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Advanced EMT: A Clinical Reasoning Approach, 2nd Edition

Advanced EMT: A Clinical Reasoning Approach, 2nd EditionPhysical Product

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Features

Advanced EMT: A Clinical-Reasoning Approach helps readers study efficiently and use the book as a practical reference

  • Key Terms are listed in bold type at the beginning of each chapter to draw readers’ attention to important terms.
  • A Case Study with Problem-Solving Questions introduces students to the kinds of problems they will encounter in Advanced EMT practice and frames the importance of the chapter content.
    • Case Studies guide students through an emergency situation, emphasizing the process of making good decisions after analyzing all of the information gathered. In lengthier chapters, the Case Study unfolds with further information given throughout the chapter. This systematic assessment approach assists students in developing their clinical-reasoning skills.
    • The solution to each Case Study is presented at the end of the chapter in the Case Study Wrap-Up, which explains the Advanced EMT’s clinical-reasoning process.
  • Pediatric Care Notes draw attention to key pediatric information within the context of the chapter.
  • Geriatric Care Notes highlight key geriatric information within the context of the chapter.
  • Tables, Figures, and Scans help students learn multiple concepts that are related to one another.
    • Tables assist students in learning and understanding specific information.
    • Figures and Scans provide visual material to enhance the explanations of concepts and procedures presented.
  • Chapter Summaries include a synopsis of the main ideas of the chapter and multiple-choice and critical-thinking questions.
    • Multiple-choice Questions test students' recall of chapter information and simple application of concepts, helping them to not just learn the information presented in the textbook and in class, but also to understand it.
    • Critical-thinking Questions test students' knowledge by requiring them to think their way through the question using the information provided and their previous knowledge to identify the correct answer.

Delivers the latest evidence-based patient care

  • UPDATED: Section 1: Preparing for Advanced Emergency Medical Technician Practice. New to Chapter 1 is an expanded section on professionalism and social media use, and added emphasis on self-directed learning as a professional characteristic. Chapters 1 and 2 also include new content on mobile integrated health care (MIH) and community paramedicine (CP). Chapter 3 has expanded the information on National Health Goals, and the section on EMS provider mental health now includes shift-work disorder. Chapter 4 now includes an updated concept of decision-making capacity, and physician’s orders for life-sustaining treatment (POLST). Chapter 5 now offers updated information on the anticipated replacement of the DOT's specifications for ambulance design.
  • UPDATED: Section 2: Human Development, Health, and Disease. In Chapter 8, the In the Field features have been expanded and updated to highlight the importance of understanding anatomy and physiology.
  • UPDATED: Section 3: Pharmacology. Chapters 11 and 12 now include discussion of obesity and weight-based medication calculations. Chapter 12 also has new information on medications administered via auto-injector.
  • UPDATED: Section 4: Assessment and Initial Management. Chapter 14 expands the first edition’s discussion of diagnosis and differential diagnosis in EMS, and it offers updated field triage guidelines. New to Chapter 15 is information on situational awareness. Both Chapters 15 and 16 include an updated description of the approach to patients with suspected cervical-spine injury. Chapter 17 now offers information on tranexamic acid in hemorrhagic shock and on systemic inflammatory response (SIRS) and the potential role of prehospital serum lactate measurement. It also has expanded information on topical hemostatics, common prescription anticoagulants, teamwork in resuscitation, and end-of-life care terminology related to physician’s orders for life-sustaining treatment (POLST). Chapter 18 clarifies the uses and limitations of estimating blood pressure by palpation and pulse oximetry waveform methods, and offers additional information on temporal artery-scanning thermometers. Chapter 19 now includes anatomic and systems-based frameworks in the discussion of the clinical-reasoning approach. Where appropriate, the chapters in this section reflect the newest American Heart Association’s 2015 guidelines.
  • UPDATED: Section 5: Medical Emergencies. Chapter 20 now includes guidelines for administering oxygen to patients with advanced COPD, and new information on MERS and the importance of obtaining a travel history. Additional emphasis has been added to reflect the importance of pneumococcal vaccine for susceptible populations, and the information on asthma and lung cancer has been updated. Chapter 21 has been reorganized to enhance clinical reasoning, focusing on pertinent positives and negatives for specific cardiovascular emergencies. Chapter 22 now includes an updated list of medications prescribed for neurological disorders. Chapter 23 now includes hyperosmolar hyperglycemic state (HHS) in the discussion on diabetes. Chapter 24 has added information on chronic opioid-induced constipation and on pediatric abdominal pain and foreign body ingestion. Chapter 26 offers an updated list of medications that affect blood clotting. Chapter 28 now provides information on the special concerns related to pregnant women and fetuses, updates the discussion of infectious diseases of global concern, and lists resources for infectious disease information. Chapter 31 adds new emphasis to addiction as a mental illness and now includes information on mental illness among EMS personnel. Chapter 32 provides updated information on the public health crisis related to increased abuse of opiates and opioids, on the use of synthetic cannabinoids and vaping, and on designer drugs.
  • UPDATED: Section 6: Trauma. Information on the American College of Surgeons Committee on Trauma Level V Trauma Center has been added to Chapter 33, as has a discussion on the SALT triage system. Chapter 34 now addresses quinary blast injuries. Chapter 40 has been updated to reflect new research on the use of spinal motion restriction and current trends that deemphasize the use of long backboards.
  • UPDATED: Section 7: Special Patient Populations. Chapter 43 has been updated with new information on the use of suctioning in the neonate.
  • UPDATED: Section 8: Rescue and Special Operations. Chapter 47 now incorporates new information on safety procedures when working with hybrid and electric vehicles.
  • UPDATED: Appendixes. Ketamine has been added to Appendix 4 as a sedative for endotracheal intubation and in patients with excited delirium, and tranexamic acid has been included for reducing internal bleeding in trauma patients.

Also available with MyBRADYLab™
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  • Digital access anytime, anywhere. The Pearson eText gives students access to their textbook anytime, anywhere. In addition to note taking, highlighting, and bookmarking, the Pearson eText offers interactive and sharing features. Rich media options let students watch lecture and example videos as they read or do their homework. Instructors can share their comments or highlights, and students can add their own, creating a tight community of learners in your class. The Pearson eText companion app allows existing subscribers to access their titles on an iPad or Android tablet for either online or offline viewing.
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For courses in Advanced EMT


Using the National EMS Education Standards as a foundation, Advanced EMT: A Clinical-Reasoning Approach is designed to assist students in successfully completing their Advanced EMT course and ultimately obtaining their licensure. Special care has been taken to ensure that the latest applicable research was reviewed during the development of this text, resulting in our ability to deliver the latest evidence-based patient care to you and your students.


Also available with MyBRADYLab™
MyBRADYLab is an online homework, tutorial, and assessment program designed to work with this text to engage students and improve results. Within its structured environment, students practice what they learn, test their understanding, and pursue a personalized study plan that helps them better absorb course material and understand difficult concepts.


Note: You are purchasing a standalone product; MyBRADYLab does not come packaged with this content. Students, if interested in purchasing this title with MyBRADYLab, ask your instructor for the correct package ISBN and Course ID. Instructors, contact your Pearson representative for more information.

Table of Contents

Section 1 Preparing for Advanced Emergency Medical Technician Practice 1
1 Introduction to Advanced Emergency Medical Technician Practice 2
2 Emergency Medical Services, Health Care, and Public Health Systems 15
3 Workforce Wellness and Personal Safety 31
4 Ethical and Medical/Legal Considerations in Advanced EMT Practice 57
5 Ambulance Operations and Responding to EMS Calls 76
6 Communication and Teamwork 106

Section 2 Human Development, Health, and Disease 129
7 Medical Terminology 130
8 Human Body Systems 144
9 Life Span Development and Cultural Considerations 204
10 Pathophysiology: Selected Impairments of Homeostasis 224

Section 3 Pharmacology 255
11 Principles of Pharmacology 256
12 Medication Administration 275
13 Medications 313

Section 4 Assessment and Initial Management 325
14 General Approach to Patient Assessment and Clinical Reasoning 326
15 Scene Size-Up and Primary Assessment 343
16 Airway Management, Ventilation, and Oxygenation 366
17 Resuscitation: Managing Shock and Cardiac Arrest 413
18 Vital Signs and Monitoring Devices 447
19 History Taking, Secondary Assessment, and Reassessment 475

Section 5 Medical Emergencies 505
20 Respiratory Disorders 506
21 Cardiovascular Disorders 531
22 Neurologic Disorders 564
23 Endocrine Disorders 592
24 Abdominal Pain and Gastrointestinal Disorders 607
25 Renal, Genitourinary, and Gynecologic Disorders 626
26 Hematologic Disorders 650
27 Immunologic Disorders 663
28 Infectious Illnesses 675
29 Nontraumatic Musculoskeletal and Soft-Tissue Disorders 694
30 Disorders of the Eye, Ear, Nose, Throat, and Oral Cavity 705
31 Mental Illness and Behavioral Emergencies 716
32 Toxicologic Emergencies 729

Section 6 Trauma 755
33 Trauma Systems and Incident Command 756
34 Mechanisms of Injury, Trauma Assessment, and Trauma Triage Criteria 772
35 Soft-Tissue Injuries and Burns 796
36 Musculoskeletal Injuries 822
37 Head, Brain, Face, and Neck Trauma 844
38 Thoracic Trauma 861
39 Abdominal Trauma 876
40 Spine Injuries 886
41 Environmental Emergencies 906
42 Multisystem Trauma and Trauma Resuscitation 924

Section 7 Special Patient Populations 935
43 Obstetrics and Care of the Newborn 936
44 Pediatric Emergencies 968
45 Geriatrics 992
46 Patients with Special Challenges 1011

Section 8 Rescue and Special Operations 1027
47 Rescue Operations and Vehicle Extrication 1028
48 Hazardous Materials 1041
49 Response to Terrorism and Disasters 1055

Appendix 1: Endotracheal Intubation 1066
Appendix 2: Advanced ECG Recognition 1075
Appendix 3: Adult Intraosseous Infusion 1088
Appendix 4: Additional Emergency
Medications 1089
Answer Key 1103
Glossary 1123
Index 1151

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