MICHAEL O'KEEFE, EDWARD DICKINSON MEDICAL EDITOR| UPDATED
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,Table of Contents
SECTION 1: FOUNDATIONS .......................................................................................................................... 3
Chapter 1 Introduction To Emergency Medical Services .......................................................................... 3
Chapter 2 Well-Being Of The Emt ........................................................................................................... 29
Chapter 3 Lifting And Moving Patients ................................................................................................... 63
Chapter 4 Medical, Legal, And Ethical Issues .......................................................................................... 83
Chapter 5 Medical Terminology............................................................................................................ 101
Chapter 6 Anatomy And Physiology ..................................................................................................... 113
Chapter 7 Principles Of Pathophysiology .............................................................................................. 141
Chapter 8 Life Span Development ........................................................................................................ 174
SECTION 2: AIRWAY MANAGEMENT, RESPIRATION, AND ARTIFICIAL VENTILATION ........................... 187
Chapter 9 Airway Management ............................................................................................................ 187
Chapter 10 Respiration And Artificial Ventilation................................................................................. 198
SECTION 3: PATIENT ASSESSMENT .......................................................................................................... 223
Chapter 11 Scene Size-Up ..................................................................................................................... 223
Chapter 12 Primary Assessment ........................................................................................................... 241
Chapter 13 Vital Signs And Monitoring Devices ................................................................................... 262
Chapter 14 Principles Of Assessment ................................................................................................... 290
Chapter 15 Secondary Assessment ....................................................................................................... 308
Chapter 16 Reassessment ..................................................................................................................... 327
Chapter 17 Communication And Documentation ................................................................................ 342
SECTION 4: MEDICAL EMERGENCIES ....................................................................................................... 373
Chapter 18 General Pharmacology ....................................................................................................... 373
Chapter 19 Respiratory Emergencies.................................................................................................... 398
Chapter 20 Cardiac Emergencies .......................................................................................................... 421
Chapter 21 Resuscitation ...................................................................................................................... 432
Chapter 22 Diabetic Emergencies And Altered Mental Status ............................................................. 445
Chapter 23 Allergic Reaction................................................................................................................. 475
Chapter 24 Infectious Diseases And Sepsis........................................................................................... 498
Chapter 25 Poisoning And Overdose Emergencies............................................................................... 509
Chapter 26 Abdominal Emergencies..................................................................................................... 549
Chapter 27 Behavioral And Psychiatric Emergencies And Suicide........................................................ 575
Chapter 28 Hematologic And Renal Emergencies ................................................................................ 602
,SECTION 5: TRAUMA EMERGENCIES ....................................................................................................... 625
Chapter 29 Bleeding And Shock ............................................................................................................ 625
Chapter 30 Soft-Tissue Trauma............................................................................................................. 648
Chapter 31 Chest And Abdominal Trauma ........................................................................................... 678
Chapter 32 Musculoskeletal Trauma .................................................................................................... 698
Chapter 33 Trauma To The Head, Neck, And Spine .............................................................................. 720
Chapter 34 Multisystem Trauma .......................................................................................................... 752
Chapter 35 Environmental Emergencies .............................................................................................. 767
SECTION 6: SPECIAL POPULATIONS ......................................................................................................... 799
Chapter 36 Obstetric And Gynecologic Emergencies ........................................................................... 799
Chapter 37 Emergencies For Patients With Special Challenges ........................................................... 834
Chapter 38 Ems Operations .................................................................................................................. 853
Chapter 39 Hazardous Materials, Multiple-Casualty Incidents, And Incident Management ............... 874
Chapter 40 Highway Safety And Vehicle Extrication ............................................................................ 905
Chapter 41 Ems Response To Terrorism ............................................................................................... 933
Emergency Care, 14e (Limmer/O’keefe/Dickinson)
SECTION 1: FOUNDATIONS
Chapter 1 Introduction To Emergency Medical Services
1) Which Of The Following Refers To A Program Or Process For Evaluating And Improving The
Effectiveness Of An Ems System?
A) Quality Improvement
B) System Effectiveness Management
C) Process Improvement Plan (Pip)
D) Total Quality System
CORRECT ANS>> A
FEEDBACK:
A) Correct. Quality Improvement (Qi) Consists Of Continuous Self-Review With The Purpose Of
Identifying Aspects Of The Ems System That Require Improvement, With Subsequent Action Plans To
Make Necessary Changes.
, B) Incorrect. System Effectiveness Management Does Not Refer To A Program Of Evaluating And
Improving An Ems System.
C) Incorrect. A Program Or Process For Evaluating And Improving The Effectiveness Of An Ems
System Is Not Referred To As A Process Improvement Program.
D) Incorrect. The Term "Total Quality System" Does Not Refer To A Program For Improving The
Effectiveness Of Ems Systems.
Page Ref: 13
Objective: 1.2
2) Which Of The Following Groups Is Credited With Developing The Earliest Documented
Emergency Medical Service?
A) The Spanish
B) The Egyptians
C) The Mayans
D) The French
CORRECT ANS>> D
FEEDBACK:
A) Incorrect. The Spanish Did Not Develop The First Documented Emergency Medical Service; The
French Did In The 1700s.
B) Incorrect. Although Known For Progress In Technical Areas, The Egyptians Were Not Responsible
For The First Documented Emergency Medical Service. In 1790, The French First Began Transporting
Wounded Soldiers Away From Battlefields And To Waiting Medical Care.
C) Incorrect. The Earliest Documented Emergency Medical Service Was In France In 1790, Nearly A
Thousand Years After The Mayan Civilization Disappeared.
D) Correct. The Earliest Documented Emergency Medical Service Was In 1790 When The French
Began Transporting Wounded Soldiers From The Scenes Of Battle To Waiting Physicians. Page Ref: 3
Objective: 1.1
3) In 1966 The National Highway Safety Act Charged Which Of The Following Agencies With The
Development Of Emergency Medical Service Standards?
A) U.S. Department Of Transportation
B) U.S. Department Of The Interior