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Introduction to Emergency Medical Care |
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4 | (16) |
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The Emergency Medical Services System |
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6 | (2) |
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6 | (1) |
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7 | (1) |
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Components of the EMS System |
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8 | (9) |
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9 | (1) |
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10 | (1) |
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Roles and Responsibilities of the EMT-B |
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10 | (1) |
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11 | (2) |
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Where Will You Become a Provider? |
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13 | (1) |
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National Registry of Emergency Medical Technicians |
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14 | (1) |
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14 | (1) |
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15 | (1) |
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16 | (1) |
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17 | (1) |
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18 | (2) |
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The Well-Being of the EMT-Basic |
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20 | (23) |
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22 | (3) |
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Body Substance Isolation (BSI) Precautions |
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22 | (1) |
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Personal Protective Equipment |
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23 | (2) |
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25 | (5) |
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30 | (1) |
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30 | (5) |
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Physiologic Aspects of Stress |
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30 | (1) |
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Types of Stress Reactions |
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31 | (2) |
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33 | (1) |
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Signs and Symptoms of Stress |
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33 | (1) |
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33 | (2) |
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35 | (6) |
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Hazardous Materials Incidents |
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35 | (2) |
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37 | (1) |
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37 | (4) |
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41 | (1) |
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42 | (1) |
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Medical/Legal and Ethical Issues |
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43 | (16) |
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45 | (1) |
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Patient Consent and Refusal |
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45 | (5) |
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45 | (1) |
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When a Patient Refuses Care |
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46 | (3) |
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Do Not Resuscitate Orders |
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49 | (1) |
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50 | (6) |
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50 | (1) |
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51 | (1) |
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51 | (1) |
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51 | (1) |
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52 | (1) |
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53 | (2) |
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Special Crimes and Reporting |
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55 | (1) |
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56 | (1) |
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57 | (2) |
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59 | (40) |
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61 | (4) |
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61 | (2) |
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63 | (2) |
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65 | (28) |
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65 | (4) |
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69 | (2) |
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71 | (5) |
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76 | (2) |
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78 | (1) |
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79 | (1) |
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80 | (1) |
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Locating Body Organs and Structures |
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81 | (12) |
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93 | (4) |
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97 | (2) |
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Lifting and Moving Patients |
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99 | (27) |
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Protecting Yourself: Body Mechanics |
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101 | (2) |
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Protecting Your Patient: Emergency, Urgent, and Non-Urgent Moves |
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103 | (18) |
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103 | (3) |
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106 | (1) |
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107 | (14) |
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121 | (1) |
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122 | (4) |
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126 | (50) |
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128 | (5) |
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Adequate and Inadequate Breathing |
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129 | (4) |
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133 | (4) |
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Head-Tilt, Chin-Lift Maneuver |
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135 | (1) |
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136 | (1) |
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Techniques of Artificial Ventilation |
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137 | (7) |
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Mouth-to-Mask Ventilation |
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138 | (2) |
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140 | (4) |
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Flow-Restricted, Oxygen-Powered Ventilation Device |
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144 | (1) |
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144 | (7) |
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Rules for Using Airway Adjuncts |
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146 | (1) |
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146 | (1) |
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147 | (4) |
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151 | (4) |
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151 | (2) |
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153 | (2) |
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155 | (13) |
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Importance of Supplemental Oxygen |
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155 | (1) |
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156 | (4) |
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Hazards of Oxygen Therapy |
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160 | (1) |
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161 | (7) |
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168 | (2) |
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170 | (2) |
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172 | (4) |
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Module 3 Patient Assessment |
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176 | (18) |
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178 | (14) |
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178 | (6) |
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184 | (7) |
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Number of Patients and Adequacy of Resources |
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191 | (1) |
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192 | (1) |
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193 | (1) |
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194 | (16) |
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196 | (1) |
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Form a General Impression |
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196 | (1) |
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197 | (6) |
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200 | (1) |
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200 | (1) |
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201 | (2) |
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Patient Characteristics and Initial Assessment |
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203 | (5) |
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Comparing the Initial Assessments |
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206 | (2) |
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208 | (1) |
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209 | (1) |
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Vital Signs and SAMPLE History |
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210 | (20) |
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Gathering the Vital Signs and History |
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212 | (1) |
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212 | (12) |
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213 | (2) |
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215 | (1) |
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216 | (2) |
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218 | (1) |
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218 | (4) |
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222 | (2) |
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224 | (1) |
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224 | (2) |
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226 | (3) |
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229 | (1) |
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Assessment of the Trauma Patient |
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230 | (39) |
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Focused History and Physical Exam for the Trauma Patient |
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232 | (15) |
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Trauma Patient with No Significant Mechanism of Injury |
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233 | (3) |
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Applying a Cervical Collar |
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236 | (1) |
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Trauma Patient with a Significant Mechanism of Injury |
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237 | (10) |
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247 | (7) |
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253 | (1) |
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254 | (7) |
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Trauma Patient with a Significant Mechanism of Injury |
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254 | (7) |
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Trauma Patient with No Significant Mechanism of Injury |
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261 | (1) |
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261 | (5) |
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266 | (2) |
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268 | (1) |
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Assessment of the Medical Patient |
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269 | (17) |
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Focused History and Physical Exam for a Medical Patient |
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271 | (9) |
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Responsive Medical Patient |
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271 | (6) |
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Unresponsive Medical Patient |
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277 | (3) |
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280 | (4) |
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284 | (1) |
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285 | (1) |
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286 | (10) |
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288 | (3) |
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Components of the Ongoing Assessment |
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289 | (1) |
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290 | (1) |
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Ongoing Assessment for Stable and Unstable Patients |
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291 | (1) |
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291 | (3) |
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294 | (1) |
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294 | (2) |
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296 | (12) |
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Communications Systems and Radio Communication |
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298 | (5) |
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298 | (1) |
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299 | (4) |
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303 | (1) |
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Interpersonal Communication |
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303 | (3) |
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306 | (1) |
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307 | (1) |
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308 | (22) |
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310 | (7) |
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Functions of the Prehospital Care Report |
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310 | (4) |
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Elements of the Prehospital Care Report |
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314 | (3) |
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317 | (1) |
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Special Documentation Issues |
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318 | (8) |
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318 | (4) |
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322 | (4) |
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326 | (1) |
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327 | (3) |
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Module 4 Medical Emergencies |
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330 | (12) |
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Medications EMT-Basics Can Administer |
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332 | (3) |
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Medications on the Ambulance |
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332 | (1) |
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333 | (2) |
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General Information About Medications |
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335 | (4) |
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335 | (1) |
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What You Need to Know When Giving a Medication |
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336 | (1) |
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Medications Patients Often Take |
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337 | (2) |
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339 | (1) |
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340 | (2) |
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342 | (22) |
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344 | (5) |
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Respiratory Anatomy and Physiology |
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344 | (1) |
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345 | (1) |
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345 | (3) |
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Adequate and Inadequate Artificial Ventilation |
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348 | (1) |
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349 | (5) |
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Respiratory Assessment and Conditions |
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351 | (3) |
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354 | (6) |
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356 | (4) |
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360 | (1) |
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361 | (2) |
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363 | (1) |
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364 | (41) |
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Cardiac Anatomy and Physiology |
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367 | (1) |
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367 | (2) |
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369 | (9) |
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Management of Cardiac Compromise |
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369 | (6) |
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Causes of Cardiac Compromise |
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375 | (3) |
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378 | (23) |
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378 | (3) |
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381 | (1) |
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Management of Cardiac Arrest |
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381 | (1) |
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Automated External Defibrillator (AED) |
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381 | (10) |
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Special Considerations for AED Use |
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391 | (4) |
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395 | (6) |
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401 | (1) |
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402 | (3) |
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Acute Abdominal Emergencies |
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405 | (15) |
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Abdominal Anatomy and Physiology |
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406 | (2) |
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Abdominal Pain and Distress |
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408 | (3) |
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Assessment and Care of Abdominal Distress |
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408 | (3) |
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411 | (6) |
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General Abdominal Distress |
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415 | (1) |
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415 | (2) |
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417 | (1) |
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418 | (2) |
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Diabetic Emergencies and Altered Mental Status |
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420 | (23) |
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422 | (4) |
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422 | (3) |
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425 | (1) |
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426 | (4) |
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Additional Information on Diabetes |
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429 | (1) |
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Other Causes of Altered Mental Status |
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430 | (10) |
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430 | (2) |
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432 | (1) |
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433 | (3) |
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436 | (4) |
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440 | (1) |
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441 | (2) |
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443 | (14) |
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445 | (6) |
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Distinguishing Anaphylaxis from Mild Allergic Reaction |
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447 | (4) |
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Self-Administered Epinephrine |
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451 | (3) |
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454 | (1) |
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455 | (2) |
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Poisoning and Overdose Emergencies |
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457 | (24) |
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459 | (10) |
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460 | (1) |
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461 | (3) |
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464 | (1) |
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465 | (3) |
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468 | (1) |
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468 | (1) |
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469 | (1) |
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Alcohol and Substance Abuse |
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469 | (9) |
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469 | (2) |
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471 | (2) |
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473 | (5) |
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478 | (1) |
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479 | (2) |
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Environmental Emergencies |
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481 | (29) |
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483 | (7) |
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483 | (1) |
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484 | (4) |
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488 | (2) |
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490 | (3) |
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Effects of Heat on the Body |
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490 | (1) |
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Patient with Moist, Pale, Normal-to-Cool Skin |
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491 | (1) |
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Patient with Hot, Dry or Moist Skin |
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492 | (1) |
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Water-Related Emergencies |
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493 | (7) |
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493 | (1) |
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Drowning and Near-Drowning |
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494 | (4) |
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498 | (1) |
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498 | (2) |
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Water Rescues; Ice Rescues |
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500 | (1) |
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500 | (7) |
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500 | (3) |
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503 | (2) |
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Poisoning from Marine Life |
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505 | (2) |
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507 | (1) |
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508 | (2) |
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510 | (14) |
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512 | (2) |
|
What Is a Behavioral Emergency? |
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512 | (1) |
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Physical Causes of Altered Behavior |
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512 | (1) |
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Situational Stress Reactions |
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513 | (1) |
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Emergency Care for Behavioral Emergencies |
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514 | (7) |
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514 | (1) |
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515 | (2) |
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Aggressive or Hostile Patients |
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517 | (1) |
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Reasonable Force and Restraint |
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517 | (1) |
|
Transport to an Appropriate Facility |
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518 | (2) |
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Medical/Legal Considerations |
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520 | (1) |
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521 | (1) |
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522 | (2) |
|
Obstetrics and Gynecological Emergencies |
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524 | (31) |
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Anatomy and Physiology of Childbirth |
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526 | (3) |
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526 | (1) |
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527 | (1) |
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528 | (1) |
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529 | (6) |
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529 | (1) |
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530 | (5) |
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535 | (5) |
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535 | (1) |
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535 | (3) |
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538 | (2) |
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540 | (9) |
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Complications of Delivery |
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540 | (5) |
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545 | (4) |
|
Childbirth and Death; Stillbirths; Accidental Death of a Pregnant Woman |
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549 | (1) |
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Gynecological Emergencies |
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549 | (2) |
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551 | (2) |
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553 | (2) |
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Putting It All Together for the Medical Patient |
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555 | (11) |
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Multiple Medical Complaints |
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556 | (1) |
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Managing the Patient with Multiple Medical Complaints |
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556 | (1) |
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556 | (1) |
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557 | (3) |
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560 | (1) |
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Patient Conditions Not Covered in the EMT-B Course |
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560 | (2) |
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562 | (1) |
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562 | (4) |
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566 | (25) |
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568 | (1) |
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568 | (1) |
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569 | (1) |
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569 | (11) |
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569 | (9) |
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578 | (2) |
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580 | (2) |
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580 | (1) |
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581 | (1) |
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581 | (1) |
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582 | (6) |
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583 | (5) |
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588 | (1) |
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589 | (2) |
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591 | (42) |
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593 | (1) |
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594 | (2) |
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594 | (2) |
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596 | (5) |
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596 | (4) |
|
Emergency Care for Open Wounds |
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600 | (1) |
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Treating Specific Types of Open Wounds |
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601 | (12) |
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Treating Abrasions and Lacerations |
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601 | (1) |
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601 | (1) |
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602 | (3) |
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605 | (1) |
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605 | (1) |
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605 | (1) |
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606 | (4) |
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Chest Injury Complications |
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610 | (1) |
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611 | (2) |
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613 | (6) |
|
Classifying Burns by Agent and Source |
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613 | (2) |
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Classifying Burns by Depth |
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|
615 | (1) |
|
Determining the Severity of Burns |
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|
616 | (2) |
|
Classifying Burns by Severity |
|
|
618 | (1) |
|
Treating Specific Types of Burns and Electrical Injuries |
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|
619 | (6) |
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622 | (1) |
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623 | (2) |
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625 | (4) |
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629 | (2) |
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631 | (2) |
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633 | (49) |
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635 | (5) |
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636 | (2) |
|
Self-Healing Nature of Bone |
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|
638 | (1) |
|
Muscles, Cartilage, Ligaments, and Tendons |
|
|
639 | (1) |
|
General Guidelines for Emergency Care |
|
|
640 | (12) |
|
Mechanisms of Musculoskeletal Injury |
|
|
640 | (1) |
|
Painful, Swollen, or Deformed Extremity |
|
|
640 | (3) |
|
Assessment of Musculoskeletal Injuries |
|
|
643 | (1) |
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|
644 | (8) |
|
Emergency Care of Specific Injuries |
|
|
652 | (27) |
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|
653 | (1) |
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|
653 | (26) |
|
|
|
679 | (1) |
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|
680 | (2) |
|
Injuries to the Head and Spine |
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|
682 | (41) |
|
Nervous and Skeletal Systems |
|
|
684 | (2) |
|
|
|
684 | (1) |
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|
|
685 | (1) |
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|
|
686 | (1) |
|
Injuries to the Skull and Brain |
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|
686 | (7) |
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686 | (1) |
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|
686 | (1) |
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|
687 | (1) |
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|
688 | (2) |
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|
|
690 | (2) |
|
Cranial Injuries with Impaled Objects |
|
|
692 | (1) |
|
Injuries to the Face and Jaw |
|
|
692 | (1) |
|
Nontraumatic Brain Injuries |
|
|
693 | (1) |
|
|
|
693 | (5) |
|
|
|
693 | (5) |
|
|
|
698 | (22) |
|
Tips for Applying a Cervical Collar |
|
|
698 | (1) |
|
Tips for Immobilizing a Seated Patient |
|
|
698 | (5) |
|
Tips for Applying a Long Backboard |
|
|
703 | (5) |
|
Tips for Dealing with a Standing Patient |
|
|
708 | (4) |
|
Patient Found Wearing a Helmet |
|
|
712 | (6) |
|
Selective Spine Immobilization |
|
|
718 | (2) |
|
|
|
720 | (1) |
|
|
|
721 | (2) |
|
Putting It All Together for the Trauma Patient |
|
|
723 | (13) |
|
|
|
724 | (1) |
|
|
|
724 | (1) |
|
Managing the Multiple-Trauma Patient |
|
|
725 | (6) |
|
|
|
725 | (2) |
|
|
|
727 | (1) |
|
General Principles of Multiple-Trauma Management |
|
|
728 | (1) |
|
|
|
729 | (2) |
|
|
|
731 | (1) |
|
|
|
731 | (5) |
|
Module 6 Younger and Older Patients |
|
|
|
|
|
736 | (52) |
|
Developmental Characteristics of Infants and Children |
|
|
738 | (7) |
|
Psychological and Personality Characteristics |
|
|
741 | (1) |
|
Anatomical and Physiological Differences |
|
|
741 | (2) |
|
Interacting with the Pediatric Patient |
|
|
743 | (1) |
|
|
|
744 | (1) |
|
Supporting the Parents or Other Care Providers |
|
|
745 | (1) |
|
Assessing the Pediatric Patient |
|
|
746 | (11) |
|
Pediatric Assessment Triangle (PAT) |
|
|
746 | (1) |
|
Scene Size-up and Safety---Pediatric |
|
|
747 | (1) |
|
Initial Assessment---Pediatric |
|
|
747 | (2) |
|
Focused History and Physical Exam---Pediatric |
|
|
749 | (1) |
|
Detailed Physical Exam---Pediatric |
|
|
750 | (5) |
|
Ongoing Assessment---Pediatric |
|
|
755 | (1) |
|
|
|
755 | (2) |
|
Special Concerns in Pediatric Care |
|
|
757 | (9) |
|
Maintaining an Open Airway |
|
|
757 | (2) |
|
Clearing an Airway Obstruction |
|
|
759 | (3) |
|
Infant and Child BCLS Review |
|
|
762 | (1) |
|
Providing Supplemental Oxygen and Ventilations |
|
|
762 | (2) |
|
Caring for Shock (Hypoperfusion) |
|
|
764 | (1) |
|
Protecting Against Hypothermia |
|
|
765 | (1) |
|
|
|
766 | (9) |
|
|
|
766 | (1) |
|
|
|
766 | (1) |
|
|
|
767 | (2) |
|
|
|
769 | (1) |
|
|
|
770 | (1) |
|
|
|
771 | (1) |
|
|
|
771 | (1) |
|
|
|
772 | (1) |
|
|
|
773 | (1) |
|
|
|
773 | (1) |
|
Sudden Infant Death Syndrome |
|
|
774 | (1) |
|
|
|
775 | (3) |
|
|
|
775 | (2) |
|
Pneumatic Anti-Shock Garments |
|
|
777 | (1) |
|
|
|
777 | (1) |
|
|
|
778 | (3) |
|
Physical and Sexual Abuse |
|
|
778 | (3) |
|
Role of the EMT-B in Cases of Suspected Abuse or Neglect |
|
|
781 | (1) |
|
|
|
781 | (1) |
|
Infants and Children with Special Needs |
|
|
782 | (2) |
|
|
|
782 | (1) |
|
Home Artificial Ventilators |
|
|
783 | (1) |
|
Central Intravenous Lines |
|
|
783 | (1) |
|
Gastrostomy Tubes and Gastric Feeding |
|
|
783 | (1) |
|
|
|
784 | (1) |
|
The EMT-B and Pediatric Emergencies |
|
|
784 | (1) |
|
|
|
785 | (1) |
|
|
|
786 | (2) |
|
|
|
788 | (16) |
|
|
|
789 | (3) |
|
Communicating with the Geriatric Patient |
|
|
790 | (1) |
|
Assessing the Geriatric Patient |
|
|
791 | (1) |
|
|
|
792 | (8) |
|
Reasons the Elderly Encounter EMS |
|
|
795 | (5) |
|
|
|
800 | (1) |
|
|
|
800 | (4) |
|
|
|
|
|
|
804 | (36) |
|
Preparing for the Ambulance Call |
|
|
806 | (8) |
|
Ambulance Supplies and Equipment |
|
|
807 | (4) |
|
Ensuring Ambulance Readiness for Service |
|
|
811 | (3) |
|
Receiving and Responding to a Call |
|
|
814 | (8) |
|
Role of the Emergency Medical Dispatcher |
|
|
814 | (2) |
|
|
|
816 | (6) |
|
Transferring the Patient to the Ambulance |
|
|
822 | (1) |
|
Transporting the Patient to the Hospital |
|
|
823 | (3) |
|
Preparing the Patient for Transport |
|
|
823 | (2) |
|
Caring for the Patient en Route |
|
|
825 | (1) |
|
Transferring the Patient to the Emergency Department Staff |
|
|
826 | (1) |
|
|
|
826 | (8) |
|
|
|
828 | (2) |
|
|
|
830 | (1) |
|
|
|
831 | (3) |
|
|
|
834 | (3) |
|
When to Call for Air Rescue |
|
|
834 | (1) |
|
How to Call for Air Rescue |
|
|
835 | (1) |
|
How to Set Up a Landing Zone |
|
|
835 | (1) |
|
How to Approach a Helicopter |
|
|
836 | (1) |
|
|
|
837 | (1) |
|
|
|
838 | (2) |
|
Gaining Access and Rescue Operations |
|
|
840 | (24) |
|
|
|
842 | (19) |
|
|
|
842 | (1) |
|
|
|
843 | (1) |
|
Recognizing and Managing Hazards |
|
|
844 | (9) |
|
|
|
853 | (3) |
|
|
|
856 | (5) |
|
|
|
861 | (1) |
|
|
|
862 | (2) |
|
|
|
864 | (30) |
|
|
|
866 | (11) |
|
|
|
866 | (2) |
|
Responsibilities of the EMT-B |
|
|
868 | (4) |
|
Establish a Treatment Sector |
|
|
872 | (5) |
|
Multiple-Casualty Incidents |
|
|
877 | (14) |
|
Multiple-Casualty Incident Operations |
|
|
877 | (1) |
|
|
|
878 | (4) |
|
|
|
882 | (5) |
|
Transportation and Staging Logistics |
|
|
887 | (3) |
|
Psychological Aspects of MCIs |
|
|
890 | (1) |
|
|
|
891 | (1) |
|
|
|
892 | (2) |
|
EMS Response to Terrorism |
|
|
894 | (34) |
|
|
|
895 | (1) |
|
|
|
895 | (1) |
|
|
|
895 | (1) |
|
Types of Terrorism Incidents |
|
|
896 | (1) |
|
|
|
896 | (2) |
|
First Responders as Targets |
|
|
896 | (1) |
|
Identify the Threat Posed by the Event |
|
|
896 | (2) |
|
|
|
898 | (2) |
|
Recognize the Harms Posed by the Threat |
|
|
899 | (1) |
|
|
|
900 | (1) |
|
|
|
900 | (5) |
|
Responses to a Chemical Incident |
|
|
900 | (1) |
|
Responses to a Biological Incident |
|
|
901 | (2) |
|
Responses to a Radiological/Nuclear Incident |
|
|
903 | (1) |
|
Responses to an Explosive Incident |
|
|
904 | (1) |
|
Dissemination and Weaponization |
|
|
905 | (1) |
|
|
|
905 | (1) |
|
|
|
905 | (1) |
|
|
|
906 | (1) |
|
Characteristics of CBRNE Agents |
|
|
906 | (11) |
|
|
|
906 | (1) |
|
|
|
907 | (9) |
|
Radioactive/Nuclear Devices |
|
|
916 | (1) |
|
|
|
917 | (1) |
|
|
|
917 | (4) |
|
|
|
918 | (1) |
|
|
|
919 | (1) |
|
|
|
919 | (1) |
|
|
|
920 | (1) |
|
|
|
921 | (1) |
|
|
|
922 | (2) |
|
Study Guide: Self-Protection in a Terrorist Incident |
|
|
924 | (4) |
|
Module 8 Advanced Airway Management |
|
|
|
Advanced Airway Management |
|
|
928 | |
|
|
|
930 | (3) |
|
|
|
930 | (1) |
|
|
|
931 | (1) |
|
|
|
932 | (1) |
|
|
|
933 | (23) |
|
|
|
933 | (1) |
|
|
|
933 | (15) |
|
Nasogastric Intubation of an Infant or Child |
|
|
948 | (2) |
|
|
|
950 | (1) |
|
|
|
950 | (4) |
|
|
|
954 | (1) |
|
Automatic Transport Ventilators |
|
|
955 | (1) |
|
|
|
956 | (1) |
|
|
|
957 | |
|
Appendix A ALS-Assist Skills |
|
|
1 | (8) |
|
Assisting with Endotracheal Intubation |
|
|
1 | (3) |
|
Preparing the Patient for Intubation |
|
|
1 | (1) |
|
Ventilating the Tubed Patient |
|
|
2 | (1) |
|
Assisting with a Trauma Intubation |
|
|
3 | (1) |
|
|
|
4 | (1) |
|
|
|
5 | (2) |
|
Setting Up an IV Fluid Administration Set |
|
|
5 | (2) |
|
|
|
7 | (1) |
|
Continuous Positive Airway Pressure (CPAP) and Bi-level Positive Airway Pressure (BiPAP) |
|
|
7 | (2) |
|
Assisting with CPAP Devices |
|
|
8 | (1) |
|
Appendix B National Registry Skill Sheets |
|
|
9 | (13) |
|
Appendix C Basic Cardiac Life Support Review |
|
|
22 | |
|
Before Beginning Resuscitation |
|
|
22 | (4) |
|
|
|
22 | (1) |
|
|
|
23 | (1) |
|
|
|
24 | (1) |
|
|
|
24 | (2) |
|
Initial Ventilations and Pulse Check |
|
|
26 | (1) |
|
|
|
26 | (2) |
|
Mouth-to-Mask Ventilation |
|
|
28 | (1) |
|
|
|
28 | (1) |
|
|
|
28 | (1) |
|
|
|
28 | (6) |
|
|
|
28 | (1) |
|
|
|
29 | (1) |
|
One-Rescuer and Two-Rescuer CPR |
|
|
29 | (3) |
|
CPR Techniques for Children and Infants |
|
|
32 | (1) |
|
Special Considerations in CPR |
|
|
32 | (2) |
|
When Not to Begin or to Terminate CPR |
|
|
34 | (1) |
|
Clearing Airway Obstructions |
|
|
34 | |
|
Partial Airway Obstruction |
|
|
35 | (1) |
|
Complete Airway Obstruction |
|
|
35 | |
|
|
|
1 | (13) |
|
Anatomy and Physiology Illustrations |
|
|
2 | (12) |
|
|
|
2 | (2) |
|
|
|
4 | (2) |
|
|
|
6 | (1) |
|
|
|
7 | (1) |
|
|
|
8 | (1) |
|
|
|
9 | (1) |
|
|
|
10 | (1) |
|
|
|
11 | (1) |
|
|
|
12 | (1) |
|
|
|
13 | (1) |
| Atlas of Injuries |
|
14 | (4) |
| Medical Terminology |
|
18 | |
| Glossary |
|
1 | (1) |
| Index |
|
1 | |
