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E-raamat: Manual of Clinical Paramedic Procedures

(Coventry University), (Coventry University)
  • Formaat: PDF+DRM
  • Ilmumisaeg: 01-Jun-2015
  • Kirjastus: Wiley-Blackwell
  • Keel: eng
  • ISBN-13: 9781444307764
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  • Formaat: PDF+DRM
  • Ilmumisaeg: 01-Jun-2015
  • Kirjastus: Wiley-Blackwell
  • Keel: eng
  • ISBN-13: 9781444307764
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Material in this manual for UK paramedics, prehospital practitioners, first responders, and students is presented in an eye-friendly, two-color layout with color photos, key points, and critical thinking questions. The book offers 19 chapters on observation, examination, and management procedures, as well as devices, history taking and communication, documentation and record keeping, drug and gas administration, and moving and handling procedures. Each chapter begins with a definition and a review of relevant anatomy and physiology, then provides step-by-step procedures, with rationales for each step, illustrated with color photos. Gregory and Mursell are lecturers at Coventry University. Annotation ©2010 Book News, Inc., Portland, OR (booknews.com)

'I can enthusiastically recommend the Manual of Clinical Paramedic Procedures as the book that I wish had been available to me when I was studying to become a paramedic.'
From the foreword by Professor Malcolm Woollard, Chair, College of Paramedics; Professor in Pre-hospital and Emergency Care & Director, Pre-hospital, Emergency & Cardiovascular Care Applied Research Group, Coventry University

Clinical procedures are a fundamental aspect of care for practitioners working in pre-hospital settings.  The Manual of Clinical Paramedic Procedures is written specifically to support the practice of paramedics, ambulance technicians, first responders and volunteer ambulance personnel.  It presents up-to-date, evidence-based expert knowledge, enabling paramedics to deliver effective, patient-focused care.

This accessible handbook provides a comprehensive exploration of core competencies and skills, looking at topics including Aseptic Technique, Airway Management, Assisted Ventilation, Cardiopulmonary Resuscitation, Defibrillation and External Cardiac Pacing, Observations, Pain Assessment & Management, Respiratory Therapy, Spinal Management and Venepuncture.  Each chapter provides the relevant anatomy & physiology, evidence-based rationales for each procedure, and contraindications of use.

Key features:

  • The first UK text to explore clinical procedures for paramedics
  • With further reading and illustrations throughout
  • All procedures include the rationale for the action recommended
  • Guides paramedics in the clinical application of evidence-based procedures


Arvustused

"Throughout its 19 chapters and 378 pages, there are excellent drawings and photographs which suggest the authors promote the old adage of a picture says a thousand words. Manual of Clinical Paramedic Procedures is an all encompassing procedure book promoting good." (Journal of Emergency Primary Health Care (JEPHC), August 2010)

"The content is both contemporary and reflective of evidence based practice. Written by paramedics for paramedics. A rarity indeed. A must read for all in the profession." (Journal of Paramedic Practice, July 2010)

Foreword xi
Introduction xiii
Airway management
1(34)
Definition of airway management
2(1)
Concept of a stepwise approach
2(1)
Basic anatomy of the airway
3(3)
Basic airway management manoeuvres
6(1)
Basic airway adjuncts
7(9)
Advanced airway adjuncts and cricothyroidotomy
16(14)
Chapter key points
30(1)
References and Further reading
30(5)
Assisted ventilation
35(14)
Definition of assisted ventilation
36(1)
Indications for assisted ventilation
37(2)
The literature and complications associated with assisted ventilation
39(3)
Equipment and procedures for assisted ventilation
42(5)
Chapter key points
47(1)
References and Further reading
47(2)
Cardiopulmonary resuscitation and basic life support
49(30)
Definitions
50(1)
The chain of survival
50(1)
Adult basic life support
51(7)
Basic life support in pregnancy
58(1)
Mechanical chest compression devices
59(1)
The recovery position
60(2)
Paediatric basic life support
62(5)
Newborn life support
67(3)
Foreign body airway obstruction (choking)
70(6)
Chapter key point
76(1)
References and Further reading
76(3)
Defibrillation
79(14)
Definition of defibrillation
80(1)
The literature behind defibrillation
80(4)
Procedure for defibrillation
84(1)
Definition of transcutaneous cardiac pacing (TCP)
85(1)
Terminology used in transcutaneous cardiac pacing
86(1)
Indications for use of transcutaneous cardiac pacing
86(1)
The literature behind transcutaneous cardiac pacing
87(1)
Equipment
87(2)
Chapter key points
89(1)
References and Further reading
89(4)
Cardiovascular observations and examination techniques
93(36)
The assessment of pulses
94(6)
Capillary refill time measurement
100(1)
Blood pressure measurement
101(8)
The electrocardiogram
109(8)
Cardiac auscultation
117(4)
Temperature measurement
121(4)
Chapter key points
125(1)
References and Further reading
125(4)
Respiratory observations and examination techniques
129(26)
Indications for respiratory assessment
130(1)
Respiratory rate
131(1)
Respiratory depth assessment
132(1)
Chest and respiratory inspection
133(1)
Chest compliance
133(2)
Respiratory pattern/rhythm assessment
135(1)
Oxygen saturations/pulse oximetry
136(3)
Peak flow measurement
139(2)
Chest percussion
141(6)
Tactile vocal fremitus
147(1)
Chest auscultation
148(2)
Vocal resonance
150(1)
Chapter key points
151(1)
References and Further reading
152(3)
Neurological observations and examination techniques
155(20)
Definitions
156(1)
Level of consciousness assessment
156(7)
Pupillary assessment
163(2)
Assessing motor function
165(1)
Assessment of reflexes
165(1)
Assessment of movement and power
166(1)
Assessment of co-ordination
166(1)
Assessment of abnormal movements
166(1)
Sensory function assessment
167(1)
FAST
167(2)
Vital signs
169(1)
Blood glucose testing
169(3)
Chapter key points
172(1)
References and Further reading
173(2)
History taking and communication
175(12)
Definitions
176(1)
Key communication skills
176(1)
Communication models
177(1)
The practitioner-patient relationship
178(1)
A standardised history framework
178(5)
Questioning techniques
183(1)
Consent
184(1)
Chapter key points
185(1)
References and Further reading
185(2)
Documentation and record keeping
187(10)
Definitions
188(1)
Why keep healthcare records?
188(1)
What constitutes good medical records?
189(1)
Models of record keeping
190(2)
Abbreviations
192(1)
Key documents in record keeping and documentation
192(2)
The Caldicott Guardian
194(1)
Electronic patient records
194(1)
Chapter key points
195(1)
References and Further reading
195(2)
Drug administration
197(16)
Definitions
198(1)
Legislation related to paramedic administration of drugs
198(1)
Drug formulations
199(2)
Drug documentation
201(1)
Storage of drugs
201(2)
Routes of administration
203(8)
Chapter key points
211(1)
References and Further reading
211(2)
Medical gases
213(16)
Definition and indications for the use of Entonox
214(1)
Advantages of Entonox
214(1)
Contraindications to the use of Entonox
214(2)
Equipment
216(1)
Principles of administration of Entonox
216(1)
Procedure for administering Entonox
217(1)
Troubleshooting
218(1)
Definition of oxygen therapy
218(1)
Indications for use
219(1)
Cautions and contraindications to the use of oxygen
219(1)
Equipment
220(4)
Procedure for administering oxygen
224(1)
Use of cylinders and cylinder safety
225(1)
Chapter key points
226(1)
References and Further reading
227(2)
Infection control
229(10)
Definitions
230(1)
Indications for infection control
230(1)
Hand hygiene
231(1)
Personal protective equipment
232(5)
Chapter key points
237(1)
References and Further reading
237(2)
Vascular access devices
239(32)
Definition of a vascular access device
240(1)
Anatomy of veins
240(1)
Peripheral cannulas
241(1)
Indications for peripheral cannulation
242(1)
Selection of device for peripheral cannulation
242(1)
Selection of vein
243(1)
Techniques of venodilatation
244(1)
Complications of peripheral venous cannulation
245(2)
Procedure for peripheral venous cannulation
247(10)
Intraosseous infusion
257(1)
Anatomy of bones
257(1)
Indications for intraosseous access
257(1)
Contraindications to intraosseous access
258(1)
Equipment for intraosseous access
258(1)
Complications of intraosseous access
258(1)
Location sites for intraosseous access
258(1)
Procedures for intraosseous access
259(7)
Chapter key points
266(1)
References and Further reading
266(5)
Needle thoracocentesis
271(8)
Definitions
272(1)
The literature surrounding needle thoracocentesis
273(1)
Equipment
274(1)
Indications for use
274(1)
Contraindications for use
274(1)
Potential problems of use
275(1)
Procedures for needle thoracocentesis
275(1)
Chapter key points
276(1)
References and Further reading
277(2)
Pain assessment and management
279(14)
Definitions
280(1)
Acute pain v chronic pain
281(1)
Assessing pain
281(6)
Assessing pain in cognitively impaired patients
287(1)
Overview of pain management techniques
288(2)
Chapter key points
290(1)
References and Further reading
291(2)
Fracture and soft tissue injury management
293(26)
Definitions: What are fractures, sprains, strains and dislocations?
294(1)
General principles of musculoskeletal injury management
294(1)
Principles of splinting
295(2)
Slings and support bandages
297(3)
Box splints
300(4)
Vacuum splints
304(1)
Neighbour strapping
305(1)
Traction splints
306(6)
SAM splints
312(1)
Pelvic fractures
313(3)
Chapter key points
316(1)
References and Further reading
316(3)
Spinal management
319(18)
Relevant gross anatomy
320(1)
Evidence on how to immobilise the spine
320(1)
Hazards and complications associated with spinal immobilisation
321(3)
Indications for spinal immobilisation
324(2)
Equipment and procedures
326(8)
Chapter key points
334(1)
References and Further reading
335(2)
Assessment and management of wounds and burns
337(24)
Definitions
338(1)
Classification of wounds
339(1)
Wound healing
340(2)
Principles of wound management
342(3)
The use of tourniquets and haemostatic dressings
345(3)
Burns assessment
348(5)
Burn management principles
353(4)
Chapter key points
357(1)
References and Further reading
358(3)
Moving and handling procedures
361(12)
Definitions
362(1)
Why is moving and handling important?
362(1)
Key legislation
363(2)
Manual handling and no lift policies
365(1)
Risk assessment in moving and handling
365(1)
Biomechanical principles
366(1)
Principles of manual handling
367(2)
Additional principles
369(1)
Lifting aids
370(1)
Chapter key points
371(1)
References and Further reading
371(2)
Index 373
Pete Gregory is a Paramedic and Senior Lecturer in Paramedic Practice at Coventry University.  He represents Coventry University at the Higher Education Ambulance Development Group and is research active with Coventry Universitys Applied Research Group in Prehospital, Emergency and Cardiovascular Care.

Ian Mursell is Lecturer-Practitioner in Paramedic Practice with Coventry University and an Emergency Care Practitioner Clinical Facilitator with West Midlands Ambulance Service NHS Trust.