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E-grāmata: Fundamentals of Paramedic Practice: A Systems Approach

Edited by (University of Tasmania, Sydney, Australia), Edited by (St Hugh's College, Oxford)
  • Formāts: PDF+DRM
  • Sērija : Fundamentals
  • Izdošanas datums: 27-Aug-2019
  • Izdevniecība: Wiley-Blackwell
  • Valoda: eng
  • ISBN-13: 9781119462972
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  • Formāts: PDF+DRM
  • Sērija : Fundamentals
  • Izdošanas datums: 27-Aug-2019
  • Izdevniecība: Wiley-Blackwell
  • Valoda: eng
  • ISBN-13: 9781119462972
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Driven by changes to clinical practice, new evidence-based research, and shifts in global economics and politics, the field of paramedic science is rapidly evolving. This new edition of Fundamentals of Paramedic Practice offers students and recently qualified practitioners an accessible and comprehensive introduction to paramedic science and pre-hospital care, providing expert and up-to-date guidance on the essential theories and real-world practice of this dynamic area of emergency medicine.

Assuming no prior knowledge of the subject, this user-friendly textbook provides broad and inclusive coverage of topics including professionalism, law and ethics, assessment skills, research methods, pharmacology and more. Contributions from experienced paramedics and clinicians, contemporary case studies, full-colour illustrations and powerful pedagogical tools help students gain a thorough understanding of the essential components of paramedic practice.





Employs a comprehensive, multidisciplinary approach to the study of paramedic practice, presenting theoretical and clinical topics in a straightforward and student-friendly manner New chapters on toxicology, medical terminology and low acuity care in paramedicine, with an increased focus on mental health Includes new end-of-chapter learning activities and quizzes, case studies and references, charts and diagrams

Fundamentals of Paramedic Practice: A Systems Approach is an invaluable resource for undergraduate paramedic and emergency care students as well as qualified paramedics, clinicians and educators seeking an authoritative reference on current practice.
List of contributors xiv
Preface xvi
Acknowledgements xvii
About the companion website xviii
Chapter 1 Professionalism in paramedic practice 1(11)
Netta Lloyd-Jones
Introduction
2(1)
Professionalism in paramedic practice
2(1)
Defining professionalism
3(1)
Professionalism as ethical practice
3(1)
Professional identity, socialisation, and culture
4(2)
How do students learn professionalism?
6(1)
Assessment and standards of professionalism
7(1)
Regulatory areas, fitness to practise processes, and outcomes
8(1)
Conclusion
9(1)
Activities
9(1)
Glossary
10(1)
References
10(2)
Chapter 2 Professional health regulation for paramedicine and ambulance prehospital emergency care 12(11)
Ramon Z. Shahan
Ruth Townsend
Introduction
13(1)
Principles for paramedic professional health regulation
13(1)
Health professional regulation for paramedic professionalism
14(1)
The UK experience
15(3)
Paramedics behaving badly
18(1)
The Australian experience
19(1)
Conclusion
20(1)
Activities
21(1)
Glossary
21(1)
References
22(1)
Chapter 3 Human factors in paramedicine 23(12)
Sam Willis
Helen Pocock
Introduction
24(1)
What are human factors?
24(1)
Human error in paramedicine
25(1)
Tasks
26(1)
Organisation
27(1)
Tools and technology
28(1)
Environment
28(1)
Interactions
29(1)
Human factors in paramedic practice
29(3)
Conclusion
32(1)
Activities
32(1)
Glossary
33(1)
References
33(2)
Chapter 4 Mental capacity and prehospital care 35(13)
Sue Putman
Introduction
36(1)
What is mental capacity?
36(1)
How do we make decisions?
37(1)
Assessing mental capacity
38(1)
The five principles
39(4)
Additional mental capacity safeguards
43(2)
Conclusion
45(1)
Activities
46(1)
Glossary
46(1)
References
47(1)
Chapter 5 Mental health and prehospital care 48(12)
Sue Putman
Introduction
49(1)
What is 'mental health'?
49(1)
What are 'mental disorder' and 'mental illness'?
50(2)
Emotions (mood) and behaviour
52(1)
ABC model of emotion
52(1)
Brief outline of common mental illnesses
52(4)
General strategies to help with all mental health conditions in the prehospital environment
56(1)
Mental health act
57(1)
Conclusion
57(1)
Activities
58(1)
Glossary
58(1)
References
58(2)
Chapter 6 Communication skills for the prehospital professional 60(14)
Sam Willis
Gary Mellor
Introduction
61(1)
Background
61(1)
The importance of effective communication
62(1)
A model of communication
62(1)
I Nonverbal communication
63(5)
Verbal communication
68(1)
Effective listening
69(1)
Empathy
70(1)
Barriers to effective communication in the prehospital setting
70(1)
Conclusion
71(1)
Activities
71(1)
Glossary
72(1)
References
73(1)
Chapter 7 Sociological aspects of paramedic practice 74(10)
Kellie Tune
Introduction
75(1)
The sociological imagination
75(1)
Three sociological paradigms
76(2)
The sociocultural context of health
78(2)
Medicalisation and demedicalisation
80(1)
Conclusion
80(1)
Activities
80(2)
Glossary
82(1)
References
82(2)
Chapter 8 Legal and ethical aspects of paramedic practice 84(11)
Ruth Townsend
Sam Willis
Nevin Mehmet
Introduction
85(1)
Legal aspects of paramedic practice
85(5)
Ethical aspects of paramedic practice
90(2)
Ethical principles: An ethical framework
92(1)
Conclusion
93(1)
Activities
93(1)
Glossary
94(1)
References
94(1)
Chapter 9 Leadership and mentorship in paramedic practice 95(12)
Roger Dalrymple
Introduction
96(1)
Theories of leadership: a brief overview
97(1)
Definitions of leadership
98(1)
From leaders to leadership behaviours
98(1)
Leadership styles and approaches
99(1)
Leadership at the individual level
100(1)
Leadership and the mentoring or supervisory role
101(2)
Leadership and team work
103(1)
Ongoing leadership development
104(1)
Conclusion
104(1)
Activities
104(1)
Glossary
105(1)
References
106(1)
Chapter 10 Safeguarding adults at risk of abuse and neglect 107(15)
Rozz McDonald
Introduction
108(1)
Legislation and policy
108(2)
Types of abuse and neglect
110(1)
Recognising abuse and neglect
110(5)
Radicalisation and extremism
115(1)
Practice principles of safeguarding
116(1)
Paramedic responsibilities
116(3)
Conclusion
119(1)
Activities
119(1)
Glossary
119(1)
References
120(2)
Chapter 11 Essential toxicology for prehospital clinicians 122(20)
Jack Matulich
Introduction
123(1)
Pharmacokinetics in toxicology
124(1)
The importance of clinical context and vulnerability
125(1)
The initial resuscitative approach in toxicology
126(4)
Toxidromes
130(9)
Activities
139(1)
Glossary
140(1)
References
141(1)
Chapter 12 Medical terminology 142(22)
Steve Whitfield
Michael Porter
Introduction
143(1)
A brief history (Hx) of medical terminology
144(1)
Medical terminology and word structure
145(1)
Prefixes and suffixes
145(3)
The building blocks of medical terms
148(1)
Pronunciation of medical terms
149(1)
Forming plurals
150(1)
Eponyms
150(1)
Anatomical positions
151(3)
Movement terminology
154(1)
Medical abbreviations and acronyms
154(6)
Common similarities in terminology
160(1)
Spelling - British versus American English
161(1)
Conclusion
161(1)
Activities
162(1)
Glossary
162(1)
References
163(1)
Chapter 13 Research methods and paramedic practice 164(14)
Jan Davison-Fischer
Catherine J. Davison-Fischer
Roger Dalrymple
Introduction
165(1)
Qualitative and quantitative research
165(2)
Ethics
167(1)
Case reports
167(1)
Case control studies
167(1)
Questionnaire studies
168(2)
Interview studies
170(1)
Focus group studies
170(1)
Observational and participatory studies
170(1)
Before-and-after studies and routinely collected data
171(1)
Randomised controlled trials
171(1)
Longitudinal cohort and panel studies
172(1)
Critical literature reviews
172(3)
Conclusion
175(1)
Activities
175(1)
Glossary
176(1)
References
176(2)
Chapter 14 Trauma 178(17)
Charlie McGurk
Sam Willis
Alice Acutt
Introduction
179(1)
Head injuries
179(3)
Facial injuries
182(1)
Neck and back injuries
183(2)
Chest injuries
185(3)
Abdominal injuries
188(1)
Pelvic injuries
189(1)
Limb injuries
190(1)
Upper limb injuries
191(1)
Shock
192(1)
Conclusion
192(1)
Activities
192(1)
Glossary
193(1)
References
194(1)
Chapter 15 Prehospital electrocardiography 195(13)
Nathan Puckeridge
Introduction
196(1)
What is an ECG?
196(1)
P, Q, R, S, and T waves
197(1)
Evaluating the ECG
198(3)
Atrioventricular heart blocks
201(1)
Performing and reviewing a 12-lead ECG
202(1)
Acute coronary syndromes and the ECG
203(1)
Idioventricular rhythm
204(1)
Bundle branch blocks
205(1)
Conclusion
205(1)
Activities
206(1)
Glossary
206(1)
References
207(1)
Chapter 16 Assessing the cardiac system 208(19)
Mark Ives
Sam Willis
Sonja Maria
Clare Sutton
Introduction
209(1)
Cardiac anatomy and physiology
209(2)
Common cardiac conditions
211(4)
Patient assessment
215(9)
Conclusion
224(1)
Activities
224(1)
Glossary
225(1)
References
225(2)
Chapter 17 Assessing the nervous system 227(16)
Clair Merriman
Introduction
228(1)
Nervous system: structure and function
228(1)
Central nervous system
229(3)
Peripheral nervous system
232(1)
Upper and lower motor neurones
233(1)
History and physical examination
233(8)
Conclusion
241(1)
Activities
241(1)
Glossary
242(1)
References
242(1)
Chapter 18 Assessing the abdomen 243(21)
Matthew Faulkner
Clare Sutton
Georgina Pickering
Introduction
244(1)
Abdominal anatomy and physiology
244(10)
Patient assessment
254(7)
Conclusion
261(1)
Activities
261(1)
Glossary
262(1)
References
263(1)
Chapter 19 Respiratory assessment 264(16)
Dan Staines
Samantha Sheridan
Georgina Pickering
Introduction
265(1)
Respiratory anatomy and physiology
266(2)
Pathophysiology of respiratory conditions
268(1)
Patient assessment
268(10)
Conclusion
278(1)
Activities
278(1)
Glossary
279(1)
References
279(1)
Chapter 20 Paramedic assessment skills 280(27)
Duncan McConnell
Introduction
281(1)
Part 1: The conscious patient
281(2)
Case study 1: Using the primary survey
283(4)
Case study 2: Implementing the secondary survey
287(3)
Case study 3: Completing the systematic approach
290(2)
Part 2: The unconscious patient
292(4)
Case study 4: The unconscious patient systematic approach
296(3)
Conclusion
299(5)
Activities
304(1)
Glossary
304(1)
References
305(2)
Chapter 21 Birth and the paramedic 307(12)
Robb Kightley
Introduction
308(1)
Physiological birth
308(1)
Birth phases
309(2)
Preparing for the birth
311(1)
Paramedic intervention following normal childbirth
312(1)
Birth complications
313(4)
Conclusion
317(1)
Activities
317(1)
Glossary
318(1)
References
318(1)
Chapter 22 Paediatrics 319(18)
Sam Whitby
Steve Whitfield
Kerryn Wratt
Introduction
320(1)
Paediatric anatomy and physiology
320(2)
Paediatric examination
322(1)
Patient assessment triangle
322(2)
Paediatric emergencies
324(10)
Conclusion
334(1)
Activities
334(1)
Glossary
335(1)
References
335(2)
Chapter 23 Medical emergencies 337(16)
Tianna Camilleri
Introduction
338(1)
Neurological emergencies
338(3)
Metabolic emergencies
341(3)
End-of-life care
344(1)
Infection
345(4)
Immunological emergencies
349(1)
Conclusion
350(1)
Activities
350(1)
Glossary
351(1)
References
351(2)
Chapter 24 Caring for older adults 353(14)
Helen Pocock
Introduction
354(1)
The elderly population
354(1)
Assessing older adults
355(1)
Physiology of ageing
355(3)
Frailty
358(2)
Trauma
360(1)
Falls
360(2)
Additional assessments in the elderly
362(1)
Pain assessment
362(1)
End-of-life care
363(1)
Conclusion
364(1)
Activities
364(1)
Glossary
365(1)
References
365(2)
Chapter 25 Managing minor injuries in the prehospital setting 367(16)
Craig Barlow
Introduction
368(1)
Background
369(1)
The importance of history taking
369(1)
Consent to treatment
370(1)
Clinical examination
371(2)
Minor head injuries
373(1)
Nasal injuries
374(1)
Wound assessment and care
374(2)
Ankle injuries
376(1)
Minor burns
377(1)
Transporting minor injury patients
378(1)
Conclusion
379(1)
Activities
379(1)
Glossary
380(2)
References
382(1)
Chapter 26 Major incident management 383(13)
Kallai Sugden
Bede Wilson
Introduction
384(1)
Managing the incident site: first ambulance on scene
385(1)
Declaring a major incident: METHANE and SAM
385(2)
Casualty management
387(3)
Incident management system
390(3)
Emergency management
393(1)
Conclusion
393(1)
Activities
394(1)
Glossary
394(1)
References
395(1)
Chapter 27 Low acuity 396(16)
Duncan McConnell
Introduction
397(1)
What is low acuity care?
398(2)
How to approach low acuity care patient assessment
400(2)
Performing a systems review
402(3)
Other physical assessment clues to assist the diagnosis
405(2)
Gathering further clinical information from patients
407(2)
Conclusion
409(1)
Activities
409(1)
Glossary
410(1)
References
411(1)
Answers to activities 412(16)
Index 428
Sam Willis is Senior Lecturer in Paramedicine, School of Biomedical Sciences, Charles Sturt University, Port Macquarie, New South Wales, Australia.

Roger Dalrymple is Principal Lecturer, Professional Education and Leadership Programmes, Oxford Brookes University, Oxford, UK.