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Emergency Medical Services Systems: Roles and Responsibilities | |
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Emergency Medical Services System Development | |
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Current Emergency Medical Services Systems | |
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National Emergency Medical Services Group Involvement | |
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| |
Paramedic Education | |
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Licensure, Certification, and Registration | |
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| |
Professionalism | |
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Roles and Responsibilities of the Paramedic | |
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Medical Direction for Emergency Medical Services | |
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Improving System Quality | |
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Emergency Medical Services Research | |
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| |
The Well-Being of the Paramedic | |
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| |
Wellness Components | |
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Stress | |
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| |
Dealing with Death, Dying, Grief, and Loss | |
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| |
Prevention of Disease Transmission | |
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| |
Injury Prevention | |
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| |
Injury Epidemiology | |
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| |
Overview of Injury Prevention | |
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| |
Feasibility of Emergency Medical Services Involvement | |
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| |
Participation in Prevention Programs | |
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| |
Medical/Legal Issues | |
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| |
Legal Duties and Ethical Responsibilities | |
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| |
The Legal System | |
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| |
Legal Accountability of the Paramedic | |
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| |
Paramedic-Patient Relationships | |
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| |
Resuscitation Issues | |
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| |
Crime Scene Responsibilities | |
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Documentation | |
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| |
| |
Ethics | |
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| |
Ethics Overview | |
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| |
A Rapid Approach to Emergency Ethical Problems | |
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| |
Ethical Tests in Health Care | |
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| |
Resolving Ethical Dilemmas | |
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| |
Ethical Issues in Contemporary Paramedic Practice | |
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| |
| |
Review of Human Systems | |
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| |
Terminology | |
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| |
Cell Structure | |
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| |
Tissues | |
| |
| |
Organ Systems | |
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| |
Special Senses | |
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| |
| |
General Principles of Pathophysiology | |
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| |
| |
Cellular Physiology | |
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| |
Basic Cellular Review | |
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| |
Cellular Environment | |
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| |
Cellular Injury and Disease | |
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| |
Alterations in Cells and Tissues | |
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| |
Hypoperfusion | |
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Self-Defense Mechanisms | |
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Variances in Immunity and Inflammation | |
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| |
Stress and Disease | |
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| |
Genetics and Familial Diseases | |
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| |
| |
Life Span Development | |
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| |
Newborn | |
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| |
Toddler and Preschool Years | |
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| |
School-Age Years | |
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| |
Adolescence | |
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| |
Early Adulthood | |
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Middle Adulthood | |
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| |
Late Adulthood | |
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| |
Therapeutic Communication | |
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| |
Communication | |
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| |
Internal Factors in Effective Communication | |
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| |
External Factors in Effective Communication | |
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| |
Patient Interview | |
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| |
Strategies for Obtaining Information | |
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| |
Methods of Assessing Mental Status During the Interview | |
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| |
Special Interview Situations | |
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| |
| |
History Taking | |
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| |
Content of the Patient History | |
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| |
Techniques of History Taking | |
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| |
Special Challenges | |
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| |
| |
Techniques of Physical Examination | |
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| |
Physical Examination: Approach and Overview | |
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| |
Mental Status | |
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| |
General Survey | |
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| |
Anatomical Regions | |
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| |
Physical Examination of Infants and Children | |
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| |
Physical Examination of Older Adults | |
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| |
| |
Patient Assessment | |
| |
| |
Scene Size-Up and Assessment | |
| |
| |
Patient Assessment Priorities | |
| |
| |
Initial Assessment | |
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| |
Focused History and Physical Examination: Medical Patients | |
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| |
Focused History and Physical Examination: Trauma Patients | |
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| |
Rapid Trauma Physical Examination | |
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| |
Detailed Physical Examination | |
| |
| |
Ongoing Assessment | |
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| |
Care of Medical Versus Trauma Patients | |
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| |
| |
Clinical Decision Making | |
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| |
The Spectrum of Prehospital Care | |
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| |
Critical Thinking Process for Paramedics | |
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| |
Fundamental Elements of Critical Thinking for Paramedics | |
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| |
Field Application of Assessment-Based Patient Management | |
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| |
Putting it all Together: The Six R's | |
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| |
| |
Assessment-Based Management | |
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| |
Effective Assessment | |
| |
| |
The Right Stuff | |
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| |
Optional Take-in Equipment | |
| |
| |
General Approach to the Patient | |
| |
| |
Presenting the Patient | |
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| |
| |
Communications | |
| |
| |
Phases of Communications during a Typical Emergency Medical Services Event | |
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| |
Role of Communications in Emergency Medical Services | |
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| |
Communications Systems | |
| |
| |
Components and Functions of Dispatch Communications Systems | |
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| |
Regulation | |
| |
| |
Procedures for Emergency Medical Services Communications | |
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| |
| |
Documentation | |
| |
| |
Importance of Documentation | |
| |
| |
General Considerations | |
| |
| |
The Narrative | |
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| |
Elements of a Properly Written Emergency Medical Services Document | |
| |
| |
Systems of Narrative Writing | |
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| |
Special Considerations of Documentation | |
| |
| |
Document Revision/Correction | |
| |
| |
Consequences of Inappropriate Documentation | |
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| |
| |
| |
| |
| |
Pharmacology | |
| |
| |
| |
Drug Information | |
| |
| |
Historical Trends in Pharmacology | |
| |
| |
| |
Mechanisms of Drug Action | |
| |
| |
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 | |
| |
| |
Review of Anatomy and Physiology | |
| |
| |
| |
Drugs that Affect the Cardiovascular System | |
| |
| |
Review of Anatomy and Physiology | |
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| |
| |
Drugs that Affect the Blood | |
| |
| |
Anticoagulants, Fibrinolytics, and Blood Components | |
| |
| |
| |
Drugs that Affect the Respiratory System | |
| |
| |
Review of Anatomy and Physiology | |
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| |
| |
Drugs that Affect the Gastrointestinal System | |
| |
| |
Review of Anatomy and Physiology | |
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| |
| |
Drugs that Affect the Eye and Ear | |
| |
| |
Treatment of Eye Disorders | |
| |
| |
| |
Drugs that Affect the Endocrine System | |
| |
| |
Review of Anatomy and Physiology | |
| |
| |
| |
Drugs that Affect the Reproductive System | |
| |
| |
Treatment of Disorders of the Reproductive System | |
| |
| |
| |
Drugs Used in Neoplastic Diseases | |
| |
| |
Antineoplastic Agents | |
| |
| |
| |
Drugs Used in Infectious Disease and inflammation | |
| |
| |
Treatment of Infectious Disease and Inflammation | |
| |
| |
| |
Drugs that Affect the Immunological System | |
| |
| |
Review of Anatomy and Physiology | |
| |
| |
Appendix | |
| |
| |
Herbs | |
| |
| |
Herbal Products | |
| |
| |
Herbal Supplements | |
| |
| |
| |
Venous Access and Medication Administration | |
| |
| |
Mathematical Equivalents Used in Pharmacology | |
| |
| |
Drug Calculations | |
| |
| |
Drug Administration | |
| |
| |
Medical Asepsis | |
| |
| |
Universal Precautions in Medication Administration | |
| |
| |
Enteral Administration of Medications | |
| |
| |
Parental Administration of Medications | |
| |
| |
Administration of Percutaneous Medications | |
| |
| |
Special Considerations for Pediatric Patients | |
| |
| |
Obtaining a Blood Sample | |
| |
| |
Disposal of Contaminated Items and Sharps | |
| |
| |
| |
Universal Precautions: Measures to Prevent Transmission of the Human Immunodeficiency Virus (HIV) | |
| |
| |
| |
| |
| |
| |
Airway Management and Ventilation | |
| |
| |
| |
Respiratory Physiology | |
| |
| |
Mechanics of Respiration | |
| |
| |
Measurement of Gases | |
| |
| |
Pulmonary Circulation | |
| |
| |
| |
Respiratory Pathophysiology | |
| |
| |
Foreign Body Airway Obstruction | |
| |
| |
Aspiration by Inhalation | |
| |
| |
| |
Airway Evaluation | |
| |
| |
Essential Parameters of Airway Evaluation | |
| |
| |
Supplemental Oxygen Therapy | |
| |
| |
Ventilation | |
| |
| |
Airway Management | |
| |
| |
Suction | |
| |
| |
Mechanical Adjuncts in Airway Management | |
| |
| |
Advanced Airway Procedures | |
| |
| |
Pharmacological Adjuncts to Airway Management and Ventilation | |
| |
| |
Translaryngeal Cannula Ventilation | |
| |
| |
Cricothyrotomy | |
| |
| |
| |
| |
| |
| |
Trauma Systems and Mechanism of Injury | |
| |
| |
Epidemiology of Trauma | |
| |
| |
| |
Kinematics | |
| |
| |
Energy | |
| |
| |
| |
Blunt Trauma | |
| |
| |
Blunt Trauma | |
| |
| |
Restraints | |
| |
| |
Organ Collision Injuries | |
| |
| |
Other Motorized Vehicular Collisions | |
| |
| |
Pedestrian Injuries | |
| |
| |
Other Causes of Blunt Trauma | |
| |
| |
| |
Penetrating Trauma | |
| |
| |
Penetrating Trauma | |
| |
| |
| |
Hemorrhage and Shock | |
| |
| |
Hemorrhage | |
| |
| |
Definition of Shock | |
| |
| |
Tissue Oxygenation | |
| |
| |
The Body as a Container | |
| |
| |
Capillary-Cellular Relationship in Shock | |
| |
| |
Classifications of Shock | |
| |
| |
Stages of Shock | |
| |
| |
Uncompensated Shock | |
| |
| |
Management and Treatment Plan for the Patient in Shock | |
| |
| |
Integration of Patient Assessment and the Treatment Plan | |
| |
| |
| |
Soft Tissue Trauma | |
| |
| |
Anatomy and Physiology | |
| |
| |
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 | |
| |
| |
| |
Burns | |
| |
| |
Incidence and Patterns of Burn Injury | |
| |
| |
Classifications of Burn Injury | |
| |
| |
Pathophysiology of Burn Shock | |
| |
| |
Assessment of the Burn Patient | |
| |
| |
General Principles in Burn Management | |
| |
| |
Inhalation Burn Injury | |
| |
| |
Chemical Burn Injury | |
| |
| |
Electrical Burn Injuries | |
| |
| |
Radiation Exposure | |
| |
| |
| |
Head and Facial Trauma | |
| |
| |
Maxillofacial Injury | |
| |
| |
Ear, Eye, and Dental Trauma | |
| |
| |
Anterior Neck Trauma | |
| |
| |
Head Trauma | |
| |
| |
Brain Trauma | |
| |
| |
Injury Rating Systems | |
| |
| |
| |
Spinal Trauma | |
| |
| |
Spinal Trauma: Incidence, Morbidity, and Mortality | |
| |
| |
Traditional Spinal Assessment Criteria | |
| |
| |
Review of Spinal Anatomy and Physiology | |
| |
| |
General Assessment of Spinal Injury | |
| |
| |
Classifications of Spinal Injury | |
| |
| |
Evaluation and Assessment of Spinal Cord Injury | |
| |
| |
General Management of Spinal Injuries | |
| |
| |
Cord Injury Presentations | |
| |
| |
Nontraumatic Spinal Conditions | |
| |
| |
Assessment and Management of Nontraumatic Spinal Conditions | |
| |
| |
| |
Thoracic Trauma | |
| |
| |
Skeletal Injury | |
| |
| |
Closed Pneumothorax | |
| |
| |
Heart and Great Vessel Injury | |
| |
| |
Other Thoracic Injuries | |
| |
| |
| |
Abdominal Trauma | |
| |
| |
Mechanisms of Abdominal Injury | |
| |
| |
Specific Abdominal Injuries | |
| |
| |
Vascular Structure Injuries | |
| |
| |
Assessment of Abdominal Trauma | |
| |
| |
Management of Abdominal Trauma | |
| |
| |
| |
Musculoskeletal Trauma | |
| |
| |
Classifications of Musculoskeletal Injuries | |
| |
| |
Inflammatory and Degenerative Conditions | |
| |
| |
Signs and Symptoms of Extremity Trauma | |
| |
| |
Assessment of Musculoskeletal Injuries | |
| |
| |
Upper Extremity Injuries | |
| |
| |
Lower Extremity Injuries | |
| |
| |
Open Fractures | |
| |
| |
Straightening Angular Fractures and Reducing Dislocations | |
| |
| |
Referral of Patients with Minor Musculoskeletal Injury | |
| |
| |
| |
| |
| |
| |
Cardiology | |
| |
| |
Risk Factors and Prevention Strategies | |
| |
| |
| |
Anatomy and Physiology of the Heart | |
| |
| |
Anatomy | |
| |
| |
Physiology | |
| |
| |
| |
Electrophysiology of the Heart | |
| |
| |
Electrical Activity of Cardiac Cells and Membrane Potentials | |
| |
| |
Cell Excitability | |
| |
| |
Electrical Conduction System of the Heart | |
| |
| |
| |
Assessment of the Patient with Cardiac Disease | |
| |
| |
Assessment | |
| |
| |
| |
Electrocardiogram Monitoring | |
| |
| |
Basic Concepts of Electrocardiogram Monitoring | |
| |
| |
Relationship of the Electrocardiogram To Electrical Activity | |
| |
| |
| |
Electrocardiogram Interpretation | |
| |
| |
Steps in Rhythm Analysis | |
| |
| |
| |
Introduction to Dysrhythmias | |
| |
| |
Classification of Dysrhythmias | |
| |
| |
Dysrhythmias Originating in the Sinoatrial Node | |
| |
| |
Dysrhythmias Originating in the Atria | |
| |
| |
Dysrhythmias Sustained or Originating in the Atrioventricular Junction | |
| |
| |
Dysrhythmias Originating in the Ventricles | |
| |
| |
Dysrhythmias that Are Disorders of Conduction | |
| |
| |
| |
Specific Cardiovascular Diseases | |
| |
| |
Pathophysiology and Management of Cardiovascular Disease | |
| |
| |
| |
Techniques of Managing Cardiac Emergencies | |
| |
| |
Basic Cardiac Life Support | |
| |
| |
Defibrillation | |
| |
| |
Implantable Cardioverter Defibrillators | |
| |
| |
Synchronized Cardioversion | |
| |
| |
Transcutaneous Cardiac Pacing | |
| |
| |
Cardiac Arrest and Sudden Death | |
| |
| |
Termination of Resuscitation | |
| |
| |
| |
| |
| |
| |
Pulmonary Emergencies | |
| |
| |
Pathophysiology | |
| |
| |
Scene Size-up and Rescuer Safety | |
| |
| |
Obstructive Airway Disease | |
| |
| |
Pneumonia | |
| |
| |
Adult Respiratory Distress Syndrome | |
| |
| |
Pulmonary Thromboembolism | |
| |
| |
Upper Respiratory Infection | |
| |
| |
Spontaneous Pneumothorax | |
| |
| |
Hyperventilation Syndrome | |
| |
| |
Lung Cancer | |
| |
| |
| |
Neurology | |
| |
| |
Anatomy and Physiology of the Nervous System | |
| |
| |
Neurological Pathophysiology | |
| |
| |
Pathophysiology and Management of Specific Central Nervous System Disorders | |
| |
| |
| |
Endocrinology | |
| |
| |
Anatomy and Physiology of the Endocrine System | |
| |
| |
Specific Disorders of the Endocrine System | |
| |
| |
Disorders of the Pancreas: Diabetes Mellitus | |
| |
| |
Disorders of the Thyroid Gland | |
| |
| |
Disorders of the Adrenal Glands | |
| |
| |
| |
Allergies and Anaphylaxis | |
| |
| |
Antigen-Antibody Reaction | |
| |
| |
Allergic Reaction | |
| |
| |
Localized Allergic Reaction | |
| |
| |
Anaphylaxis | |
| |
| |
| |
Gastroenterology | |
| |
| |
Gastrointestinal Anatomy | |
| |
| |
Assessment of the Patient with Acute Abdominal Pain | |
| |
| |
Management of the Patient with an Abdominal Emergency | |
| |
| |
Specific Abdominal Emergencies | |
| |
| |
Appendix | |
| |
| |
Nasogastric Tube Insertion | |
| |
| |
Necessary Equipment | |
| |
| |
Procedure | |
| |
| |
Possible Complications | |
| |
| |
| |
Urology | |
| |
| |
Anatomy and Physiology Review | |
| |
| |
Physical Examination for Patients with Genitourinary Disorders | |
| |
| |
Management and Treatment Plan | |
| |
| |
Management | |
| |
| |
| |
Toxicology | |
| |
| |
| |
Poisonings | |
| |
| |
Poison Control Centers | |
| |
| |
General Guidelines for Managing a Poisoned Patient | |
| |
| |
Poisoning by Ingestion | |
| |
| |
Poisoning by Inhalation | |
| |
| |
Poisoning by Injection | |
| |
| |
Poisoning by Absorption | |
| |
| |
| |
Drug Abuse | |
| |
| |
Toxic Effects of Drugs | |
| |
| |
| |
Alcoholism | |
| |
| |
Alcohol Dependence | |
| |
| |
Ethanol | |
| |
| |
Medical Consequences of Chronic Alcohol Ingestion | |
| |
| |
Alcohol Emergencies | |
| |
| |
| |
Management of Toxic Syndromes | |
| |
| |
General Management Principles for Toxic Syndromes | |
| |
| |
Appendix | |
| |
| |
Toxicology in Emergency Cardiac Care | |
| |
| |
Guidelines for Severe Poisoning | |
| |
| |
| |
Hematology | |
| |
| |
Blood and Blood Components | |
| |
| |
Specific Hematological Disorders | |
| |
| |
General Assessment and Management of Patients with Hematological Disorders | |
| |
| |
| |
Environmental Conditions | |
| |
| |
Thermoregulation | |
| |
| |
Hyperthermia | |
| |
| |
Hypothermia | |
| |
| |
Frostbite | |
| |
| |
Submersion | |
| |
| |
Diving Emergencies | |
| |
| |
High-Altitude Illness | |
| |
| |
| |
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 | |
| |
| |
Human Immunodeficiency Virus | |
| |
| |
Hepatitis | |
| |
| |
Tuberculosis | |
| |
| |
Meningococcal Meningitis | |
| |
| |
Pneumonia | |
| |
| |
Tetanus | |
| |
| |
Rabies | |
| |
| |
Hantavirus | |
| |
| |
Viral Diseases of Childhood | |
| |
| |
Other Viral Diseases | |
| |
| |
Sexually Transmitted Diseases | |
| |
| |
Lice and Scabies | |
| |
| |
Reporting an Exposure to an Infectious or a Communicable Disease | |
| |
| |
Paramedic's Role in Preventing Disease Transmission | |
| |
| |
| |
Behavioral and Psychiatric Disorders | |
| |
| |
Understanding Behavioral Emergencies | |
| |
| |
Assessment and Management of Behavioral Emergencies | |
| |
| |
Specific Behavioral and Psychiatric Disorders | |
| |
| |
Special Considerations for Patients with Behavioral Problems | |
| |
| |
| |
Gynecology | |
| |
| |
Organs of the Female Reproductive System | |
| |
| |
Menstruation and Ovulation | |
| |
| |
Specific Gynecological Emergencies | |
| |
| |
| |
Obstetrics | |
| |
| |
Normal Events of Pregnancy | |
| |
| |
Specialized Structures of Pregnancy | |
| |
| |
Fetal Growth and Development | |
| |
| |
Obstetrical Terminology | |
| |
| |
Patient Assessment | |
| |
| |
Complications of Pregnancy | |
| |
| |
Delivery Complications | |
| |
| |
| |
| |
| |
| |
Neonatology | |
| |
| |
Risk Factors Associated with the Need for Resuscitation | |
| |
| |
Physiological Adaptations at Birth | |
| |
| |
Assessment and Management of the Neonate | |
| |
| |
Resuscitation of the Distressed Neonate | |
| |
| |
Routes of Drug Administration | |
| |
| |
Postresuscitation Care | |
| |
| |
Neonatal Transport | |
| |
| |
Specific Situations | |
| |
| |
Psychological and Emotional Support | |
| |
| |
| |
Pediatrics | |
| |
| |
The Paramedic's Role in Caring for Pediatric Patients | |
| |
| |
Emergency Medical Services for Children | |
| |
| |
Growth and Development Review | |
| |
| |
Anatomy and Physiology Review | |
| |
| |
General Principles of Pediatric Assessment | |
| |
| |
General Principles of Patient Management | |
| |
| |
Specific Pathophysiology, Assessment, and Management | |
| |
| |
Infants and Children with Special Needs | |
| |
| |
| |
Recommended Childhood Immunization Schedule | |
| |
| |
| |
Geriatrics | |
| |
| |
Demographics, Epidemiology, and Societal Issues | |
| |
| |
Living Environments and Referral Sources | |
| |
| |
Physiological Changes of Aging | |
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| |
General Principles in Assessment of the Geriatric Patient | |
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System Pathophysiology, Assessment, and Management | |
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Abuse and Neglect | |
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Battering | |
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Elder Abuse | |
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Child Abuse | |
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Sexual Assault | |
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Patients with Special Challenges | |
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Physical Challenges | |
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Mental Challenges | |
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Pathological Challenges | |
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Culturally Diverse Patients | |
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Terminally Ill Patients | |
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Patients with Communicable Diseases | |
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Financial Challenges | |
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Acute Interventions for the Home Health Care Patient | |
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Overview of Home Health Care | |
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General Principles of and Management | |
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Specific Acute Home Health Care Interventions | |
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Ambulance Operations | |
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Ambulance Standards | |
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Checking Ambulances | |
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Ambulance Stationing | |
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Safe Ambulance Operation | |
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Aeromedical Transportation | |
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Medical Incident Command | |
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Incident Command System | |
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Mass Casualty Incidents | |
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Principles and Technology of Triage | |
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Critical Incident Stress Management | |
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Rescue Awareness and Operations | |
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Appropriate Training for Rescue Operations | |
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Phases of a Rescue Operation | |
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Rescuer Personal Protective Equipment | |
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Surface Water Rescue | |
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Hazardous Atmospheres | |
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Highway Operations | |
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Hazardous Terrain | |
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Assessment Procedures During Rescue | |
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Crime Scene Awareness | |
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Approaching the Scene | |
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Dangerous Residence | |
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Dangerous Highway Encounters | |
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Violent Street Incidents | |
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Violent Groups and Situations | |
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Safety Tactics | |
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Tactical Patient Care | |
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EMS at Crime Scenes | |
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Hazardous Materials Incidents | |
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Scope of Hazardous Materials | |
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Laws and Regulations | |
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Identification of Hazardous Materials | |
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Personal Protective Clothing and Equipment | |
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Health Hazards | |
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Response to Hazardous Materials Emergencies | |
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Medical Monitoring and Rehabilitation | |
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Emergency Management of Contaminated Patients | |
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Decontamination of Rescue Personnel and Equipment | |
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Appendix | |
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Overview of Training Requirements for EMS Personnel Responding to a Hazardous Materials Incident as Established by OSHA/EPA and the NFPA | |
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OSHA/EPA Training Requirements | |
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NPFA 473: Competencies for EMS Personnel Responding to Hazardous Materials Incidents | |
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Bioterrorism and Weapons of Mass Destruction | |
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History of Biological Weapons | |
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Critical Biological Agents | |
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Methods of Dissemination | |
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Specific Biological Threats | |
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Nuclear and Radiological Threats | |
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Incendiary Threats | |
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Specific Chemical Threats | |
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Explosive Threats | |
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Department of Homeland Security | |
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General Guidelines for Emergency Response | |
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Personal Protective Equipment for Chemical, Biological, Radiological, and Nuclear Agents | |
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Emergency Drug Index (EDI) | |
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Glossary | |
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CCT Appendix: Advanced Practice Procedures for the Critical Care Paramedic | |
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Illustration Credits | |