Emergency Medical Services. Clinical Practice and Systems Oversight (2 Volume Set)

Contributors

Foreword

Preface

About the Companion Site

Volume I

• Chapter 1 History of Emergency Medical Services
  Jon R. Krohmer

Section I: Airway

• Chapter 2 EMS Airway Management: System Considerations
  Francis X. Guyette and Henry E. Wang
• Chapter 3 Airway Procedures
  Jestin N. Carlson and Henry E. Wang
• Chapter 4 Airway Management: Special Situations
  Brendan Anzalone and Henry E. Wang

Section II: Breathing

• Chapter 5 Respiratory Distress
  Matthew R. Neth and Mohamud R. Daya
• Chapter 6 Oxygenation and Ventilation
  Vincent N. Mosesso and Angus M. Jameson

Section III: Circulation

• Chapter 7 Hypotension and Shock
  Francis X. Guyette, Raymond L. Fowler, and Ronald N. Roth
• Chapter 8 Vascular Access
  Bryan B. Kitch and Eric H. Beck
• Chapter 9 Chest Pain and Acute Coronary Syndromes
  Joseph P. Ornato, Michael R. Sayre, and James I. Syrett
• Chapter 10 Cardiac Dysrhythmias
  Christian C. Knutsen and Donald M. Yealy
• Chapter 11 Cardiac Procedures and Managing Technology
  Joanna L. Adams and David P. Thomson
• Chapter 12 Cardiac Arrest Systems of Care
  Bryan McNally, Paul Middleton, Marcus Ong, and Gayathri Devi Nadarajan
• Chapter 13 Cardiac Arrest: Clinical Management
  Jon C. Rittenberger and Vincent N. Mosesso, Jr.

Section IV: Medical Problems

• Chapter 14 The Challenge of the Undifferentiated Patient
  Andrew Travers
• Chapter 15 Altered Mental Status
  Mariecely Luciano-Feijoó and Jefferson G. Williams
• Chapter 16 Syncope
  David J. Schoenwetter
• Chapter 17 Seizures
  J. Stephen Huff
• Chapter 18 Stroke
  Timothy P. Chizmar and Janelle M. Martin
• Chapter 19 Abdominal Pain
  Jeffrey D. Ferguson and Michael Ferras
• Chapter 20 Diabetic Emergencies
  Mariecely Luciano-Feijoó, José G. Cabañas, and Jane H. Brice
• Chapter 21 Allergic Reactions
  Debra G. Perina and Briana N. Tully
• Chapter 22 Renal Failure and Dialysis
  Jocelyn M. De Guzman and Bryan B. Kitch
• Chapter 23 Infectious and Communicable Diseases
  Russell D. MacDonald
• Chapter 24 Choking
  Gregory H. Gilbert
• Chapter 25 Submersion Injuries and Drowning
  Robert Lowe

Section V: Trauma Problems

• Chapter 26 Trauma Systems of Care
  James E. Winslow
• Chapter 27 Blunt Trauma Considerations
  Sabina A. Braithwaite and Noah Bernhardson
• Chapter 28 Motor Vehicle Crashes
  Stewart C. Wang, Kristen Cunningham, Sven Holcombe, and Robert Kaufman
• Chapter 29 Penetrating Trauma
  Michelle Welsford and Clare Wallner
• Chapter 30 Traumatic Brain Injury
  Anjni Joiner
• Chapter 31 Electrical Injuries
  Jeffrey Lubin
• Chapter 32 Blast Injury
  Andre Pennardt and Emerson Franke
• Chapter 33 Thermal and Chemical Burns
  Richard Schwartz, Richard Cartie, Peter Bui, and Bradley Michael Golden
• Chapter 34 Crush Injury
  Roberto C. Portela and Nathan Roney
• Chapter 35 Hemorrhage Control
  Jeremiah Escajeda
• Chapter 36 Orthopedic Injuries
  Mary P. Mercer
• Chapter 37 Ocular Trauma
  Eric Hawkins and Joseph Blackwell
• Chapter 38 Bites, stings, and envenomations
  Adam Frisch, Andrew King, and Stephanie O. Frisch
• Chapter 39 Field Trauma Triage
  Matthew Cobb, Aaron Dix, and Scott M. Sasser
• Chapter 40 Trauma-Stabilizing Procedures
  Benjamin A. Smith

Section VI: Obstetrics and Gynecology Problems

• Chapter 41 Physiology of Pregnancy
  Rickquel Tripp
• Chapter 42 Emergencies of Pregnancy
  Aiman Saleh and Joseph Grover
• Chapter 43 Normal Childbirth
  Stephanie A. Crapo and David A. Kranc
• Chapter 44 Childbirth Emergencies
  Angus M. Jameson and Micha Campbell
• Chapter 45 Perimortem Cesarean Section
  Christian Martin-Gill

Section VII: Toxicological Problems

• Chapter 46 Principles of Toxicology
  Christine M. Murphy
• Chapter 47 Treatment and Evaluation of Specific Toxins
  Michael C. Beuhler

Section VIII: Environmental Problems

• Chapter 48 Cold Exposure Illness and Injury
  Jonnathan Busko
• Chapter 49 Heat-Related Illness
  Gerald (Wook) Beltran
• Chapter 50 High Altitude Illnesses
  Hawnwan Philip Moy and Richard Benson II
• Chapter 51 Effects of Flight
  David P. Thomson and Joanna L. Adams
• Chapter 52 Diving Injury
  Katherine Couturier and Irfan Husain

Section IX: Special Populations

• Chapter 53 The Special Needs of Children
  Susan Fuchs
• Chapter 54 Pediatric Medical Priorities
  Toni Gross and J. Joelle Donofrio-Odmann
• Chapter 55 Pediatric Trauma Priorities
  Jennifer N. Fishe
• Chapter 56 Technology-Dependent Children
  Sylvia Owusu-Ansah
• Chapter 57 Approach to the Geriatric Patient
  Michael Mancera, Michael Lohmeier, and Manish N. Shah

Section X: Special Considerations

• Chapter 58 Behavioral Health Emergencies
  Jay H. Reich and Anthony T. Ng
• Chapter 59 Bariatric Patient Challenges
  Jeremy T. Cushman
• Chapter 60 Intimate Partner Violence
  Elizabeth A. Donnelly, Dana Levin, and Betty Jo Barrett
• Chapter 61 Sexual Assault
  Diane L. Miller and Karen Serrano
• Chapter 62 Child Maltreatment
  Deborah Flowers and Molly Berkoff
• Chapter 63 Human Trafficking
  Ronna G. Miller, Asha Tharayil, Brian L. Miller, and Brandon Morshedi
• Chapter 64 Ethical Challenges
  Dave W. Lu and James G. Adams
• Chapter 65 Death, Dying, and End of life Issues
  Jennifer Cook, Aaron Case, Shannon Appy, Joshua Lupton, and Terri A. Schmidt
• Chapter 66 Family and Bystanders
  Lynne Dees
• Chapter 67 Analgesia
  Richard A. Kamin and Mark X. Cicero
• Chapter 68 Point of Care Testing in EMS
  Alix JE Carter
• Chapter 69 Ultrasound Applications in the Prehospital Setting
  Danielle Levine and Rachel Liu

Appendix

Glossary

Index

Contributors

Foreword

Preface

Volume II

Section I:  Principles of Oversight and Design

• Chapter 70 Medical Oversight of EMS Systems
  Michael Levy and John M. Gallagher
• Chapter 71 Principles of EMS System Design
  Mic Gunderson
• Chapter 72 Emergency Care Regionalization
  Andrew N. Hogan, Reagan Rosenberger, and Raymond L. Fowler
• Chapter 73 Telemedicine and Emerging Telecommunications
  Renoj Varughese, Kaori P. Tanaka, Susan J. Burnett, and Brian M. Clemency
• Chapter 74 Interfacility Transportation
  Ashley N. Huff, Jacob B. Keeperman, and Lesley Osborn
• Chapter 75 Air Medical Services
  Thomas Judge

Section II: Human Resources

• Chapter 76 EMS Personnel
  Paul Rosenberger, Kathy J. Rinnert, Aditya Lulla, and Ray Fowler
• Chapter 77 Protection of EMS Personnel from Occupationally Acquired Infections
  Carin M. Van Gelder
• Chapter 78 Medical Surveillance of Emergency Response Personnel
  Mike McEvoy
• Chapter 79 EMS Clinician Wellness
  P. Daniel Patterson, Matthew D. Weaver, and David Hostler
• Chapter 80 Occupational Injury Prevention and Management
  P. Daniel Patterson, Matthew D. Weaver, David Hostler, and Deanna Colburn
• Chapter 81 Prevention and Intervention for Psychologically Stressful Events
  Richard Gist and Marc Kruse
• Chapter 82 EMS Practitioner Education
  Beth Lothrop Adams and Kim D. McKenna

Section III:  Legal and Legislation

• Chapter 83 Legal Issues
  W. Ann "Winnie Maggiore
• Chapter 84 Legislation, Regulation, and Ordinance
  Ritu Sahni and Brent Myers
• Chapter 85 Due Process
  E. Fremont Magee and Sarah M. Sette
• Chapter 86 Risk Management
  Raymond L. Fowler, Melanie Lippmann, Faroukh Mehkri, and James Atkins
• Chapter 87 Politics and Advocacy for the EMS Physician
  Ritu Sahni

Section IV:  Dispatch and Communications

• Chapter 88 Dispatch
  Ronald Roth and David C. Cone
• Chapter 89 Ambulance Safety
  Christopher A. Kahn
• Chapter 90 Communications
  Kevin McGinnis and Barry Luke

Section V:  Finance and Public Interfaces

• Chapter 91 Principles of Finance
  Paul Hinchey and Jeffrey M. Goodloe
• Chapter 92 State EMS Offices
  Douglas F. Kupas, Peter P. Taillac, and Lee B. Smith
• Chapter 93 EMS – Public Health Interface
  Robert P. Holman, Ryan B. Gerecht
• Chapter 94 EMS Physicians as Public Spokespersons
  Edward M. Racht and Jeff Beeson

Section VI: Extraordinary Circumstances

• Chapter 95 Incident Command System and National Incident Management System
  Erin R. Hanlin and Kevin Schulz
• Chapter 96 Medical Management of Mass Gatherings
  John F. Brown, Joshua G. Smith, and Katie Tataris
• Chapter 97 Disaster Preparedness and Management
  Alexander P. Isakov, Ryan Carter, and Yuko Nakajima
• Chapter 98 The Federal Medical Response to Disasters
  Kevin Horahan and Scott Lee
• Chapter 99 Prehospital Triage for Mass Casualties
  E. Brooke Lerner, Richard B. Schwartz, Ryan Carter, and Kunal Chadha
• Chapter 100 Mass Casualty Management
  Daniel P. O’Donnell, Thomas A. Lardaro, and Mark Liao
• Chapter 101 Mass Casualty Evacuation and Patient Movement
  Joanne McGovern
• Chapter 102 Temporary Treatment Facilities
  Roy L. Alson and Christine S. Hall

Section VII: Special Hazards

• Chapter 103 Medical Support for Hazardous Materials Response
  Thomas Blackwell, Craig DeAtley, and Allen Yee
• Chapter 104 Chemical Properties of Hazardous Materials
  Joshua B. Gaither and Robert N. E. French
• Chapter 105 Radiological and Nuclear Response
  John C. White
• Chapter 106 Weapons of Mass Destruction
  Adam Kaye and Jonathan L. Burstein

Section VIII: Special Environments

• Chapter 107 Tactical Emergency Medical Support
  David K. Tan and Jeffrey E. Siegler
• Chapter 108 Technical Rescue, Confined Space, and Limited Access Situations
  David C. Cone
• Chapter 109 Care in the Wilderness
  Seth C. Hawkins, Michael G. Millin, William R. Smith
• Chapter 110 Mobile Integrated Health & Community Paramedicine
  Melissa Kroll and Kevin Munjal

Section IX: Safety and Quality

• Chapter 111 Patient Safety Culture
  Blair L. Bigham, Brodie Nolan, and P. Daniel Patterson
• Chapter 112 The Evolution of Quality Concepts and Methods
  Remle P. Crowe
• Chapter 113 Defining, Measuring, and Improving Quality
  Scott S. Bourn, Kevin E. Mackey, and Michael Redlener
• Chapter 114 Information Systems
  Greg Mears

Section X: Advancing Knowledge

• Chapter 115 EMS research basics
  E. Brooke Lerner, David C. Cone, and Donald M. Yealy
• Chapter 116 Informed Consent in EMS Research
  Lynn J. White
• Chapter 117 Out-of-Hospital Cardiac Arrest Research
  Brian Grunau, Karen Smith, and Ashish R. Panchal
• Chapter 118 Trauma Research Methodology
  Peter P. Taillac
• Chapter 119 Pediatric Research Methodology
  David Markenson, Lauren C. Riney, and Lorin R. Browne
• Chapter 120 Cost Analysis Research
  Maxwell Osei-Ampofo and Peter Agyei-Baffour
• Chapter 121 Statistical Concepts for Research in Emergency Medical Services
  Craig D. Newgard and Roger J. Lewis

Appendix

Glossary

Index

The two-volume Emergency Medical Services: Clinical Practice and Systems Oversight delivers a thorough foundation upon which to succeed as an EMS medical director and prepare for the NAEMSP National EMS Medical Directors Course and Practicum. Focusing on EMS in the ‘real world’, the book offers specific management tools that will be useful in the reader’s own local EMS system and provides contextual understanding of how EMS functions within the broader emergency care system at a state, local, and national level.

The two volumes offer the core knowledge trainees will need to successfully complete their training and begin their career as EMS physicians, regardless of the EMS systems in use in their areas. A companion website rounds out the book’s offerings with audio and video clips of EMS best practice in action. Readers will also benefit from the inclusion of:

• A thorough introduction to the history of EMS
• An exploration of EMS airway management, including procedures and challenges, as well as how to manage ventilation, oxygenation, and breathing in patients, including cases of respiratory distress
• Practical discussions of medical problems, including the challenges posed by the undifferentiated patient, altered mental status, cardiac arrest and dysrhythmias, seizures, stroke, and allergic reactions
• An examination of EMS systems, structure, and leadership

David C. Cone, MD
Professor of Emergency Medicine
Yale University School of Medicine
New Haven, Connecticut

Jane H. Brice, MD, MPH
Professor and Chair of Emergency Medicine
University of North Carolina at Chapel Hill
Chapel Hill, North Carolina

Theodore R. Delbridge, MD, MPH
Executive Director
Maryland Institute for
Emergency Medical Services Systems
Baltimore, Maryland

J. Brent Myers, MD, MPH
Chief Medical Officer
ESO
Associate Medical Director
Wake County EMS
Raleigh, North Carolina