)

Energy Exchange Between a Solid Object and the Human Body

108

(4)

Blunt Trauma

112

(19)

Motor Vehicle Crashes

113

(9)

Motorcycle Crashes

122

(2)

Pedestrian Injuries

124

(1)

Falls

125

(1)

Sports Injuries

126

(1)

Regional Effects of Blunt Trauma

127

(4)

Penetrating Trauma

131

(10)

Physics of Penetrating Trauma

131

(2)

Damage and Energy Levels

133

(4)

Regional Effects of Penetrating Trauma

137

(1)

Shotgun Wounds

138

(3)

Blast Injuries

141

(3)

Injury From Explosions

141

(1)

Physics of Blast

141

(1)

Interaction of Blast Waves With the Body

142

(1)

Explosion-Related Injuries

142

(1)

Injury From Fragments

142

(1)

Multi-etiology Injury

143

(1)

Using the Physics of Trauma in Assessment

144

(1)

Summary

144

(2)

References

146

(1)

Suggested Reading

147

(2)

Chapter 5 Scene Management

149

(24)

Scene Assessment

150

(1)

Safety

150

(1)

Situation

151

(1)

Safety Issues

151

(3)

Traffic Safety

151

(2)

Violence

153

(1)

Situation Issues

154

(17)

Crime Scenes

155

(1)

Hazardous Materials

156

(1)

Weapons of Mass Destruction

157

(1)

Scene Control Zones

158

(1)

Decontamination

158

(1)

Secondary Devices

158

(2)

Command Structure

160

(3)

Incident Action Plans

163

(1)

Bloodborne Pathogens

163

(4)

Patient Assessment and Triage

167

(4)

Summary

171

(1)

References

172

(1)

Suggested Reading

172

(1)

Chapter 6 Patient Assessment and Management

173

(34)

Establishing Priorities

175

(1)

Primary Survey

175

(9)

General Impression

176

(1)

Sequence of Primary Survey

176

(8)

Simultaneous Evaluation and Management

184

(1)

Adjuncts to Primary Survey

184

(1)

Resuscitation

184

(3)

Transport

184

(2)

Fluid Therapy

186

(1)

Basic Versus Advanced Prehospital Care Practitioner Levels

187

(1)

Secondary Survey

187

(5)

Vital Signs

188

(1)

SAMPLER History

188

(1)

Assessing Anatomic Regions

188

(3)

Neurologic Examination

191

(1)

Definitive Care in the Field

192

(3)

Preparation for Transport

192

(1)

Transport

192

(1)

Field Triage of Injured Patients

192

(3)

Duration of Transport

195

(1)

Method of Transport

195

(1)

Monitoring and Reassessment (Ongoing Assessment)

195

(1)

Communication

196

(1)

Special Considerations

196

(4)

Traumatic Cardiopulmonary Arrest

196

(3)

Pain Management

199

(1)

Injury Due to Interpersonal Abuse

200

(1)

Prolonged Transport and Interfacility Transfers

200

(2)

Patient Issues

200

(1)

Crew Issues

201

(1)

Equipment Issues

201

(1)

Summary

202

(1)

References

203

(2)

Suggested Reading

205

(2)

Chapter 7 Airway and Ventilation

207

(60)

Anatomy

208

(2)

Upper Airway

208

(1)

Lower Airway

208

(2)

Physiology

210

(5)

How Is Ventilation Regulated?

212

(1)

Dead Space

213

(1)

The Oxygen Pathway

213

(2)

Pathophysiology

215

(1)

Causes and Sites of Airway Obstruction in the Trauma Patient

215

(1)

Assessment of the Airway

216

(1)

Position of the Airway and Patient

216

(1)

Upper Airway Sounds

217

(1)

Examine the Airway for Obstructions

217

(1)

Look for Chest Rise and Retractions

217

(1)

Management

217

(1)

Airway Control

217

(1)

Essential Skills

218

(1)

Manual Clearing of the Airway

218

(1)

Simple Manual Maneuvers

218

(1)

Suctioning

219

(1)

Selection of Adjunctive Device

219

(1)

Simple Adjuncts

220

(1)

Oropharyngeal Airway

220

(1)

Nasopharyngeal Airway

221

(1)

Supraglottic Airways

221

(3)

Laryngeal Mask Airway

222

(1)

Intubating Laryngeal Mask Airway

223

(1)

I-gel Device

224

(1)

Laryngeal Tube Airway

224

(1)

Definitive Airway

224

(12)

Endotracheal Intubation

224

(10)

Surgical Airway

234

(2)

Ventilation

236

(6)

Monitoring

236

(2)

Optimizing Oxygenation

238

(1)

Optimizing Ventilation

238

(1)

Assisted Ventilation

239

(3)

Continuous Quality Improvement in Intubation

242

(1)

Prolonged Transport

243

(1)

Summary

244

(2)

References

246

(21)

Division 3 Specific Injuries

267

(246)

Chapter 8 Head and Neck Trauma

269

(34)

Anatomy

270

(3)

Physiology

273

(2)

Cerebral Blood Flow

273

(1)

Cerebral Venous Drainage

274

(1)

Oxygen and Cerebral Blood Flow

275

(1)

Carbon Dioxide and Cerebral Blood Flow

275

(1)

Pathophysiology of Traumatic Brain Injury

275

(10)

Primary Brain Injury

275

(4)

Secondary Brain Injury

279

(6)

Assessment and Management

285

(6)

Physics of Trauma

285

(1)

Primary Survey

285

(5)

Secondary Survey

290

(1)

Specific Head and Neck Injuries

291

(7)

Scalp Injuries

291

(1)

Skull Fractures

292

(1)

Facial Injuries

292

(3)

Laryngeal Injuries

295

(1)

Injuries to Cervical Vessels

295

(3)

Summary

298

(1)

References

299

(3)

Suggested Reading

302

(1)

Chapter 9 Spinal Trauma

303

(48)

Anatomy and Physiology

305

(6)

Vertebral Anatomy

305

(4)

Spinal Cord Anatomy

309

(2)

Pathophysiology

311

(3)

Skeletal Injuries

311

(1)

Specific Mechanisms of Injury That Cause Spinal Trauma

311

(1)

Spinal Cord Injuries

312

(2)

Assessment

314

(4)

Neurologic Examination

314

(1)

Using Mechanism of Injury to Assess SCI

314

(2)

Indications for Spinal Motion Restriction

316

(2)

Management

318

(12)

General Method

320

(1)

Manual In-Line Stabilization of the Head

321

(1)

Rigid Cervical Collars

321

(1)

Immobilization of Torso to the Board Device

322

(1)

The Backboard Debate

323

(1)

Maintenance of Neutral In-Line Position of the Head

324

(3)

Completing Stabilization

327

(1)

Most Common Spinal Stabilization Mistakes

328

(1)

Obese Patients

328

(1)

Pregnant Patients

329

(1)

Use of Steroids

329

(1)

Prolonged Transport

330

(1)

Summary

331

(1)

References

332

(3)

Suggested Reading

335

(16)

Chapter 10 Thoracic Trauma

351

(34)

Anatomy

352

(1)

Physiology

353

(3)

Ventilation

353

(2)

Circulation

355

(1)

Pathophysiology

356

(1)

Penetrating Injury

356

(1)

Blunt Force Injury

357

(1)

Assessment

357

(1)

Assessment and Management of Specific Injuries

358

(18)

Rib Fractures

358

(1)

Flail Chest

359

(1)

Pulmonary Contusion

360

(1)

Pneumothorax

361

(5)

Hemothorax

366

(2)

Blunt Cardiac Injury

368

(1)

Cardiac Tamponade

369

(1)

Commotio Cordis

370

(1)

Traumatic Aortic Disruption

371

(2)

Tracheobronchial Disruption

373

(1)

Traumatic Asphyxia

374

(1)

Diaphragmatic Rupture

375

(1)

Prolonged Transport

376

(1)

Summary

376

(2)

References

378

(2)

Suggested Reading

380

(5)

Chapter 11 Abdominal Trauma

385

(20)

Anatomy

386

(1)

Pathophysiology

387

(3)

Assessment

390

(6)

Kinematics

390

(2)

History

392

(1)

Physical Examination

392

(2)

Special Examinations and Key Indicators

394

(2)

Management

396

(1)

Special Considerations

397

(5)

Impaled Objects

397

(1)

Evisceration

398

(1)

Trauma in the Obstetric Patient

398

(3)

Genitourinary Injuries

401

(1)

Summary

402

(1)

References

403

(1)

Suggested Reading

404

(1)

Chapter 12 Musculoskeletal Trauma

405

(26)

Anatomy and Physiology

406

(2)

Assessment

408

(3)

Mechanism of Injury

408

(1)

Primary and Secondary Surveys

409

(2)

Associated Injuries

411

(1)

Specific Musculoskeletal Injuries

411

(7)

Hemorrhage

411

(2)

Pulseless Extremity

413

(2)

Instability (Fractures and Dislocations)

415

(3)

Special Considerations

418

(5)

Critical Multisystem Trauma Patient

418

(1)

Compartment Syndrome

419

(1)

Mangled Extremity

419

(1)

Amputations

420

(1)

Crush Syndrome

421

(2)

Sprains

423

(1)

Prolonged Transport

423

(1)

Summary

424

(1)

References

425

(1)

Suggested Reading

426

(5)

Chapter 13 Burn Injuries

431

(30)

Etiology of Burn Injury

432

(1)

Pathophysiology of Burn Injury

432

(1)

Fluid Shifts in Burn Injury

432

(1)

Systemic Effects of Burn Injury

433

(1)

Anatomy of the Skin

433

(1)

Burn Characteristics

434

(3)

Burn Depth

434

(3)

Burn Assessment

437

(4)

Primary Survey and Resuscitation

437

(3)

Secondary Survey

440

(1)

Management

441

(5)

Initial Burn Care

441

(3)

Fluid Resuscitation

444

(2)

Analgesia

446

(1)

Special Considerations

446

(9)

Electrical Injuries

446

(1)

Circumferential Burns

447

(1)

Smoke Inhalation Injuries

447

(3)

Child Abuse

450

(2)

Radiation Burns

452

(1)

Chemical Burns

452

(3)

Summary

455

(2)

References

457

(4)

Chapter 14 Pediatric Trauma

461

(32)

Children as Trauma Patients

462

(3)

Demographics of Pediatric Trauma

462

(1)

The Physics of Trauma and Pediatric Trauma

463

(1)

Common Patterns of Injury

463

(1)

Thermal Homeostasis

464

(1)

Psychosocial Issues

464

(1)

Recovery and Rehabilitation

464

(1)

Pathophysiology

465

(2)

Hypoxia

465

(1)

Hemorrhage

465

(1)

Central Nervous System Injury

466

(1)

Assessment

467

(8)

Primary Survey

467

(1)

Airway

468

(1)

Breathing

469

(2)

Circulation

471

(2)

Disability

473

(1)

Expose/Environment

473

(1)

Secondary Survey

473

(2)

Management

475

(5)

Control of Severe External Hemorrhage

475

(1)

Airway

475

(2)

Breathing

477

(1)

Circulation

477

(2)

Pain Management

479

(1)

Transport

479

(1)

Specific Injuries

480

(5)

Traumatic Brain Injury

480

(1)

Spinal Trauma

481

(1)

Thoracic Injuries

482

(1)

Abdominal Injuries

482

(1)

Extremity Trauma

482

(1)

Burn Injuries

483

(2)

Motor Vehicle Injury Prevention

485

(1)

Child Abuse and Neglect

485

(2)

Prolonged Transport

487

(1)

Summary

488

(1)

References

489

(2)

Suggested Reading

491

(2)

Chapter 15 Geriatric Trauma

493

(20)

Anatomy and Physiology of Aging

494

(6)

Influence of Chronic Medical Problems

495

(1)

Ears, Nose, and Throat

495

(1)

Respiratory System

496

(1)

Cardiovascular System

497

(1)

Nervous System

497

(1)

Sensory Changes

498

(1)

Renal System

498

(1)

Musculoskeletal System

499

(1)

Skin

500

(1)

Nutrition and the Immune System

500

(1)

Assessment

500

(6)

Physics of Trauma

500

(1)

Primary Survey

501

(1)

Secondary Survey

502

(4)

Management

506

(1)

Exsanguinating Hemorrhage

506

(1)

Airway

506

(1)

Breathing

506

(1)

Circulation

506

(1)

Spinal Motion Restriction

506

(1)

Temperature Control

507

(1)

Legal Considerations

507

(1)

Reporting Elder Abuse

507

(1)

Elder Maltreatment

508

(1)

Categories of Maltreatment

508

(1)

COVID-19 Impact on Elder Abuse

508

(1)

Important Points

509

(1)

Disposition

509

(1)

Prolonged Transport

509

(1)

Prevention

510

(1)

Summary

510

(1)

References

511

(1)

Suggested Reading

512

(1)

Division 4 Prevention

513

(24)

Chapter 16 Injury Prevention

515

(22)

Concepts of Injury

517

(3)

Definition of Injury

517

(1)

Injury as a Disease

517

(1)

Haddon Matrix

517

(1)

Swiss Cheese Model

518

(1)

Classification of Injury

518

(2)

Scope of the Problem

520

(4)

Intimate Partner Violence

523

(1)

Injury to EMS Personnel

523

(1)

Prevention as the Solution

524

(1)

Concepts of Injury Prevention

524

(6)

Coal

524

(1)

Opportunities for Intervention

525

(1)

Potential Strategies

525

(1)

Strategy Implementation

525

(4)

Public Health Approach

529

(1)

Evolving Role of EMS in Injury Prevention

530

(2)

One-on-One Interventions

530

(1)

Communitywide Interventions

530

(1)

Injury Prevention for EMS Practitioners

531

(1)

Summary

532

(2)

References

534

(2)

Suggested Reading

536

(1)

Division 5 Mass Casualties and Terrorism

537

(66)

Chapter 17 Disaster Management

539

(26)

The Disaster Cycle

540

(4)

Comprehensive Emergency Management

541

(1)

Personal Preparedness

542

(2)

Mass-Casualty Incident Management

544

(6)

The National Incident Management System

545

(1)

Incident Command System

545

(3)

Organization of the Incident Command System

548

(2)

Medical Response to Disasters

550

(6)

Initial Response

550

(1)

Search and Rescue

551

(1)

Triage

551

(2)

Treatment

553

(1)

Transport

553

(1)

Medical Assistance Teams

554

(1)

Threat of Terrorism and Weapons of Mass Destruction

554

(1)

Decontamination

555

(1)

Treatment Area

556

(1)

Psychological Response to Disasters

556

(1)

Characteristics of Disasters That Affect Mental Health

556

(1)

Factors Impacting Psychological Response

556

(1)

Psychological Sequelae of Disasters

556

(1)

Interventions

556

(1)

Emergency Responder Stress

556

(1)

Disaster Education and Training

557

(1)

Common Pitfalls of Disaster Response

558

(2)

Preparedness

558

(1)

Communications

559

(1)

Scene Security

559

(1)

Self-Dispatched Assistance

559

(1)

Supply and Equipment Resources

559

(1)

Failure to Notify Hospitals

560

(1)

Media

560

(1)

Summary

560

(2)

References

562

(1)

Suggested Reading

563

(2)

Chapter 18 Explosions and Weapons of Mass Destruction

565

(38)

General Considerations

567

(5)

Scene Assessment

567

(1)

Incident Command System

568

(1)

Personal Protective Equipment

568

(2)

Control Zones

570

(1)

Patient Triage

570

(1)

Principles of Decontamination

571

(1)

Explosions, Explosives, and Incendiary Agents

572

(5)

Categories of Explosives

572

(1)

Mechanisms of Injury

573

(1)

Injury Patterns

574

(2)

Evaluation and Management

576

(1)

Transport Considerations

576

(1)

Incendiary Agents

577

(1)

Chemical Agents

577

(6)

Physical Properties of Chemical Agents

577

(1)

Personal Protective Equipment

578

(1)

Evaluation and Management

578

(1)

Transport Considerations

579

(1)

Selected Specific Chemical Agents

579

(4)

Biologic Agents

583

(9)

Concentrated Biohazard Agent Versus Infected Patient

584

(2)

Selected Agents

586

(6)

Radiologic Disasters

592

(6)

Medical Effects of Radiation Catastrophes

593

(3)

Personal Protective Equipment

596

(1)

Assessment and Management

597

(1)

Transport Considerations

597

(1)

Summary

598

(1)

References

599

(2)

Suggested Reading

601

(2)

Division 6 Special Considerations

603

(150)

Chapter 19 Environmental Trauma I: Heat and Cold

605

(48)

Epidemiology

606

(1)

Heat-Related Illness

606

(1)

Cold-Related Illness

606

(1)

Anatomy

606

(1)

The Skin

606

(1)

Physiology

607

(2)

Thermoregulation and Temperature Balance

607

(2)

Homeostasis

609

(1)

Risk Factors in Heat Illness

609

(2)

Obesity, Fitness, and Body Mass Index

609

(1)

Age

610

(1)

Medical Conditions

610

(1)

Medications

610

(1)

Dehydration

610

(1)

Injuries Caused by Heat

611

(8)

Minor Heat-Related Disorders

611

(3)

Major Heat-Related Disorders

614

(5)

Prevention of Heat-Related Illness

619

(8)

Environment

623

(1)

Hydration

624

(1)

Fitness

624

(1)

Heat Acclimatization

625

(2)

Emergency Incident Rehabilitation

627

(1)

Injuries Produced by Cold

627

(14)

Dehydration

627

(1)

Minor Cold-Related Disorders

627

(1)

Major Cold-Related Disorders

628

(13)

2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science

641

(2)

Cardiac Arrest in Special Situations---Accidental Hypothermia

641

(1)

Basic Life Support Guidelines for Treatment of Mild to Severe Hypothermia

641

(1)

Advanced Cardiac Life Support Guidelines for Treatment of Hypothermia

641

(2)

Prevention of Cold-Related Injuries

643

(1)

Prolonged Transport

644

(3)

Heat-Related Illness

645

(1)

Cold-Related Illness

646

(1)

Summary

647

(1)

References

648

(4)

Suggested Reading

652

(1)

Chapter 20 Environmental Trauma II: Lightning, Drowning, Diving, and Altitude

653

(44)

Lightning-Related Injuries

654

(7)

Epidemiology

654

(1)

Mechanism of Injury

654

(1)

Injuries From Lightning

655

(2)

Assessment

657

(1)

Management

658

(1)

Prevention

658

(3)

Drowning

661

(8)

Epidemiology

661

(1)

Risk Factors for Drowning

661

(2)

Mechanism of Injury

663

(1)

Water Rescue

664

(1)

Predictors of Survival

665

(1)

Assessment

665

(1)

Management

666

(3)

Prevention of Drowning

669

(1)

Recreational Scuba-Related Injuries

669

(12)

Epidemiology

670

(1)

Mechanical Effects of Pressure

670

(2)

Barotrauma

672

(3)

Assessment of AGE and DCS

675

(1)

Management

676

(1)

Prevention of Scuba-Related Diving Injuries

677

(4)

High-Altitude Illness

681

(7)

Epidemiology

681

(1)

Hypobaric Hypoxia

682

(1)

Factors Related to High-Altitude Illness

682

(2)

Acute Mountain Sickness

684

(1)

High-Altitude Cerebral Edema

684

(2)

High-Altitude Pulmonary Edema

686

(1)

Prevention

687

(1)

Prolonged Transport

688

(1)

Drowning

688

(1)

Lightning Injury

688

(1)

Recreational Scuba-Related Diving Injuries

689

(1)

High-Altitude Illness

689

(1)

Summary

689

(2)

References

691

(4)

Suggested Reading

695

(2)

Chapter 21 Wilderness Trauma Care

697

(38)

Wilderness EMS Defined

698

(2)

Wilderness EMS Versus Traditional Street EMS

699

(1)

Wilderness EMS System

700

(1)

Training for Wilderness EMS Practitioners

700

(1)

Wilderness EMS Medical Oversight

701

(1)

Wilderness EMS Agencies

701

(1)

The Wilderness EMS Context

701

(4)

Key Wilderness EMS/SAR Principles: Locate, Access, Treat, Extricate (LATE)

701

(1)

Technical Rescue Interface

702

(1)

Wilderness EMS Realms

702

(1)

Wilderness Injury Patterns

702

(1)

Safety

703

(1)

Proper Care Depends on Context

703

(1)

Ideal to Real Care

704

(1)

Wilderness EMS Decision Making: Balancing Risks and Benefits

705

(4)

TCCC and TECC Principles Applied in Wilderness Trauma Care

705

(1)

Principles of Basic Patient Packaging

706

(1)

Physiologic Splinting

706

(1)

Airway Considerations

707

(1)

Spinal Injuries and Spinal Motion Restriction

707

(1)

Wilderness Extrication Options

708

(1)

Other Wilderness EMS Patient Care Considerations

709

(7)

Principles of Patient Assessment

709

(1)

MARCH PAWS

709

(1)

Prolonged Patient Care Considerations

710

(1)

Elimination (Urination/Defecation) Needs

710

(3)

Food and Water Needs

713

(1)

Suspension Syndrome

713

(2)

Eye/Head Protection

715

(1)

Sun Protection

715

(1)

Specifics of Wilderness EMS

716

(10)

Wound Management

716

(3)

Pain Management

719

(1)

Dislocations

720

(1)

Cardiopulmonary Resuscitation in the Wilderness

720

(1)

Bites and Stings

721

(5)

The Wilderness EMS Context Revisited

726

(1)

Summary

726

(3)

References

729

(4)

Suggested Reading

733

(2)

Chapter 22 Civilian Tactical Emergency Medical Support (TEMS)

735

(18)

History and Evolution of Tactical Emergency Medical Support

736

(1)

TEMS Practice Components

737

(1)

Barriers to Traditional EMS Access

737

(1)

Zones of Operation

738

(1)

Phases of Care

738

(8)

Care Under Fire/Threat (Direct Threat Care)

738

(2)

Tactical Field Care (Indirect Threat Care)

740

(6)

Tactical Evacuation Care (Evacuation Care)

746

(1)

Mass-Casualty Incidents

746

(1)

Medical Intelligence and Medical Direction

747

(1)

Summary

747

(1)

References

748

(2)

Suggested Reading

750

(3)

Glossary

753

(14)

Index

767

Formed in 1975 and more than 32,000 members strong, the National Association of Emergency Medical Technicians (NAEMT) is the nations only organization solely dedicated to representing the professional interests of all EMS practitioners, including paramedics, emergency medical technicians, emergency medical responders and other professionals working in prehospital emergency medicine. NAEMT members work in all sectors of EMS, including government service agencies, fire departments, hospital-based ambulance services, private companies, industrial and special operations settings, and in the military. NAEMT represents all EMS practitioners in promoting: Greater understanding and appreciation by government agencies at the local, state and national levels of the role that EMS plays in our nation's health care, public safety, and disaster response systems. Pay and benefits that reflects their professional training, responsibilities and dedication. Leadership at the federal level that fosters and supports the delivery of quality EMS nationwide. Adequate and sustainable funding for EMS in all locations. Public policy that supports EMS practitioners and the patients they serve.

PHTLS: Prehospital Trauma Life Support (Print) with Course Manual (eBook) 10th edition [Minkštas viršelis]

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