Edited by expert academics and educators, Brett Williams and Linda Ross, and written by content specialists and experienced clinicians, this essential resource encourages readers to see the links between the pathophysiology of a disease, how this creates the signs and symptoms and how these should to be managed in the out-of-hospital environment. Additionally, Paramedic Principles and Practice 2e will arm readers with not only technical knowledge and expertise, but also the non-technical components of providing emergency care, including professional attitudes and behaviours, decision-making, teamwork and communication skills.
Case studies are strategically used to contextualise the principles, step readers through possible scenarios that may be encountered and, importantly, reveal the process of reaching a safe and effective management plan. The case studies initially describe the pathology and typical presentation of a particular condition and progress to more-complex and less-typical scenarios where the practitioner faces increasing uncertainty.
1. SECTION 1: INTRODUCTION TO PARAMEDIC PRINCIPLES AND PRACTICE - p. xxvi 2. Chapter 1: Introduction - p. xxvi 3. SECTION 2: FOUNDATION KNOWLEDGE - p. 5 4. Chapter 2: Introduction to: Foundation Knowledge - p. 5 5. Chapter 3: Perfusion - p. 6 6. Chapter 4: The Autonomic Response - p. 13 7. Chapter 5: The Inflammatory Response - p. 21 8. Chapter 6: Pharmacokinetics and Pharmacodynamics - p. 28 9. SECTION 3: FOUNDATION CONCEPTS - p. 39 10. Chapter 7: Introduction to: Foundation Concepts - p. 39 11. Chapter 8: Evidence-Based Practice in Paramedicine - p. 41 12. Chapter 9: The Clinical Reasoning Process - p. 47 13. Chapter 10: Introduction to: Communication and Non-technical Skills - p. 61 14. SECTION 4: COMMUNICATION AND NON-TECHNICAL SKILLS - p. 62 15. Chapter 11: Interpersonal Communication and Patient-Focused Care - p. 62 16. SECTION 5: THE AUSTRALIAN AND NEW ZEALAND HEALTHCARE SYSTEMS - p. 75 17. Chapter 12: Introduction to: The Australian and New Zealand Healthcare Systems - p. 75 18. Chapter 13: The Paramedic Role in Healthcare - p. 76 19. Chapter 14: Characteristics of Ambulance Patients - p. 91 20. SECTION 6: PATIENT AND PARAMEDIC SAFETY - p. 101 21. Chapter 15: Introduction to: Patient and Paramedic Safety - p. 101 22. Chapter 16: Patient Safety and Paramedicine - p. 102 23. Chapter 17: Paramedic Health and Wellbeing - p. 111 24. SECTION 7: LEGAL, ETHICAL AND PROFESSIONAL CONSIDERATIONS - p. 122 25. Chapter 18: Introduction to: Legal, Ethical and Professional Considerations - p. 122 26. Chapter 19: Legal and Ethical Considerations in Clinical Decision-Making - p. 124 27. Chapter 20: Introduction to: The Paramedic Clinical Approach - p. 134 28. PART TWO: PARAMEDIC PRACTICE - p. 136 29. SECTION 8: THE PARAMEDIC CLINICAL APPROACH - p. 136 30. Chapter 21: The Structured Clinical Approach - p. 136 31. Chapter 22: The Patient-Centred Interview - p. 141 32. Chapter 23: Introduction to: The Paramedic Approach to the Patient With a Respiratory Condition - p. 150 33. SECTION 9: THE PARAMEDIC APPROACH TO THE PATIENT WITH A RESPIRATORY CONDITION - p. 152 34. Chapter 24: Airway Obstruction - p. 152 35. Chapter 25: Asthma - p. 164 36. Chapter 26: Acute Pulmonary Oedema - p. 181 37. Chapter 27: Chronic Obstructive Pulmonary Disease - p. 200 38. Chapter 28: Pneumothorax - p. 224 39. Chapter 29: Pulmonary Embolism - p. 238 40. SECTION 10: THE PARAMEDIC APPROACH TO THE PATIENT WITH A CARDIAC CONDITION - p. 255 41. Chapter 30: Introduction to: The Paramedic Approach to the Patient With a Cardiac Condition - p. 255 42. Chapter 31: Chest Pain - p. 258 43. Chapter 32: Arrhythmias - p. 287 44. Chapter 33: Cardiac Arrest - p. 311 45. SECTION 11: THE PARAMEDIC APPROACH TO THE PATIENT WITH A MEDICAL CONDITION - p. 331 46. Chapter 34: Introduction to: The Paramedic Approach to the Patient With a Medical Condition - p. 331 47. Chapter 35: Hypoglycaemia and Hyperglycaemia - p. 337 48. Chapter 36: Stroke - p. 349 49. Chapter 37: Overdose - p. 380 50. Chapter 38: Anaphylaxis - p. 400 51. Chapter 39: Seizures - p. 429 52. Chapter 40: Pain - p. 447 53. Chapter 41: Acute Abdominal Pain - p. 468 54. Chapter 42: Sepsis - p. 498 55. Chapter 43: Bleeding From the Gastrointestinal and Urinary Tract - p. 519 56. SECTION 12: THE PARAMEDIC APPROACH TO THE TRAUMA PATIENT - p. 536 57. Chapter 44: Introduction to: The Paramedic Approach to the Trauma Patient - p. 536 58. Chapter 45: Head Injuries - p. 537 59. Chapter 46: Chest Injuries - p. 572 60. Chapter 47: Musculoskeletal Injuries - p. 595 61. Chapter 48: Traumatic Spinal Injuries - p. 626 62. Chapter 49: Burns - p. 658 63. Chapter 50: Mass-Casualty Incidents - p. 701 64. SECTION 13: THE PARAMEDIC APPROACH TO THE PATIENT WITH AN ENVIRONMENTAL CONDITION - p. 718 65. Chapter 51: Introduction to: The Paramedic Approach to the Patient With an Environmental Condition - p. 718 66. Chapter 52: Hypothermia and Hyperthermia - p. 719 67. Chapter 53: Decompression Injuries - p. 735 68. Chapter 54: Snakebite Envenoming - p. 748 69. Chapter 55: Spider Bites - p. 767 70. Chapter 56: Marine Envenoming - p. 778 71. Chapter 57: Tropical Medicine - p. 796 72. SECTION 14: THE PARAMEDIC APPROACH TO COMPLEX CASES: SPECIFIC CHALLENGES TO PARAMEDIC REASONING AND MANAGEMENT - p. 805 73. Chapter 58: Introduction to: The Paramedic Approach to Complex Cases: Specific Challenges to Paramedic Reasoning and Management - p. 805 74. Chapter 59: The Socially Isolated Patient - p. 807 75. Chapter 60: The Dying Patient - p. 819 76. Chapter 61: Older Patients - p. 831 77. Chapter 62: Indigenous Australian Patients - p. 846 78. Chapter 63: Māori Patients - p. 859 79. Chapter 64: Family Violence - p. 872 80. SECTION 15: THE PARAMEDIC APPROACH TO THE PATIENT DISPLAYING CHANGES IN BEHAVIOUR: MENTAL HEALTH AND MENTAL ILLNESS - p. 890 81. Chapter 65: Introduction to: The Paramedic Approach to the Patient Displaying Changes in Behaviour: Mental Health and Mental Illness - p. 890 82. Chapter 66: Mental Health Conditions - p. 893 83. Chapter 67: De-Escalation Strategies - p. 925 84. SECTION 16: THE PARAMEDIC APPROACH TO OBSTETRIC, NEONATAL AND PAEDIATRIC PATIENTS - p. 931 85. Chapter 68: Introduction to: The Paramedic Approach to Obstetric, Neonatal and Paediatric Patients - p. 931 86. Chapter 69: Imminent Birth - p. 933 87. Chapter 70: Neonatal Resuscitation - p. 964 88. Chapter 71: Paediatric Patients - p. 996 89. Medications Commonly Encountered in Community Emergency Health - p. 1015 90. Glossary - p. 1022 91. Index - p. 1034
Edited by expert academics and educators, Brett Williams and Linda Ross, and written by content specialists and experienced clinicians, this essential resource encourages readers to see the links between the pathophysiology of a disease, how this creates the signs and symptoms and how these should to be managed in the out-of-hospital environment. Additionally, Paramedic Principles and Practice 2e will arm readers with not only technical knowledge and expertise, but also the non-technical components of providing emergency care, including professional attitudes and behaviours, decision-making, teamwork and communication skills.
Case studies are strategically used to contextualise the principles, step readers through possible scenarios that may be encountered and, importantly, reveal the process of reaching a safe and effective management plan. The case studies initially describe the pathology and typical presentation of a particular condition and progress to more-complex and less-typical scenarios where the practitioner faces increasing uncertainty.
1. SECTION 1: INTRODUCTION TO PARAMEDIC PRINCIPLES AND PRACTICE - p. xxvi 2. Chapter 1: Introduction - p. xxvi 3. SECTION 2: FOUNDATION KNOWLEDGE - p. 5 4. Chapter 2: Introduction to: Foundation Knowledge - p. 5 5. Chapter 3: Perfusion - p. 6 6. Chapter 4: The Autonomic Response - p. 13 7. Chapter 5: The Inflammatory Response - p. 21 8. Chapter 6: Pharmacokinetics and Pharmacodynamics - p. 28 9. SECTION 3: FOUNDATION CONCEPTS - p. 39 10. Chapter 7: Introduction to: Foundation Concepts - p. 39 11. Chapter 8: Evidence-Based Practice in Paramedicine - p. 41 12. Chapter 9: The Clinical Reasoning Process - p. 47 13. Chapter 10: Introduction to: Communication and Non-technical Skills - p. 61 14. SECTION 4: COMMUNICATION AND NON-TECHNICAL SKILLS - p. 62 15. Chapter 11: Interpersonal Communication and Patient-Focused Care - p. 62 16. SECTION 5: THE AUSTRALIAN AND NEW ZEALAND HEALTHCARE SYSTEMS - p. 75 17. Chapter 12: Introduction to: The Australian and New Zealand Healthcare Systems - p. 75 18. Chapter 13: The Paramedic Role in Healthcare - p. 76 19. Chapter 14: Characteristics of Ambulance Patients - p. 91 20. SECTION 6: PATIENT AND PARAMEDIC SAFETY - p. 101 21. Chapter 15: Introduction to: Patient and Paramedic Safety - p. 101 22. Chapter 16: Patient Safety and Paramedicine - p. 102 23. Chapter 17: Paramedic Health and Wellbeing - p. 111 24. SECTION 7: LEGAL, ETHICAL AND PROFESSIONAL CONSIDERATIONS - p. 122 25. Chapter 18: Introduction to: Legal, Ethical and Professional Considerations - p. 122 26. Chapter 19: Legal and Ethical Considerations in Clinical Decision-Making - p. 124 27. Chapter 20: Introduction to: The Paramedic Clinical Approach - p. 134 28. PART TWO: PARAMEDIC PRACTICE - p. 136 29. SECTION 8: THE PARAMEDIC CLINICAL APPROACH - p. 136 30. Chapter 21: The Structured Clinical Approach - p. 136 31. Chapter 22: The Patient-Centred Interview - p. 141 32. Chapter 23: Introduction to: The Paramedic Approach to the Patient With a Respiratory Condition - p. 150 33. SECTION 9: THE PARAMEDIC APPROACH TO THE PATIENT WITH A RESPIRATORY CONDITION - p. 152 34. Chapter 24: Airway Obstruction - p. 152 35. Chapter 25: Asthma - p. 164 36. Chapter 26: Acute Pulmonary Oedema - p. 181 37. Chapter 27: Chronic Obstructive Pulmonary Disease - p. 200 38. Chapter 28: Pneumothorax - p. 224 39. Chapter 29: Pulmonary Embolism - p. 238 40. SECTION 10: THE PARAMEDIC APPROACH TO THE PATIENT WITH A CARDIAC CONDITION - p. 255 41. Chapter 30: Introduction to: The Paramedic Approach to the Patient With a Cardiac Condition - p. 255 42. Chapter 31: Chest Pain - p. 258 43. Chapter 32: Arrhythmias - p. 287 44. Chapter 33: Cardiac Arrest - p. 311 45. SECTION 11: THE PARAMEDIC APPROACH TO THE PATIENT WITH A MEDICAL CONDITION - p. 331 46. Chapter 34: Introduction to: The Paramedic Approach to the Patient With a Medical Condition - p. 331 47. Chapter 35: Hypoglycaemia and Hyperglycaemia - p. 337 48. Chapter 36: Stroke - p. 349 49. Chapter 37: Overdose - p. 380 50. Chapter 38: Anaphylaxis - p. 400 51. Chapter 39: Seizures - p. 429 52. Chapter 40: Pain - p. 447 53. Chapter 41: Acute Abdominal Pain - p. 468 54. Chapter 42: Sepsis - p. 498 55. Chapter 43: Bleeding From the Gastrointestinal and Urinary Tract - p. 519 56. SECTION 12: THE PARAMEDIC APPROACH TO THE TRAUMA PATIENT - p. 536 57. Chapter 44: Introduction to: The Paramedic Approach to the Trauma Patient - p. 536 58. Chapter 45: Head Injuries - p. 537 59. Chapter 46: Chest Injuries - p. 572 60. Chapter 47: Musculoskeletal Injuries - p. 595 61. Chapter 48: Traumatic Spinal Injuries - p. 626 62. Chapter 49: Burns - p. 658 63. Chapter 50: Mass-Casualty Incidents - p. 701 64. SECTION 13: THE PARAMEDIC APPROACH TO THE PATIENT WITH AN ENVIRONMENTAL CONDITION - p. 718 65. Chapter 51: Introduction to: The Paramedic Approach to the Patient With an Environmental Condition - p. 718 66. Chapter 52: Hypothermia and Hyperthermia - p. 719 67. Chapter 53: Decompression Injuries - p. 735 68. Chapter 54: Snakebite Envenoming - p. 748 69. Chapter 55: Spider Bites - p. 767 70. Chapter 56: Marine Envenoming - p. 778 71. Chapter 57: Tropical Medicine - p. 796 72. SECTION 14: THE PARAMEDIC APPROACH TO COMPLEX CASES: SPECIFIC CHALLENGES TO PARAMEDIC REASONING AND MANAGEMENT - p. 805 73. Chapter 58: Introduction to: The Paramedic Approach to Complex Cases: Specific Challenges to Paramedic Reasoning and Management - p. 805 74. Chapter 59: The Socially Isolated Patient - p. 807 75. Chapter 60: The Dying Patient - p. 819 76. Chapter 61: Older Patients - p. 831 77. Chapter 62: Indigenous Australian Patients - p. 846 78. Chapter 63: Māori Patients - p. 859 79. Chapter 64: Family Violence - p. 872 80. SECTION 15: THE PARAMEDIC APPROACH TO THE PATIENT DISPLAYING CHANGES IN BEHAVIOUR: MENTAL HEALTH AND MENTAL ILLNESS - p. 890 81. Chapter 65: Introduction to: The Paramedic Approach to the Patient Displaying Changes in Behaviour: Mental Health and Mental Illness - p. 890 82. Chapter 66: Mental Health Conditions - p. 893 83. Chapter 67: De-Escalation Strategies - p. 925 84. SECTION 16: THE PARAMEDIC APPROACH TO OBSTETRIC, NEONATAL AND PAEDIATRIC PATIENTS - p. 931 85. Chapter 68: Introduction to: The Paramedic Approach to Obstetric, Neonatal and Paediatric Patients - p. 931 86. Chapter 69: Imminent Birth - p. 933 87. Chapter 70: Neonatal Resuscitation - p. 964 88. Chapter 71: Paediatric Patients - p. 996 89. Medications Commonly Encountered in Community Emergency Health - p. 1015 90. Glossary - p. 1022 91. Index - p. 1034