Mosby's Paramedic Textbook
by Sanders, Mick J.; Lewis, Lawrence M. (CON); Quick, Gary (CON); McKenna, Kim (CON)Rent Textbook
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Summary
Table of Contents
| Emergency Medical Services Systems: Roles and Responsibilities | p. 2 |
| Emergency Medical Services System Development | p. 3 |
| Current Emergency Medical Services Systems | p. 6 |
| National Emergency Medical Services Group Involvement | p. 10 |
| Paramedic Education | p. 11 |
| Licensure, Certification, and Registration | p. 11 |
| Professionalism | p. 11 |
| Roles and Responsibilities of the Paramedic | p. 13 |
| Medical Direction for Emergency Medical Services | p. 15 |
| Improving System Quality | p. 16 |
| Emergency Medical Services Research | p. 17 |
| The Well-Being of the Paramedic | p. 22 |
| Wellness Components | p. 23 |
| Stress | p. 32 |
| Dealing with Death, Dying, Grief, and Loss | p. 37 |
| Prevention of Disease Transmission | p. 39 |
| Injury Prevention | p. 42 |
| Injury Epidemiology | p. 43 |
| Overview of Injury Prevention | p. 43 |
| Feasibility of Emergency Medical Services Involvement | p. 46 |
| Participation in Prevention Programs | p. 50 |
| Medical/Legal Issues | p. 54 |
| Legal Duties and Ethical Responsibilities | p. 55 |
| The Legal System | p. 55 |
| Legal Accountability of the Paramedic | p. 58 |
| Paramedic-Patient Relationships | p. 61 |
| Resuscitation Issues | p. 65 |
| Crime Scene Responsibilities | p. 69 |
| Documentation | p. 69 |
| Ethics | p. 72 |
| Ethics Overview | p. 73 |
| A Rapid Approach to Emergency Ethical Problems | p. 76 |
| Ethical Tests in Health Care | p. 76 |
| Resolving Ethical Dilemmas | p. 76 |
| Ethical Issues in Contemporary Paramedic Practice | p. 77 |
| Review of Human Systems | p. 82 |
| Terminology | p. 83 |
| Cell Structure | p. 84 |
| Tissues | p. 90 |
| Organ Systems | p. 92 |
| Special Senses | p. 144 |
| General Principles of Pathophysiology | p. 150 |
| Cellular Physiology | p. 152 |
| Basic Cellular Review | p. 152 |
| Cellular Environment | p. 152 |
| Cellular Injury and Disease | p. 172 |
| Alterations in Cells and Tissues | p. 172 |
| Hypoperfusion | p. 176 |
| Self-Defense Mechanisms | p. 181 |
| Variances in Immunity and Inflammation | p. 185 |
| Stress and Disease | p. 187 |
| Genetics and Familial Diseases | p. 189 |
| Life Span Development | p. 196 |
| Newborn | p. 197 |
| Toddler and Preschool Years | p. 201 |
| School-Age Years | p. 203 |
| Adolescence | p. 204 |
| Early Adulthood | p. 206 |
| Middle Adulthood | p. 206 |
| Late Adulthood | p. 207 |
| Therapeutic Communication | p. 214 |
| Communication | p. 215 |
| Internal Factors in Effective Communication | p. 216 |
| External Factors in Effective Communication | p. 217 |
| Patient Interview | p. 218 |
| Strategies for Obtaining Information | p. 219 |
| Methods of Assessing Mental Status During the Interview | p. 220 |
| Special Interview Situations | p. 221 |
| History Taking | p. 226 |
| Content of the Patient History | p. 227 |
| Techniques of History Taking | p. 228 |
| Special Challenges | p. 231 |
| Techniques of Physical Examination | p. 234 |
| Physical Examination: Approach and Overview | p. 235 |
| Mental Status | p. 238 |
| General Survey | p. 240 |
| Anatomical Regions | p. 250 |
| Physical Examination of Infants and Children | p. 274 |
| Physical Examination of Older Adults | p. 277 |
| Patient Assessment | p. 280 |
| Scene Size-Up and Assessment | p. 281 |
| Patient Assessment Priorities | p. 282 |
| Initial Assessment | p. 282 |
| Focused History and Physical Examination: Medical Patients | p. 286 |
| Focused History and Physical Examination: Trauma Patients | p. 286 |
| Rapid Trauma Physical Examination | p. 287 |
| Detailed Physical Examination | p. 287 |
| Ongoing Assessment | p. 287 |
| Care of Medical Versus Trauma Patients | p. 288 |
| Clinical Decision Making | p. 290 |
| The Spectrum of Prehospital Care | p. 291 |
| Critical Thinking Process for Paramedics | p. 291 |
| Fundamental Elements of Critical Thinking for Paramedics | p. 293 |
| Field Application of Assessment-Based Patient Management | p. 293 |
| Putting it all Together: The Six R's | p. 294 |
| Assessment-Based Management | p. 298 |
| Effective Assessment | p. 299 |
| The Right Stuff | p. 302 |
| Optional Take-in Equipment | p. 302 |
| General Approach to the Patient | p. 303 |
| Presenting the Patient | p. 303 |
| Communications | p. 306 |
| Phases of Communications during a Typical Emergency Medical Services Event | p. 307 |
| Role of Communications in Emergency Medical Services | p. 308 |
| Communications Systems | p. 310 |
| Components and Functions of Dispatch Communications Systems | p. 314 |
| Regulation | p. 315 |
| Procedures for Emergency Medical Services Communications | p. 315 |
| Documentation | p. 318 |
| Importance of Documentation | p. 319 |
| General Considerations | p. 320 |
| The Narrative | p. 320 |
| Elements of a Properly Written Emergency Medical Services Document | p. 325 |
| Systems of Narrative Writing | p. 326 |
| Special Considerations of Documentation | p. 327 |
| Document Revision/Correction | p. 328 |
| Consequences of Inappropriate Documentation | p. 328 |
| Pharmacology | p. 332 |
| Drug Information | p. 334 |
| Historical Trends in Pharmacology | p. 334 |
| Mechanisms of Drug Action | p. 337 |
| General Properties of Drugs | p. 337 |
| Drug Interactions | p. 347 |
| Drug Forms, Preparations, and Storage | p. 348 |
| Drug Profiles and Special Considerations in Drug Therapy | p. 348 |
| Drugs that Affect the Nervous System | p. 351 |
| Review of Anatomy and Physiology | p. 351 |
| Drugs that Affect the Cardiovascular System | p. 364 |
| Review of Anatomy and Physiology | p. 364 |
| Drugs that Affect the Blood | p. 368 |
| Anticoagulants, Fibrinolytics, and Blood Components | p. 368 |
| Drugs that Affect the Respiratory System | p. 370 |
| Review of Anatomy and Physiology | p. 370 |
| Drugs that Affect the Gastrointestinal System | p. 372 |
| Review of Anatomy and Physiology | p. 372 |
| Drugs that Affect the Eye and Ear | p. 374 |
| Treatment of Eye Disorders | p. 374 |
| Drugs that Affect the Endocrine System | p. 375 |
| Review of Anatomy and Physiology | p. 375 |
| Drugs that Affect the Reproductive System | p. 376 |
| Treatment of Disorders of the Reproductive System | p. 376 |
| Drugs Used in Neoplastic Diseases | p. 377 |
| Antineoplastic Agents | p. 377 |
| Drugs Used in Infectious Disease and inflammation | p. 378 |
| Treatment of Infectious Disease and Inflammation | p. 378 |
| Drugs that Affect the Immunological System | p. 381 |
| Review of Anatomy and Physiology | p. 381 |
| Appendix | |
| Herbs | p. 385 |
| Herbal Products | p. 385 |
| Herbal Supplements | p. 385 |
| Venous Access and Medication Administration | p. 388 |
| Mathematical Equivalents Used in Pharmacology | p. 389 |
| Drug Calculations | p. 391 |
| Drug Administration | p. 396 |
| Medical Asepsis | p. 397 |
| Universal Precautions in Medication Administration | p. 397 |
| Enteral Administration of Medications | p. 397 |
| Parental Administration of Medications | p. 399 |
| Administration of Percutaneous Medications | p. 420 |
| Special Considerations for Pediatric Patients | p. 423 |
| Obtaining a Blood Sample | p. 423 |
| Disposal of Contaminated Items and Sharps | p. 425 |
| Universal Precautions: Measures to Prevent Transmission of the Human Immunodeficiency Virus (HIV) | p. 427 |
| Airway Management and Ventilation | p. 430 |
| Respiratory Physiology | p. 431 |
| Mechanics of Respiration | p. 431 |
| Measurement of Gases | p. 437 |
| Pulmonary Circulation | p. 438 |
| Respiratory Pathophysiology | p. 449 |
| Foreign Body Airway Obstruction | p. 449 |
| Aspiration by Inhalation | p. 452 |
| Airway Evaluation | p. 453 |
| Essential Parameters of Airway Evaluation | p. 453 |
| Supplemental Oxygen Therapy | p. 455 |
| Ventilation | p. 459 |
| Airway Management | p. 464 |
| Suction | p. 466 |
| Mechanical Adjuncts in Airway Management | p. 469 |
| Advanced Airway Procedures | p. 472 |
| Pharmacological Adjuncts to Airway Management and Ventilation | p. 490 |
| Translaryngeal Cannula Ventilation | p. 492 |
| Cricothyrotomy | p. 494 |
| Trauma Systems and Mechanism of Injury | p. 501 |
| Epidemiology of Trauma | p. 501 |
| Kinematics | p. 503 |
| Energy | p. 503 |
| Blunt Trauma | p. 504 |
| Blunt Trauma | p. 504 |
| Restraints | p. 506 |
| Organ Collision Injuries | p. 508 |
| Other Motorized Vehicular Collisions | p. 510 |
| Pedestrian Injuries | p. 511 |
| Other Causes of Blunt Trauma | p. 511 |
| Penetrating Trauma | p. 514 |
| Penetrating Trauma | p. 514 |
| Hemorrhage and Shock | p. 520 |
| Hemorrhage | p. 521 |
| Definition of Shock | p. 522 |
| Tissue Oxygenation | p. 522 |
| The Body as a Container | p. 523 |
| Capillary-Cellular Relationship in Shock | p. 524 |
| Classifications of Shock | p. 526 |
| Stages of Shock | p. 527 |
| Uncompensated Shock | p. 527 |
| Management and Treatment Plan for the Patient in Shock | p. 529 |
| Integration of Patient Assessment and the Treatment Plan | p. 536 |
| Soft Tissue Trauma | p. 538 |
| Anatomy and Physiology | p. 539 |
| Pathophysiology | p. 540 |
| Pathophysiology and Assessment of Soft Tissue Injuries | p. 542 |
| Management Principles for Soft Tissue Injuries | p. 547 |
| Hemorrhage and Control of Bleeding | p. 549 |
| Dressing Materials Used with Soft Tissue Trauma | p. 551 |
| Management of Specific Soft Tissue Injuries Not Requiring Closure | p. 552 |
| Special Considerations for Soft Tissue Injuries | p. 556 |
| Burns | p. 558 |
| Incidence and Patterns of Burn Injury | p. 559 |
| Classifications of Burn Injury | p. 561 |
| Pathophysiology of Burn Shock | p. 565 |
| Assessment of the Burn Patient | p. 566 |
| General Principles in Burn Management | p. 567 |
| Inhalation Burn Injury | p. 569 |
| Chemical Burn Injury | p. 570 |
| Electrical Burn Injuries | p. 573 |
| Radiation Exposure | p. 576 |
| Head and Facial Trauma | p. 580 |
| Maxillofacial Injury | p. 581 |
| Ear, Eye, and Dental Trauma | p. 585 |
| Anterior Neck Trauma | p. 590 |
| Head Trauma | p. 593 |
| Brain Trauma | p. 596 |
| Injury Rating Systems | p. 603 |
| Spinal Trauma | p. 606 |
| Spinal Trauma: Incidence, Morbidity, and Mortality | p. 607 |
| Traditional Spinal Assessment Criteria | p. 607 |
| Review of Spinal Anatomy and Physiology | p. 609 |
| General Assessment of Spinal Injury | p. 609 |
| Classifications of Spinal Injury | p. 611 |
| Evaluation and Assessment of Spinal Cord Injury | p. 614 |
| General Management of Spinal Injuries | p. 615 |
| Cord Injury Presentations | p. 626 |
| Nontraumatic Spinal Conditions | p. 627 |
| Assessment and Management of Nontraumatic Spinal Conditions | p. 628 |
| Thoracic Trauma | p. 630 |
| Skeletal Injury | p. 631 |
| Closed Pneumothorax | p. 633 |
| Heart and Great Vessel Injury | p. 638 |
| Other Thoracic Injuries | p. 640 |
| Abdominal Trauma | p. 644 |
| Mechanisms of Abdominal Injury | p. 645 |
| Specific Abdominal Injuries | p. 646 |
| Vascular Structure Injuries | p. 649 |
| Assessment of Abdominal Trauma | p. 649 |
| Management of Abdominal Trauma | p. 649 |
| Musculoskeletal Trauma | p. 652 |
| Classifications of Musculoskeletal Injuries | p. 653 |
| Inflammatory and Degenerative Conditions | p. 656 |
| Signs and Symptoms of Extremity Trauma | p. 658 |
| Assessment of Musculoskeletal Injuries | p. 658 |
| Upper Extremity Injuries | p. 660 |
| Lower Extremity Injuries | p. 664 |
| Open Fractures | p. 668 |
| Straightening Angular Fractures and Reducing Dislocations | p. 669 |
| Referral of Patients with Minor Musculoskeletal Injury | p. 670 |
| Cardiology | p. 674 |
| Risk Factors and Prevention Strategies | p. 676 |
| Anatomy and Physiology of the Heart | p. 676 |
| Anatomy | p. 676 |
| Physiology | p. 677 |
| Electrophysiology of the Heart | p. 681 |
| Electrical Activity of Cardiac Cells and Membrane Potentials | p. 681 |
| Cell Excitability | p. 682 |
| Electrical Conduction System of the Heart | p. 685 |
| Assessment of the Patient with Cardiac Disease | p. 688 |
| Assessment | p. 688 |
| Electrocardiogram Monitoring | p. 692 |
| Basic Concepts of Electrocardiogram Monitoring | p. 692 |
| Relationship of the Electrocardiogram To Electrical Activity | p. 700 |
| Electrocardiogram Interpretation | p. 703 |
| Steps in Rhythm Analysis | p. 703 |
| Introduction to Dysrhythmias | p. 712 |
| Classification of Dysrhythmias | p. 712 |
| Dysrhythmias Originating in the Sinoatrial Node | p. 713 |
| Dysrhythmias Originating in the Atria | p. 720 |
| Dysrhythmias Sustained or Originating in the Atrioventricular Junction | p. 730 |
| Dysrhythmias Originating in the Ventricles | p. 734 |
| Dysrhythmias that Are Disorders of Conduction | p. 750 |
| Specific Cardiovascular Diseases | p. 764 |
| Pathophysiology and Management of Cardiovascular Disease | p. 764 |
| Techniques of Managing Cardiac Emergencies | p. 799 |
| Basic Cardiac Life Support | p. 799 |
| Defibrillation | p. 802 |
| Implantable Cardioverter Defibrillators | p. 804 |
| Synchronized Cardioversion | p. 805 |
| Transcutaneous Cardiac Pacing | p. 806 |
| Cardiac Arrest and Sudden Death | p. 807 |
| Termination of Resuscitation | p. 808 |
| Pulmonary Emergencies | p. 802 |
| Pathophysiology | p. 803 |
| Scene Size-up and Rescuer Safety | p. 804 |
| Obstructive Airway Disease | p. 806 |
| Pneumonia | p. 811 |
| Adult Respiratory Distress Syndrome | p. 814 |
| Pulmonary Thromboembolism | p. 816 |
| Upper Respiratory Infection | p. 817 |
| Spontaneous Pneumothorax | p. 817 |
| Hyperventilation Syndrome | p. 818 |
| Lung Cancer | p. 818 |
| Neurology | p. 822 |
| Anatomy and Physiology of the Nervous System | p. 823 |
| Neurological Pathophysiology | p. 828 |
| Pathophysiology and Management of Specific Central Nervous System Disorders | p. 833 |
| Endocrinology | p. 850 |
| Anatomy and Physiology of the Endocrine System | p. 851 |
| Specific Disorders of the Endocrine System | p. 852 |
| Disorders of the Pancreas: Diabetes Mellitus | p. 853 |
| Disorders of the Thyroid Gland | p. 863 |
| Disorders of the Adrenal Glands | p. 864 |
| Allergies and Anaphylaxis | p. 868 |
| Antigen-Antibody Reaction | p. 869 |
| Allergic Reaction | p. 869 |
| Localized Allergic Reaction | p. 870 |
| Anaphylaxis | p. 870 |
| Gastroenterology | p. 878 |
| Gastrointestinal Anatomy | p. 879 |
| Assessment of the Patient with Acute Abdominal Pain | p. 879 |
| Management of the Patient with an Abdominal Emergency | p. 883 |
| Specific Abdominal Emergencies | p. 883 |
| Appendix | |
| Nasogastric Tube Insertion | p. 892 |
| Necessary Equipment | p. 892 |
| Procedure | p. 892 |
| Possible Complications | p. 892 |
| Urology | p. 894 |
| Anatomy and Physiology Review | p. 895 |
| Physical Examination for Patients with Genitourinary Disorders | p. 898 |
| Management and Treatment Plan | p. 898 |
| Management | p. 903 |
| Toxicology | p. 906 |
| Poisonings | p. 907 |
| Poison Control Centers | p. 907 |
| General Guidelines for Managing a Poisoned Patient | p. 908 |
| Poisoning by Ingestion | p. 908 |
| Poisoning by Inhalation | p. 918 |
| Poisoning by Injection | p. 921 |
| Poisoning by Absorption | p. 930 |
| Drug Abuse | p. 931 |
| Toxic Effects of Drugs | p. 931 |
| Alcoholism | p. 947 |
| Alcohol Dependence | p. 941 |
| Ethanol | p. 942 |
| Medical Consequences of Chronic Alcohol Ingestion | p. 942 |
| Alcohol Emergencies | p. 945 |
| Management of Toxic Syndromes | p. 947 |
| General Management Principles for Toxic Syndromes | p. 947 |
| Appendix | |
| Toxicology in Emergency Cardiac Care | p. 952 |
| Guidelines for Severe Poisoning | p. 952 |
| Hematology | p. 956 |
| Blood and Blood Components | p. 957 |
| Specific Hematological Disorders | p. 958 |
| General Assessment and Management of Patients with Hematological Disorders | p. 966 |
| Environmental Conditions | p. 970 |
| Thermoregulation | p. 971 |
| Hyperthermia | p. 974 |
| Hypothermia | p. 976 |
| Frostbite | p. 979 |
| Submersion | p. 981 |
| Diving Emergencies | p. 983 |
| High-Altitude Illness | p. 986 |
| Infectious and Communicable Diseases | p. 990 |
| Public Health Principles Related to Infectious Diseases | p. 997 |
| Pathophysiology of Infectious Disease | p. 995 |
| Physiology of the Human Response to Infection | p. 997 |
| Stages of Infectious Disease | p. 1002 |
| Human Immunodeficiency Virus | p. 1002 |
| Hepatitis | p. 1007 |
| Tuberculosis | p. 1009 |
| Meningococcal Meningitis | p. 1011 |
| Pneumonia | p. 1013 |
| Tetanus | p. 1013 |
| Rabies | p. 1014 |
| Hantavirus | p. 1015 |
| Viral Diseases of Childhood | p. 1015 |
| Other Viral Diseases | p. 1017 |
| Sexually Transmitted Diseases | p. 1021 |
| Lice and Scabies | p. 1023 |
| Reporting an Exposure to an Infectious or a Communicable Disease | p. 1024 |
| Paramedic's Role in Preventing Disease Transmission | p. 1025 |
| Behavioral and Psychiatric Disorders | p. 1028 |
| Understanding Behavioral Emergencies | p. 1029 |
| Assessment and Management of Behavioral Emergencies | p. 1031 |
| Specific Behavioral and Psychiatric Disorders | p. 1034 |
| Special Considerations for Patients with Behavioral Problems | p. 1043 |
| Gynecology | p. 1048 |
| Organs of the Female Reproductive System | p. 1049 |
| Menstruation and Ovulation | p. 1049 |
| Specific Gynecological Emergencies | p. 1052 |
| Obstetrics | p. 1058 |
| Normal Events of Pregnancy | p. 1059 |
| Specialized Structures of Pregnancy | p. 1059 |
| Fetal Growth and Development | p. 1060 |
| Obstetrical Terminology | p. 1063 |
| Patient Assessment | p. 1063 |
| Complications of Pregnancy | p. 1066 |
| Delivery Complications | p. 1077 |
| Neonatology | p. 1086 |
| Risk Factors Associated with the Need for Resuscitation | p. 1087 |
| Physiological Adaptations at Birth | p. 1088 |
| Assessment and Management of the Neonate | p. 1089 |
| Resuscitation of the Distressed Neonate | p. 1091 |
| Routes of Drug Administration | p. 1093 |
| Postresuscitation Care | p. 1095 |
| Neonatal Transport | p. 1095 |
| Specific Situations | p. 1095 |
| Psychological and Emotional Support | p. 1100 |
| Pediatrics | p. 1102 |
| The Paramedic's Role in Caring for Pediatric Patients | p. 1103 |
| Emergency Medical Services for Children | p. 1103 |
| Growth and Development Review | p. 1104 |
| Anatomy and Physiology Review | p. 1106 |
| General Principles of Pediatric Assessment | p. 1108 |
| General Principles of Patient Management | p. 1111 |
| Specific Pathophysiology, Assessment, and Management | p. 1111 |
| Infants and Children with Special Needs | p. 1138 |
| Recommended Childhood Immunization Schedule | p. 1143 |
| Geriatrics | p. 1144 |
| Demographics, Epidemiology, and Societal Issues | p. 1145 |
| Living Environments and Referral Sources | p. 1145 |
| Physiological Changes of Aging | p. 1146 |
| General Principles in Assessment of the Geriatric Patient | p. 1150 |
| System Pathophysiology, Assessment, and Management | p. 1150 |
| Abuse and Neglect | p. 1168 |
| Battering | p. 1169 |
| Elder Abuse | p. 1172 |
| Child Abuse | p. 1173 |
| Sexual Assault | p. 1176 |
| Patients with Special Challenges | p. 1180 |
| Physical Challenges | p. 1181 |
| Mental Challenges | p. 1184 |
| Pathological Challenges | p. 1185 |
| Culturally Diverse Patients | p. 1189 |
| Terminally Ill Patients | p. 1191 |
| Patients with Communicable Diseases | p. 1191 |
| Financial Challenges | p. 1191 |
| Acute Interventions for the Home Health Care Patient | p. 1194 |
| Overview of Home Health Care | p. 1195 |
| General Principles of and Management | p. 1197 |
| Specific Acute Home Health Care Interventions | p. 1198 |
| Ambulance Operations | p. 1214 |
| Ambulance Standards | p. 1215 |
| Checking Ambulances | p. 1215 |
| Ambulance Stationing | p. 1215 |
| Safe Ambulance Operation | p. 1216 |
| Aeromedical Transportation | p. 1220 |
| Medical Incident Command | p. 1224 |
| Incident Command System | p. 1225 |
| Mass Casualty Incidents | p. 1230 |
| Principles and Technology of Triage | p. 1234 |
| Critical Incident Stress Management | p. 1237 |
| Rescue Awareness and Operations | p. 1240 |
| Appropriate Training for Rescue Operations | p. 1241 |
| Phases of a Rescue Operation | p. 1242 |
| Rescuer Personal Protective Equipment | p. 1244 |
| Surface Water Rescue | p. 1244 |
| Hazardous Atmospheres | p. 1247 |
| Highway Operations | p. 1249 |
| Hazardous Terrain | p. 1254 |
| Assessment Procedures During Rescue | p. 1257 |
| Crime Scene Awareness | p. 1260 |
| Approaching the Scene | p. 1261 |
| Dangerous Residence | p. 1262 |
| Dangerous Highway Encounters | p. 1262 |
| Violent Street Incidents | p. 1263 |
| Violent Groups and Situations | p. 1263 |
| Safety Tactics | p. 1265 |
| Tactical Patient Care | p. 1267 |
| EMS at Crime Scenes | p. 1268 |
| Hazardous Materials Incidents | p. 1270 |
| Scope of Hazardous Materials | p. 1271 |
| Laws and Regulations | p. 1271 |
| Identification of Hazardous Materials | p. 1272 |
| Personal Protective Clothing and Equipment | p. 1275 |
| Health Hazards | p. 1277 |
| Response to Hazardous Materials Emergencies | p. 1279 |
| Medical Monitoring and Rehabilitation | p. 1282 |
| Emergency Management of Contaminated Patients | p. 1283 |
| Decontamination of Rescue Personnel and Equipment | p. 1285 |
| Appendix | |
| Overview of Training Requirements for EMS Personnel Responding to a Hazardous Materials Incident as Established by OSHA/EPA and the NFPA | p. 1288 |
| OSHA/EPA Training Requirements | p. 1288 |
| NPFA 473: Competencies for EMS Personnel Responding to Hazardous Materials Incidents | p. 1288 |
| Bioterrorism and Weapons of Mass Destruction | p. 1290 |
| History of Biological Weapons | p. 1291 |
| Critical Biological Agents | p. 1292 |
| Methods of Dissemination | p. 1292 |
| Specific Biological Threats | p. 1293 |
| Nuclear and Radiological Threats | p. 1296 |
| Incendiary Threats | p. 1297 |
| Specific Chemical Threats | p. 1297 |
| Explosive Threats | p. 1300 |
| Department of Homeland Security | p. 1300 |
| General Guidelines for Emergency Response | p. 1301 |
| Personal Protective Equipment for Chemical, Biological, Radiological, and Nuclear Agents | p. 1303 |
| Emergency Drug Index (EDI) | p. 1305 |
| Glossary | p. 1350 |
| CCT Appendix: Advanced Practice Procedures for the Critical Care Paramedic | p. 1402 |
| Illustration Credits | p. 1408 |
| Table of Contents provided by Ingram. All Rights Reserved. |
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