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Tables of Contents for Intermediate Emergency Care
Chapter/Section Title
Page #
Page Count
DIVISION 1 PREPARATORY INFORMATION
1
398
CHAPTER 1 FOUNDATIONS OF THE EMT-INTERMEDIATE
1
79
Part 1 Introduction to Advanced Prehospital Care
5
2
Description of the Profession
5
1
EMT Intermediate Characteristics
6
1
EMT Intermediate: A True Health Professional
6
1
Part 2 EMS Systems
7
14
History of EMS
7
3
Today's EMS Systems
10
11
Part 3 Roles and Responsibilities of the EMT Intermediate
21
7
Primary Responsibilities
21
2
Additional Responsibilities
23
1
Professionalism
24
4
Part 4 Well-Being of the EMT Intermediate
28
17
Basic Physical Fitness
28
4
Personal Protection from Disease
32
4
Death and Dying
36
3
Stress and Stress Management
39
5
General Safety Considerations
44
1
Part 5 Illness and Injury Prevention
45
7
Epidemiology
46
1
Prevention within EMS
46
3
Prevention in the Community
49
3
Part 6 Medical-Legal Considerations in Prehospital Care
52
17
Legal Duties and Ethical Responsibilities
52
4
Legal Accountability of the EMT Intermediate
56
3
EMT Intermediate and Patient Relationships
59
7
Resuscitation Issues
66
1
Crime and Accident Scenes
67
1
Documentation
68
1
Part 7 Ethics in Advanced Prehospital Care
69
11
Overview of Ethics
69
1
Relationship of Ethics to Law and Religion
69
4
Ethical Issues in Contemporary EMT Intermediate Practice
73
7
CHAPTER 2 OVERVIEW OF HUMAN SYSTEMS
80
152
Part 1 The Cell and the Cellular Environment
83
17
The Normal Cell
83
6
The Cellular Environment: Fluids and Electrolytes
89
8
Acid-Base Balance
97
3
Part 2 Body Systems
100
132
Integumentary System
100
3
Blood
103
9
Musculoskeletal System
112
22
Head, Face, and Neck
134
13
Spine and Thorax
147
8
Nervous System
155
19
Endocrine System
174
9
Cardiovascular System
183
17
Respiratory System
200
13
The Abdomen
213
3
Digestive System
216
2
The Spleen
218
1
Urinary System
218
6
Reproductive System
224
8
CHAPTER 3 EMERGENCY PHARMACOLOGY
232
39
Part 1 Basic Pharmacology
234
18
Names
234
1
Sources
235
1
Reference Materials
235
1
Components of a Drug Profile
236
1
Legal
236
2
Patient Care: Safe and Effective Administration of Medications
238
3
Pharmacology
241
11
Part 2 Nervous System Components
252
7
Autonomic Nervous System
252
7
Part 3 EMT-Intermediate Medications
259
12
CHAPTER. 4 VENOUS ACCESS AND MEDICATION ADMINISTRATION
271
77
Part 1 Principles and Routes of Medication Administration
274
29
Medical Direction
274
1
Body Substance Isolation
275
1
Medical Asepsis
275
1
Disposal of Contaminated Equipment and Sharps
276
1
Medication Administration and Documentation
276
1
Percutaneous Drug Administration
277
3
Pulmonary Drug Administration
280
3
Enteral Drug Administration
283
6
Parenteral Drug Administration
289
14
Part 2 Intravenous Access, Blood Sampling, and Intraosseous Infusion
303
36
Intravenous Access
303
30
Intraosseous Infusion
333
6
Part 3 Medical Mathematics
339
9
Metric System
339
3
Medical Calculations
342
6
CHAPTER 5 AIRWAY MANAGEMENT AND VENTILATION
348
51
Respiratory Problems
350
2
Respiratory System Assessment
352
8
Oxygenation
360
1
Ventilation
361
4
Suctioning
365
2
Gastric Decompression
367
1
Basic Airway Management
368
6
Advanced Airway Management
374
23
Managing Patients with Stoma Sites
397
2
DIVISION 2 PATIENT ASSESSMENT
CHAPTER 6 HISTORY TAKING
399
19
Establishing Patient Rapport
401
4
A Comprehensive Patient History
405
8
Special Challenges
413
5
CHAPTER 7 TECHNIQUES OF PHYSICAL EXAMINATION
418
60
Physical Examination Approach and Overview
420
10
Overview of a Comprehensive Examination
430
6
Anatomical Regions
436
36
Physical Examination of Infants and Children
472
4
Recording Examination Findings
476
2
CHAPTER 8 PATIENT ASSESSMENT IN THE FIELD
478
51
Scene Size-Up
481
10
Initial Assessment
491
10
Focused History and Physical Exam
501
18
Detailed Physical Exam
519
6
Ongoing Assessment
525
4
CHAPTER 9 CLINICAL DECISION MAKING
529
12
EMT Intermediate Practice
531
3
Critical Thinking Skills
534
3
Thinking under Pressure
537
1
The Critical Decision Process
538
3
CHAPTER 10 COMMUNICATIONS
541
17
Verbal Communication
543
2
Written Communication
545
1
The EMS Response
546
3
Communication Technology
549
5
Reporting Procedures
554
3
Regulation
557
1
CHAPTER 11 DOCUMENTATION
558
23
Uses for Documentation
560
1
General Considerations
561
7
Elements of Good Documentation
568
3
Narrative Writing
571
5
Special Considerations
576
3
Consequences of Inappropriate Documentation
579
1
Closing
580
1
DIVISION 3 TRAUMA EMERGENCIES
CHAPTER 12 TRAUMA AND TRAUMA SYSTEMS
581
10
Trauma
583
1
The Trauma Care System
584
2
Your Role as an EMT Intermediate
586
5
CHAPTER: 13 BLUNT TRAUMA
591
32
Kinetics of Blunt Trauma
593
2
Types of Trauma
595
2
Blunt Trauma
597
26
CHAPTER: 14 PENETRATING TRAUMA
623
19
Physics of Penetrating Trauma
625
8
Specific Tissue/Organ Injuries
633
5
Special Concerns with Penetrating Trauma
638
4
CHAPTER 15 HEMORRHAGE AND SHOCK
642
29
Hemorrhage
644
15
Shock
659
12
CHAPTER 16 BURNS
671
31
Pathophysiology of Burns
673
13
Assessment of Thermal Burns
686
5
Management of Thermal Burns
691
4
Electrical, Chemical, and Radiation Burns
695
7
CHAPTER 17 THORACIC TRAUMA
702
32
Pathophysiology of Thoracic Trauma
704
18
Assessment of the Thoracic Trauma Patient
722
5
Management of the Chest Injury Patient
727
7
CHAPTER 18 TRAUMA MANAGEMENT SKILLS
734
66
Trauma Assessment
735
14
Management of Head, Facial, and Neck Injury Patients
749
7
Management of Spinal Injury Patients
756
12
Management of Abdominal Injury Patients
768
2
Management of Musculoskeletal Injury Patients
770
16
Management of Soft-Tissue Injury Patients
786
14
DIVISION 4 MEDICAL EMERGENCIES
CHAPTER 19 RESPIRATORY EMERGENCIES
800
36
Physiological Processes
802
2
Pathophysiology
804
3
Assessment of the Respiratory System
807
8
Management of Respiratory Disorders
815
1
Specific Respiratory Diseases
816
20
CHAPTER. 20 CARDIOVASCULAR EMERGENCIES
836
111
Part 1 Cardiovascular Anatomy and Physiology, ECG Monitoring, and Dysrhythmia
839
58
Review of Cardiovascular Anatomy and Physiology
839
4
Electrocardiographic Monitoring
843
12
Dysrhythmias
855
42
Part 2 Assessment and Management of the Cardiovascular Patient
897
50
Assessment of the Cardiovascular Patient
897
8
Management of Cardiovascular Emergencies
905
17
Managing Specific Cardiovascular Emergencies
922
25
CHAPTER 21 DIABETIC EMERGENCIES
947
11
Diabetic Emergencies
949
9
CHAPTER. 22 ALLERGIC REACTIONS
958
11
Pathophysiology
960
3
Assessment Findings in Anaphylaxis
963
2
Management of Anaphylaxis
965
2
Assessment Findings in Allergic Reaction
967
1
Management of Allergic Reactions
967
2
CHAPTER 23 POISONING AND OVERDOSE EMERGENCIES
969
38
Epidemiology
970
1
Poison Control Centers
971
1
Routes of Toxic Exposure
971
2
General Principles of Toxicological Assessment and Management
973
2
Ingested Toxins
975
2
Inhaled Toxins
977
1
Surface Absorbed Toxins
978
1
Specific Toxins
978
14
Injected Toxins
992
7
Substance Abuse and Overdose
999
4
Alcohol Abuse
1003
4
CHAPTER 24 NEUROLOGICAL EMERGENCIES
1007
28
Pathophysiology
1008
2
General Assessment Findings
1010
7
Management of Specific Nervous System Emergencies
1017
18
CHAPTER 25 NON-TRAUMATIC ABDOMINAL EMERGENCIES
1035
19
General Pathophysiology
1036
1
Common Causes of Non-Traumatic Abdominal Pain
1037
13
General Assessment
1050
2
General Treatment
1052
2
CHAPTER 26 ENVIRONMENTAL EMERGENCIES
1054
35
Homeostasis
1056
1
Pathophysiology of Heat and Cold Disorders
1056
4
Heat Disorders
1060
5
Cold Disorders
1065
7
Drowning and Near Drowning
1072
3
Diving Emergencies
1075
6
High Altitude Illness
1081
3
Nuclear Radiation
1084
5
CHAPTER 27 BEHAVIORAL EMERGENCIES
1089
22
Behavioral Emergencies
1090
1
Pathophysiology of Psychiatric Disorders
1091
1
Assessment of Behavioral Emergency Patients
1092
3
Specific Psychiatric Disorders
1095
10
Management of Behavioral Emergencies
1105
2
Violent Patients and Restraint
1107
4
CHAPTER 28 GEYNECOOGICAL EMERGENCIES
1111
10
Assessment of the Gynecological Patient
1113
2
Management of Gynecological Emergencies
1115
1
Specific Gynecological Emergencies
1115
6
DIVISION 5 SPECIAL CONSIDERATIONS
CHAPTER 29 OBSTETRICAL EMERGENCIES
1121
33
Prenatal Period
1122
6
General Assessment of the Obstetrical Patient
1128
3
General Management of the Obstetrical Patient
1131
1
Complications of Pregnancy
1131
9
Puerperium
1140
7
Abnormal Delivery Situations
1147
3
Other Delivery Complications
1150
1
Maternal Complications of Labor and Delivery
1151
3
CHAPTER 30 NEONATAL RESUSCITATION
1154
29
General Pathophysiology, Assessment, and Management
1155
6
The Distressed Newborn
1161
11
Specific Neonatal Situations
1172
11
CHAPTER 31 PERDIATRIC EMERGENCIES
1183
76
Role of EMT Intermediates in Pediatric Care
1185
1
General Approach to Pediatric Emergencies
1186
9
General Approach to Pediatric Assessment
1195
9
General Management of Pediatric Patients
1204
15
Specific Medical Emergencies
1219
23
Trauma Emergencies
1242
8
Sudden Infant Death Syndrome (SIDS)
1250
1
Child Abuse and Neglect
1251
4
Infants and Children with Special Needs
1255
4
CHAPTER 32 GERIATRIC EMERGENCIES
1259
48
Epidemiology and Demographics
1261
3
General Pathophysiology, Assessment, and Management
1264
9
System Pathophysiology in the Elderly
1273
5
Common Medical Problems in the Elderly
1278
23
Trauma in the Elderly Patient
1301
6
CHAPTER 33 ASSESSMENT-BASED MANAGEMENT
1307
15
Effective Assessment
1310
4
The Right Equipment
1314
1
General Approach to the Patient
1315
5
Review of Common Complaints
1320
2
CHAPTER 34 RESPONDING TO TERRORIST ACTS
1322
Explosive Agents
1324
1
Nuclear Detonation
1325
2
Chemical Agents
1327
5
Biological Agents
1332
2
General Considerations Regarding Terrorist Attacks
1334
Glossary
G-1
Index
I-1