Division 1 Introduction |
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1 | (44) |
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Chapter 1 PHTLS: Past, Present, and Future |
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3 | (18) |
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3 | (1) |
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History of Trauma Care in Emergency Medical Services (EMS) |
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3 | (4) |
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3 | (1) |
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Larrey Period (Late 1700s to Approximately 1950) |
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4 | (1) |
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Farrington Era (Approximately 1950 to 1970) |
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5 | (1) |
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Modern Era of Prehospital Care (Approximately 1970 to Today) |
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5 | (2) |
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7 | (2) |
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Epidemiology and Financial Burden |
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8 | (1) |
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The Phases of Trauma Care |
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9 | (5) |
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10 | (1) |
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11 | (1) |
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12 | (2) |
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PHTLS-Past, Present, Future |
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14 | (3) |
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Advanced Trauma Life Support |
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14 | (1) |
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15 | (1) |
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16 | (1) |
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16 | (1) |
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16 | (1) |
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17 | (1) |
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17 | (2) |
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19 | (2) |
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Chapter 2 Golden Principles, Preferences, and Critical Thinking |
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21 | (24) |
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22 | (1) |
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Principles and Preferences |
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23 | (3) |
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24 | (1) |
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24 | (1) |
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Fund of Knowledge of the Prehospital Care Provider |
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25 | (1) |
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25 | (1) |
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25 | (1) |
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26 | (2) |
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Using Critical Thinking to Control Biases |
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27 | (1) |
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Using Critical Thinking in Rapid Decision Making |
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28 | (1) |
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Using Critical Thinking in Data Analysis |
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28 | (1) |
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Using Critical Thinking Throughout the Phases of Patient Care |
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28 | (1) |
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28 | (3) |
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29 | (1) |
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29 | (2) |
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31 | (1) |
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31 | (1) |
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31 | (1) |
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The Golden Hour or Period |
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31 | (1) |
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32 | (1) |
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The Golden Principles of Prehospital Trauma Care |
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33 | (5) |
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1 Ensure the Safety of the Prehospital Care Providers and the Patient |
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33 | (1) |
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2 Assess the Scene Situation to Determine the Need for Additional Resources |
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34 | (1) |
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3 Recognize the Physics of Trauma That Produced the Injuries |
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35 | (1) |
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4 Use the Primary Survey to Identify Life-Threatening Conditions |
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35 | (1) |
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5 Provide Appropriate Airway Management While Maintaining Cervical Spine Stabilization as Indicated |
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36 | (1) |
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6 Support Ventilation and Deliver Oxygen to Maintain an Spot 94% |
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36 | (1) |
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7 Control Any Significant External Hemorrhage |
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36 | (1) |
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8 Provide Basic Shock Therapy, Including Appropriately Splinting Musculoskeletal Injuries and Restoring and Maintaining Normal Body Temperature |
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36 | (1) |
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9 Maintain Manual Spinal Stabilization Until the Patient Is Immobilized |
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36 | (1) |
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10 For Critically Injured Trauma Patients, Initiate Transport to the Closest Appropriate Facility as Soon as Possible After EMS Arrival on Scene |
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37 | (1) |
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11 Initiate Warmed Intravenous Fluid Replacement en Route to the Receiving Facility |
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37 | (1) |
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12 Ascertain the Patient's Medical History and Perform a Secondary Survey When Life-Threatening Problems Have Been Satisfactorily Managed or Have Been Ruled Out |
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37 | (1) |
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13 Provide Adequate Pain Relief |
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38 | (1) |
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14 Provide Thorough and Accurate Communication Regarding the Patient and the Circumstances of the Injury to the Receiving Facility |
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38 | (1) |
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38 | (3) |
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Reading the EMS Literature |
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38 | (1) |
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38 | (1) |
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39 | (2) |
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41 | (2) |
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43 | (1) |
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43 | (2) |
Division 2 Assessment and Management |
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45 | (210) |
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Chapter 3 Shock: Pathophysiology of Life and Death |
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47 | (52) |
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48 | (1) |
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48 | (1) |
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48 | (1) |
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49 | (1) |
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49 | (2) |
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Metabolism: The Human Motor |
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49 | (1) |
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50 | (1) |
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Cellular Perfusion and Shock |
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51 | (1) |
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Anatomy and Pathophysiology of Shock |
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51 | (4) |
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51 | (2) |
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53 | (1) |
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54 | (1) |
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Classification of Traumatic Shock |
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55 | (1) |
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55 | (5) |
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55 | (3) |
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Distributive (Vasogenic) Shock |
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58 | (2) |
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60 | (1) |
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60 | (9) |
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61 | (5) |
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66 | (1) |
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67 | (1) |
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68 | (1) |
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69 | (13) |
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Exsanguinating Hemorrhage |
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69 | (4) |
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73 | (1) |
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73 | (1) |
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74 | (1) |
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74 | (1) |
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75 | (1) |
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75 | (2) |
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77 | (5) |
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82 | (2) |
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83 | (1) |
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Acute Respiratory Distress Syndrome |
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83 | (1) |
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83 | (1) |
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83 | (1) |
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83 | (1) |
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84 | (1) |
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84 | (1) |
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85 | (1) |
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86 | (2) |
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88 | (11) |
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Chapter 4 The Physics of Trauma |
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99 | (46) |
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100 | (1) |
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100 | (1) |
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101 | (1) |
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101 | (1) |
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101 | (1) |
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101 | (6) |
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Laws of Energy and Motion |
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101 | (3) |
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Energy Exchange Between a Solid Object and the Human Body |
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104 | (3) |
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107 | (20) |
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108 | (10) |
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118 | (1) |
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119 | (3) |
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122 | (1) |
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122 | (1) |
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Regional Effects of Blunt Trauma |
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123 | (4) |
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127 | (10) |
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Physics of Penetrating Trauma |
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127 | (1) |
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128 | (4) |
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132 | (1) |
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Regional Effects of Penetrating Trauma |
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133 | (2) |
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135 | (2) |
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137 | (2) |
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137 | (1) |
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137 | (1) |
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Interaction of Blast Waves With the Body |
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138 | (1) |
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Explosion Related Injuries |
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138 | (1) |
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139 | (1) |
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139 | (1) |
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Using the Physics of Trauma in Assessment |
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139 | (1) |
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140 | (1) |
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141 | (2) |
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143 | (2) |
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Chapter 5 Scene Management |
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145 | (22) |
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146 | (1) |
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146 | (1) |
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146 | (1) |
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147 | (1) |
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147 | (4) |
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147 | (2) |
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149 | (1) |
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150 | (1) |
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151 | (14) |
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152 | (1) |
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Weapons of Mass Destruction |
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153 | (1) |
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153 | (1) |
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153 | (2) |
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155 | (1) |
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155 | (1) |
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156 | (2) |
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158 | (3) |
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Patient Assessment and Triage |
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161 | (4) |
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165 | (1) |
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166 | (1) |
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166 | (1) |
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Chapter 6 Patient Assessment and Management |
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167 | (32) |
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168 | (1) |
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168 | (1) |
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169 | (9) |
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169 | (1) |
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Sequence of Primary Survey |
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170 | (7) |
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Simultaneous Evaluation and Management |
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177 | (1) |
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Adjuncts to Primary Survey |
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178 | (1) |
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178 | (3) |
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178 | (1) |
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178 | (2) |
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Basic Versus Advanced Prehospital Care Provider Levels |
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180 | (1) |
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181 | (4) |
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182 | (1) |
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182 | (1) |
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Assessing Anatomic Regions |
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182 | (3) |
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185 | (1) |
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Definitive Care in the Field |
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185 | (4) |
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Preparation for Transport |
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186 | (1) |
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186 | (1) |
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Field Triage of Injured Patients |
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186 | (3) |
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189 | (1) |
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189 | (1) |
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Monitoring and Reassessment (Ongoing Assessment) |
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189 | (1) |
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190 | (1) |
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191 | (3) |
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Traumatic Cardiopulmonary Arrest |
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191 | (1) |
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192 | (1) |
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Injury Due to Interpersonal Abuse |
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192 | (2) |
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Prolonged Transport and Interfacility Transfers |
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194 | (2) |
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194 | (1) |
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195 | (1) |
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195 | (1) |
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196 | (1) |
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197 | (1) |
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198 | (1) |
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Chapter 7 Airway and Ventilation |
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199 | (56) |
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200 | (1) |
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200 | (1) |
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200 | (1) |
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200 | (1) |
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200 | (5) |
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Oxygenation and Ventilation of the Trauma Patient |
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204 | (1) |
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205 | (1) |
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Causes and Sites of Airway Obstruction in the Trauma Patient |
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205 | (1) |
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Assessment of the Airway and Ventilation |
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206 | (1) |
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Position of the Airway and Patient |
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206 | (1) |
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207 | (1) |
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Examine the Airway for Obstructions |
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207 | (1) |
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207 | (1) |
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207 | (2) |
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207 | (1) |
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207 | (2) |
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Manual Clearing of the Airway |
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209 | (2) |
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209 | (1) |
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209 | (2) |
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Selection of Adjunctive Device |
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211 | (1) |
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212 | (1) |
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212 | (1) |
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213 | (1) |
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213 | (14) |
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213 | (1) |
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214 | (13) |
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227 | (2) |
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227 | (1) |
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227 | (1) |
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Positive-Pressure Ventilators |
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227 | (2) |
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229 | (1) |
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229 | (1) |
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229 | (1) |
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Continuous Quality Improvement in Intubation |
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230 | (1) |
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230 | (1) |
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231 | (2) |
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233 | (1) |
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234 | (21) |
Division 3 Specific Injuries |
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255 | (238) |
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257 | (36) |
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258 | (1) |
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258 | (3) |
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261 | (2) |
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261 | (1) |
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262 | (1) |
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Oxygen and Cerebral Blood Flow |
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263 | (1) |
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Carbon Dioxide and Cerebral Blood Flow |
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263 | (1) |
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263 | (7) |
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263 | (1) |
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263 | (7) |
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270 | (2) |
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270 | (1) |
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270 | (2) |
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272 | (1) |
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Specific Head and Neck Injuries |
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272 | (9) |
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273 | (1) |
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273 | (1) |
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273 | (3) |
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276 | (1) |
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Injuries to Cervical Vessels |
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276 | (1) |
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276 | (5) |
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281 | (6) |
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Exsanguinating Hemorrhage |
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281 | (1) |
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282 | (1) |
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283 | (1) |
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284 | (1) |
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284 | (1) |
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285 | (2) |
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287 | (1) |
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288 | (3) |
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291 | (2) |
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293 | (52) |
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294 | (1) |
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295 | (6) |
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295 | (4) |
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299 | (2) |
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301 | (3) |
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301 | (1) |
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Specific Mechanisms of Injury That Cause Spinal Trauma |
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301 | (1) |
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302 | (2) |
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304 | (2) |
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304 | (1) |
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Using Mechanism of Injury to Assess SCI |
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304 | (2) |
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Indications for Spinal Motion Restriction |
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306 | (14) |
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308 | (2) |
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310 | (1) |
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Manual In-Line Stabilization of the Head |
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310 | (1) |
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311 | (1) |
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Immobilization of Torso to the Board Device |
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312 | (1) |
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313 | (1) |
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Maintenance of Neutral In-Line Position of the Head |
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314 | (1) |
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Completing Immobilization |
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315 | (3) |
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Rapid Extrication Versus Short Device for the Seated Patient |
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318 | (1) |
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Most Common Immobilization Mistakes |
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318 | (1) |
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318 | (1) |
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319 | (1) |
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319 | (1) |
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320 | (1) |
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321 | (1) |
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322 | (3) |
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325 | (20) |
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Chapter 10 Thoracic Trauma |
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345 | (32) |
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346 | (1) |
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346 | (1) |
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347 | (3) |
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347 | (2) |
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349 | (1) |
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350 | (1) |
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350 | (1) |
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351 | (1) |
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351 | (1) |
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Assessment and Management of Specific Injuries |
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352 | (17) |
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352 | (1) |
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353 | (1) |
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354 | (1) |
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354 | (5) |
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359 | (2) |
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361 | (1) |
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362 | (2) |
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364 | (1) |
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Traumatic Aortic Disruption |
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364 | (2) |
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Tracheobronchial Disruption |
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366 | (1) |
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367 | (1) |
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368 | (1) |
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369 | (1) |
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369 | (2) |
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371 | (1) |
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372 | (5) |
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Chapter 11 Abdominal Trauma |
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377 | (18) |
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378 | (1) |
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378 | (3) |
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381 | (1) |
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381 | (5) |
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382 | (1) |
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383 | (1) |
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383 | (1) |
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Special Examinations and Key Indicators |
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384 | (2) |
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386 | (2) |
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388 | (4) |
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388 | (1) |
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388 | (1) |
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Trauma in the Obstetric Patient |
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389 | (2) |
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391 | (1) |
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392 | (1) |
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393 | (1) |
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393 | (2) |
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Chapter 12 Musculoskeletal Trauma |
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395 | (24) |
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396 | (1) |
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396 | (2) |
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398 | (3) |
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398 | (1) |
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Primary and Secondary Surveys |
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399 | (2) |
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401 | (1) |
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Specific Musculoskeletal Injuries |
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401 | (7) |
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401 | (2) |
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403 | (1) |
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Instability (Fractures and Dislocations) |
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404 | (4) |
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408 | (5) |
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Critical Multisystem Trauma Patient |
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408 | (1) |
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408 | (1) |
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409 | (1) |
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409 | (2) |
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411 | (2) |
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413 | (1) |
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413 | (1) |
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414 | (1) |
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415 | (1) |
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415 | (4) |
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419 | (26) |
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420 | (1) |
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420 | (1) |
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Pathophysiology of Burn Injury |
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420 | (1) |
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Systemic Effects of Burn Injury |
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421 | (1) |
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421 | (1) |
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422 | (2) |
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422 | (2) |
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424 | (5) |
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Primary Survey and Resuscitation |
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424 | (2) |
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426 | (3) |
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429 | (3) |
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429 | (1) |
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429 | (3) |
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432 | (1) |
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432 | (9) |
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432 | (1) |
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433 | (1) |
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Smoke Inhalation Injuries |
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434 | (2) |
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436 | (1) |
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436 | (2) |
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438 | (1) |
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438 | (3) |
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441 | (2) |
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443 | (2) |
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Chapter 14 Pediatric Trauma |
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445 | (28) |
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446 | (1) |
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The Child as Trauma Patient |
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446 | (2) |
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Demographics of Pediatric Trauma |
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446 | (1) |
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The Physics of Trauma and the Pediatric Trauma |
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446 | (1) |
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Common Patterns of Injury |
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446 | (1) |
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446 | (1) |
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447 | (1) |
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Recovery and Rehabilitation |
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448 | (1) |
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448 | (2) |
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448 | (1) |
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448 | (1) |
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Central Nervous System Injury |
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449 | (1) |
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450 | (7) |
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450 | (1) |
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451 | (1) |
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452 | (2) |
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454 | (2) |
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456 | (1) |
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456 | (1) |
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457 | (1) |
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457 | (4) |
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Control of Severe External Hemorrhage |
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457 | (1) |
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457 | (1) |
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458 | (1) |
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459 | (2) |
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461 | (1) |
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461 | (1) |
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461 | (5) |
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461 | (2) |
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463 | (1) |
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463 | (1) |
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464 | (1) |
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464 | (1) |
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464 | (2) |
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Motor Vehicle Injury Prevention |
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466 | (1) |
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467 | (1) |
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467 | (2) |
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469 | (1) |
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470 | (2) |
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472 | (1) |
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Chapter 15 Geriatric Trauma |
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473 | (20) |
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474 | (1) |
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Anatomy and Physiology of Aging |
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474 | (6) |
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Influence of Chronic Medical Problems |
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475 | (1) |
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475 | (1) |
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476 | (1) |
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476 | (1) |
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477 | (1) |
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478 | (1) |
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478 | (1) |
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478 | (1) |
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479 | (1) |
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Nutrition and the Immune System |
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480 | (1) |
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480 | (5) |
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480 | (1) |
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481 | (1) |
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482 | (3) |
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485 | (2) |
|
Exsanguinating Hemorrhage |
|
|
485 | (1) |
|
|
485 | (1) |
|
|
485 | (1) |
|
|
486 | (1) |
|
|
486 | (1) |
|
|
486 | (1) |
|
|
487 | (1) |
|
|
487 | (1) |
|
|
487 | (1) |
|
|
487 | (1) |
|
|
487 | (1) |
|
Categories of Maltreatment |
|
|
488 | (1) |
|
|
488 | (1) |
|
|
488 | (1) |
|
|
489 | (1) |
|
|
489 | (1) |
|
|
489 | (1) |
|
|
490 | (2) |
|
|
492 | (1) |
Division 4 Prevention |
|
493 | (24) |
|
Chapter 16 Injury Prevention |
|
|
495 | (22) |
|
|
496 | (1) |
|
|
496 | (5) |
|
|
496 | (1) |
|
|
497 | (1) |
|
|
498 | (2) |
|
|
500 | (1) |
|
|
500 | (1) |
|
|
501 | (4) |
|
Intimate Partner Violence |
|
|
504 | (1) |
|
|
504 | (1) |
|
Prevention as the Solution |
|
|
505 | (1) |
|
Concepts of Injury Prevention |
|
|
505 | (5) |
|
|
505 | (1) |
|
Opportunities for Intervention |
|
|
505 | (1) |
|
|
506 | (2) |
|
|
508 | (1) |
|
|
509 | (1) |
|
Evolving Role of EMS in Injury Prevention |
|
|
510 | (2) |
|
|
510 | (1) |
|
Communitywide Interventions |
|
|
511 | (1) |
|
Injury Prevention for EMS Providers |
|
|
511 | (1) |
|
|
512 | (2) |
|
|
514 | (2) |
|
|
516 | (1) |
Division 5 Mass Casualties and Terrorism |
|
517 | (62) |
|
Chapter 17 Disaster Management |
|
|
519 | (24) |
|
|
520 | (1) |
|
|
520 | (4) |
|
Comprehensive Emergency Management |
|
|
521 | (1) |
|
|
522 | (2) |
|
Mass-Casualty Incident Management |
|
|
524 | (5) |
|
The National Incident Management System |
|
|
525 | (1) |
|
|
525 | (2) |
|
Organization of the Incident Command System |
|
|
527 | (2) |
|
Medical Response to Disasters |
|
|
529 | (6) |
|
|
530 | (1) |
|
|
530 | (1) |
|
|
531 | (2) |
|
|
533 | (1) |
|
|
533 | (1) |
|
|
533 | (1) |
|
Threat of Terrorism and Weapons of Mass Destruction |
|
|
534 | (1) |
|
|
534 | (1) |
|
|
535 | (1) |
|
Psychological Response to Disasters |
|
|
535 | (1) |
|
Characteristics of Disasters That Affect Mental Health |
|
|
535 | (1) |
|
Factors Impacting Psychological Response |
|
|
535 | (1) |
|
Psychological Sequelae of Disasters |
|
|
535 | (1) |
|
|
535 | (1) |
|
Emergency Responder Stress |
|
|
536 | (1) |
|
Disaster Education and Training |
|
|
536 | (1) |
|
Common Pitfalls of Disaster Response |
|
|
537 | (3) |
|
|
537 | (1) |
|
|
538 | (1) |
|
|
538 | (1) |
|
Self-Dispatched Assistance |
|
|
538 | (1) |
|
Supply and Equipment Resources |
|
|
538 | (1) |
|
Failure to Notify Hospitals |
|
|
539 | (1) |
|
|
539 | (1) |
|
|
540 | (1) |
|
|
541 | (1) |
|
|
542 | (1) |
|
Chapter 18 Explosions and Weapons of Mass Destruction |
|
|
543 | (36) |
|
|
544 | (1) |
|
|
544 | (5) |
|
|
544 | (1) |
|
|
545 | (1) |
|
Personal Protective Equipment |
|
|
545 | (1) |
|
|
546 | (2) |
|
|
548 | (1) |
|
Principles of Decontamination |
|
|
548 | (1) |
|
Explosions, Explosives, and Incendiary Agents |
|
|
549 | (7) |
|
|
549 | (1) |
|
|
550 | (4) |
|
|
554 | (1) |
|
Evaluation and Management |
|
|
554 | (1) |
|
|
555 | (1) |
|
|
555 | (1) |
|
|
556 | (5) |
|
Physical Properties of Chemical Agents |
|
|
556 | (1) |
|
Personal Protective Equipment |
|
|
556 | (1) |
|
Evaluation and Management |
|
|
557 | (1) |
|
|
557 | (1) |
|
Selected Specific Chemical Agents |
|
|
557 | (4) |
|
|
561 | (7) |
|
Concentrated Biohazard Agent Versus Infected Patient |
|
|
561 | (2) |
|
|
563 | (5) |
|
|
568 | (6) |
|
Medical Effects of Radiation Catastrophes |
|
|
569 | (4) |
|
Personal Protective Equipment |
|
|
573 | (1) |
|
Assessment and Management |
|
|
573 | (1) |
|
|
574 | (1) |
|
|
574 | (1) |
|
|
575 | (2) |
|
|
577 | (2) |
Division 6 Special Considerations |
|
579 | (148) |
|
Chapter 19 Environmental Trauma I: Heat and Cold |
|
|
581 | (48) |
|
|
582 | (1) |
|
|
582 | (1) |
|
|
582 | (1) |
|
|
582 | (1) |
|
|
582 | (1) |
|
|
582 | (1) |
|
|
583 | (2) |
|
Thermoregulation and Temperature Balance |
|
|
583 | (2) |
|
|
585 | (1) |
|
Risk Factors in Heat Illness |
|
|
585 | (2) |
|
Obesity, Fitness, and Body Mass Index |
|
|
586 | (1) |
|
|
586 | (1) |
|
|
586 | (1) |
|
|
586 | (1) |
|
|
586 | (1) |
|
|
587 | (9) |
|
Minor Heat-Related Disorders |
|
|
589 | (1) |
|
Major Heat-Related Disorders |
|
|
590 | (6) |
|
Prevention of Heat-Related Illness |
|
|
596 | (7) |
|
|
598 | (1) |
|
|
599 | (1) |
|
|
600 | (1) |
|
|
600 | (2) |
|
Emergency Incident Rehabilitation |
|
|
602 | (1) |
|
Injuries Produced by Cold |
|
|
603 | (13) |
|
|
603 | (1) |
|
Minor Cold-Related Disorders |
|
|
603 | (1) |
|
Major Cold-Related Disorders |
|
|
604 | (12) |
|
2015 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science |
|
|
616 | (2) |
|
Cardiac Arrest in Special Situations-Accidental Hypothermia |
|
|
616 | (1) |
|
Basic Life Support Guidelines for Treatment of Mild to Severe Hypothermia |
|
|
616 | (2) |
|
Advanced Cardiac Life Support Guidelines for Treatment of Hypothermia |
|
|
618 | (1) |
|
Prevention of Cold-Related Injuries |
|
|
618 | (4) |
|
|
620 | (1) |
|
|
620 | (1) |
|
|
621 | (1) |
|
|
622 | (2) |
|
|
624 | (4) |
|
|
628 | (1) |
|
Chapter 20 Environmental Trauma II: Lightning, Drowning, Diving, and Altitude |
|
|
629 | (46) |
|
|
630 | (1) |
|
Lightning-Related Injuries |
|
|
630 | (7) |
|
|
630 | (1) |
|
|
631 | (1) |
|
|
631 | (2) |
|
|
633 | (1) |
|
|
634 | (1) |
|
|
635 | (2) |
|
|
637 | (11) |
|
|
638 | (1) |
|
Risk Factors for Drowning |
|
|
638 | (2) |
|
|
640 | (2) |
|
|
642 | (1) |
|
|
642 | (1) |
|
|
643 | (1) |
|
|
644 | (2) |
|
Prevention of Drowning Injuries |
|
|
646 | (2) |
|
Recreational Scuba-Related Injuries |
|
|
648 | (12) |
|
|
648 | (1) |
|
Mechanical Effects of Pressure |
|
|
648 | (1) |
|
|
649 | (4) |
|
Assessment of AGE and DCS |
|
|
653 | (1) |
|
|
654 | (1) |
|
Prevention of Scuba-Related Diving Injuries |
|
|
654 | (6) |
|
|
660 | (7) |
|
|
660 | (1) |
|
|
661 | (1) |
|
Factors Related to High-Altitude Illness |
|
|
661 | (2) |
|
|
663 | (1) |
|
High-Altitude Cerebral Edema |
|
|
663 | (2) |
|
High-Altitude Pulmonary Edema |
|
|
665 | (1) |
|
|
666 | (1) |
|
|
667 | (1) |
|
|
667 | (1) |
|
|
667 | (1) |
|
Recreational Scuba-Related Diving Injuries |
|
|
668 | (1) |
|
|
668 | (1) |
|
|
668 | (2) |
|
|
670 | (4) |
|
|
674 | (1) |
|
Chapter 21 Wilderness Trauma Care |
|
|
675 | (36) |
|
|
676 | (2) |
|
Wilderness EMS Versus Traditional Street EMS |
|
|
677 | (1) |
|
|
678 | (1) |
|
Training for Wilderness EMS Providers |
|
|
678 | (1) |
|
Wilderness EMS Medical Oversight |
|
|
679 | (1) |
|
|
679 | (1) |
|
The Wilderness EMS Context |
|
|
679 | (3) |
|
Key Wilderness EMS/SAR Principles: Locate, Access, Treat, Extricate (LATE) |
|
|
679 | (1) |
|
Technical Rescue Interface |
|
|
680 | (1) |
|
|
680 | (1) |
|
Wilderness Injury Patterns |
|
|
680 | (1) |
|
|
681 | (1) |
|
Proper Care Depends on Context |
|
|
681 | (1) |
|
|
681 | (1) |
|
Wilderness EMS Decision Making: Balancing Risks and Benefits |
|
|
682 | (4) |
|
TCCC and TECC Principles Applied in Wilderness Trauma Care |
|
|
683 | (1) |
|
Principles of Basic Patient Packaging |
|
|
683 | (1) |
|
|
683 | (1) |
|
|
684 | (1) |
|
Spinal Injuries and Spinal Motion Restriction |
|
|
685 | (1) |
|
Wilderness Extrication Options |
|
|
686 | (1) |
|
Other Wilderness EMS Patient Care Considerations |
|
|
686 | (7) |
|
Principles of Patient Assessment |
|
|
686 | (1) |
|
|
687 | (1) |
|
Prolonged Patient Care Considerations |
|
|
688 | (1) |
|
Elimination (Urination/Defecation) Needs |
|
|
688 | (2) |
|
|
690 | (1) |
|
|
691 | (1) |
|
|
692 | (1) |
|
|
692 | (1) |
|
Specifics of Wilderness EMS |
|
|
693 | (10) |
|
|
693 | (1) |
|
|
694 | (2) |
|
|
696 | (1) |
|
|
697 | (1) |
|
Cardiopulmonary Resuscitation in the Wilderness |
|
|
697 | (1) |
|
|
698 | (5) |
|
The Wilderness EMS Context Revisited |
|
|
703 | (1) |
|
|
704 | (1) |
|
|
705 | (4) |
|
|
709 | (2) |
|
Chapter 22 Civilian Tactical Emergency Medical Support (TEMS) |
|
|
711 | (16) |
|
|
712 | (1) |
|
History and Evolution of Tactical Emergency Medical Support |
|
|
712 | (1) |
|
|
712 | (1) |
|
Barriers to Traditional EMS Access |
|
|
713 | (1) |
|
|
713 | (1) |
|
|
714 | (7) |
|
Care Under Fire (Direct Threat Care) |
|
|
714 | (1) |
|
Tactical Field Care (Indirect Threat Care) |
|
|
715 | (5) |
|
Tactical Evacuation Care (Evacuation Care) |
|
|
720 | (1) |
|
|
721 | (1) |
|
|
721 | (1) |
|
|
722 | (1) |
|
|
723 | (1) |
|
|
724 | (3) |
Division 7 Military Medicine |
|
727 | (266) |
|
Chapter 23 Introduction to Tactical Combat Casualty Care (TCCC) |
|
|
729 | (20) |
|
|
730 | (1) |
|
Tourniquets Reconsidered and the Need for TCCC |
|
|
731 | (1) |
|
The Committee on Tactical Combat Casualty Care and the TCCC Working Group |
|
|
731 | (1) |
|
|
732 | (1) |
|
|
732 | (1) |
|
|
732 | (1) |
|
Battlefield Trauma Care in 2018 |
|
|
732 | (1) |
|
Battlefield Experience with TCCC in Iraq and Afghanistan |
|
|
733 | (2) |
|
Changing the Culture in Battlefield Trauma Care |
|
|
735 | (2) |
|
TCCC in the U.S. Department of Defense-2019 |
|
|
737 | (3) |
|
From the Battlefields of Iraq and Afghanistan to Worldwide Use |
|
|
740 | (4) |
|
TCCC in Allied Militaries |
|
|
740 | (1) |
|
PHTLS and the American College of Surgeons Committee on Trauma |
|
|
740 | (1) |
|
Hartford Consensus and Stop the Bleed |
|
|
740 | (1) |
|
TCCC and Wilderness Medicine |
|
|
741 | (1) |
|
The American College of Emergency Physicians (ACEP) |
|
|
741 | (1) |
|
Lessons Learned Are Not Really Lessons Learned-Unless We Actually Learn Them |
|
|
741 | (3) |
|
|
744 | (1) |
|
|
745 | (4) |
|
Chapter 24 Care Under Fire |
|
|
749 | (14) |
|
|
750 | (1) |
|
Moving Casualties in Tactical Settings |
|
|
750 | (3) |
|
Casualty Movement and Spinal Immobilization |
|
|
752 | (1) |
|
|
753 | (4) |
|
|
753 | (4) |
|
|
757 | (1) |
|
|
757 | (1) |
|
|
758 | (1) |
|
|
759 | (4) |
|
Chapter 25 Tactical Field Care |
|
|
763 | (94) |
|
|
765 | (1) |
|
Establishing a Security Perimeter |
|
|
765 | (7) |
|
Disarming Casualties With Altered Mental Status and Securing Their Communications Equipment |
|
|
772 | (1) |
|
|
772 | (1) |
|
|
772 | (4) |
|
|
774 | (1) |
|
|
774 | (1) |
|
|
774 | (1) |
|
|
775 | (1) |
|
|
776 | (6) |
|
|
776 | (2) |
|
|
778 | (4) |
|
|
782 | (13) |
|
|
782 | (10) |
|
|
792 | (1) |
|
|
793 | (2) |
|
|
795 | (1) |
|
|
795 | (19) |
|
|
795 | (7) |
|
|
802 | (3) |
|
|
805 | (2) |
|
|
807 | (7) |
|
|
814 | (1) |
|
Hypothermia and Coagulopathy on the Battlefield |
|
|
814 | (1) |
|
|
815 | (5) |
|
|
820 | (6) |
|
The TCCC Triple-Option Analgesia Plan |
|
|
820 | (6) |
|
|
826 | (2) |
|
|
828 | (2) |
|
Cardiopulmonary Resuscitation |
|
|
830 | (1) |
|
Cardiopulmonary Resuscitation in Tactical Settings |
|
|
830 | (1) |
|
|
830 | (2) |
|
Documenting Care on the Battlefield |
|
|
830 | (2) |
|
Preparing the Casualty for Evacuation |
|
|
832 | (2) |
|
|
834 | (1) |
|
Wounded Hostile Combatants |
|
|
835 | (1) |
|
Calling for Tactical Evacuation (TACEVAC) |
|
|
836 | (1) |
|
CAT A-Urgent (Denotes a Critical, Life-Threatening Injury) |
|
|
836 | (1) |
|
CAT B-Priority (Serious Injury) |
|
|
836 | (1) |
|
CAT C-Routine (Mild to Moderate Injury) |
|
|
836 | (1) |
|
Opportunities to Improve in TCCC |
|
|
836 | (2) |
|
|
838 | (19) |
|
Chapter 26 Tactical Evacuation Care |
|
|
857 | (20) |
|
|
858 | (1) |
|
Tactical Evacuation Care Versus Tactical Field Care |
|
|
858 | (7) |
|
2012 Defense Health Board TACEVAC Care Recommendations |
|
|
865 | (1) |
|
Specific Aspects of Care in TACEVAC |
|
|
866 | (5) |
|
|
866 | (1) |
|
|
866 | (1) |
|
|
867 | (1) |
|
|
867 | (1) |
|
Circulation-Tranexamic Acid |
|
|
868 | (1) |
|
Circulation-Fluid Resuscitation |
|
|
868 | (1) |
|
Prevention of Hypothermia |
|
|
869 | (1) |
|
Traumatic Brain Injury in TACEVAC Care |
|
|
869 | (1) |
|
|
870 | (1) |
|
|
870 | (1) |
|
|
870 | (1) |
|
Cardiopulmonary Resuscitation (CPR) During TACEVAC |
|
|
870 | (1) |
|
Care for Wounded Hostile Combatants |
|
|
870 | (1) |
|
|
871 | (2) |
|
|
873 | (4) |
|
|
877 | (10) |
|
|
877 | (1) |
|
Scenario 1: Gunshot Wound on a Night Patrol |
|
|
878 | (1) |
|
Scenario 2: Rocket-Propelled Grenade Attack in an Urban Environment |
|
|
879 | (1) |
|
Scenario 3: Rocket-Propelled Grenade Attack on a Convoy |
|
|
880 | (2) |
|
Scenario 4: Dismounted Improvised Explosive Device Attack |
|
|
882 | (1) |
|
Scenario 5: Fast-Roping Casualty in an Urban Environment |
|
|
883 | (1) |
|
|
884 | (3) |
|
Chapter 28 Aeromedical Evacuation in a Combat Theater |
|
|
887 | (12) |
|
|
888 | (1) |
|
History of Aeromedical Casualty Movement |
|
|
888 | (1) |
|
|
888 | (1) |
|
Tactical Evacuation (TACEVAC) Care |
|
|
889 | (2) |
|
|
889 | (1) |
|
|
890 | (1) |
|
Preparation of the Casualty |
|
|
890 | (1) |
|
|
891 | (1) |
|
|
892 | (4) |
|
|
892 | (1) |
|
Role of Critical Care Air Transport Team |
|
|
892 | (1) |
|
Stressors of Aeromedical Evacuation |
|
|
893 | (2) |
|
Electronic Equipment Considerations |
|
|
895 | (1) |
|
Patient Movement Regulation |
|
|
895 | (1) |
|
|
896 | (1) |
|
|
897 | (2) |
|
Chapter 29 Joint Trauma System and Military Roles of Care |
|
|
899 | (10) |
|
|
900 | (1) |
|
The Joint Trauma System and the Department of Defense Trauma Registry |
|
|
900 | (1) |
|
|
901 | (1) |
|
Battlefield Injury Care Capabilities |
|
|
902 | (3) |
|
Role 1 (First Responder Care) |
|
|
903 | (1) |
|
Role 2 (Forward Resuscitative Care) |
|
|
903 | (1) |
|
Role 3 (Theater Hospitalization) |
|
|
903 | (1) |
|
|
904 | (1) |
|
|
905 | (1) |
|
|
905 | (1) |
|
|
905 | (2) |
|
|
907 | (2) |
|
Chapter 30 Triage in Tactical Combat Casualty Care |
|
|
909 | (8) |
|
|
910 | (1) |
|
Triage in Tactical Combat Casualty Care |
|
|
911 | (1) |
|
Combat Triage Decision Algorithm |
|
|
912 | (2) |
|
|
912 | (1) |
|
|
912 | (2) |
|
|
914 | (1) |
|
|
914 | (1) |
|
|
915 | (1) |
|
|
916 | (1) |
|
Chapter 31 Injuries from Explosives |
|
|
917 | (34) |
|
|
918 | (1) |
|
|
919 | (1) |
|
|
919 | (5) |
|
|
919 | (2) |
|
|
921 | (3) |
|
Factors That Worsen Outcomes |
|
|
924 | (1) |
|
|
925 | (2) |
|
|
927 | (1) |
|
|
928 | (1) |
|
Assessment and Management by Blast Injury Category |
|
|
928 | (14) |
|
|
930 | (6) |
|
|
936 | (2) |
|
|
938 | (2) |
|
|
940 | (1) |
|
|
940 | (1) |
|
|
941 | (1) |
|
|
942 | (1) |
|
|
942 | (1) |
|
Psychological Considerations |
|
|
943 | (1) |
|
|
943 | (1) |
|
|
943 | (2) |
|
|
945 | (6) |
|
Chapter 32 Treatment of Burn Casualties in Tactical Combat Casualty Care |
|
|
951 | (14) |
|
|
952 | (1) |
|
|
952 | (2) |
|
|
952 | (1) |
|
|
952 | (1) |
|
Additional Burn Assessments and Interventions |
|
|
953 | (1) |
|
Physical Characteristics of the Burn Wound |
|
|
954 | (2) |
|
|
954 | (1) |
|
|
954 | (2) |
|
|
956 | (1) |
|
Fluid Resuscitation for Burn Injury |
|
|
956 | (2) |
|
|
958 | (1) |
|
|
958 | (1) |
|
|
958 | (2) |
|
Evacuation of Burn Patients |
|
|
960 | (1) |
|
U.S. Army Institute of Surgical Research Burn Flight Team |
|
|
961 | (1) |
|
|
961 | (2) |
|
|
963 | (2) |
|
Chapter 33 Casualty Response Planning in Tactical Combat Casualty Care |
|
|
965 | (14) |
|
|
965 | (1) |
|
|
965 | (1) |
|
|
966 | (1) |
|
|
966 | (1) |
|
|
966 | (1) |
|
Predeployment Requirements |
|
|
966 | (1) |
|
Medical Threat Assessment |
|
|
967 | (1) |
|
Identify the Area of Operations (AO) |
|
|
967 | (1) |
|
Identify Medical Intelligence and Health Threats |
|
|
967 | (1) |
|
Higher Headquarters Orders and Guidelines |
|
|
967 | (1) |
|
Higher Headquarters Medical Guidelines and Requirements |
|
|
967 | (1) |
|
Requests for Information (RFI) |
|
|
968 | (1) |
|
|
968 | (2) |
|
|
968 | (1) |
|
|
968 | (1) |
|
Familiarization With Evacuation Assets |
|
|
968 | (1) |
|
Rehearsals With External Assets |
|
|
968 | (1) |
|
Surgical and Area Medical Support Assets |
|
|
968 | (2) |
|
Primary and Alternate Planning |
|
|
970 | (1) |
|
Tactical Medical Support Plan Development |
|
|
970 | (2) |
|
Understand the Tactical Commander's Plan |
|
|
970 | (1) |
|
|
970 | (1) |
|
Issue Initial Medical Planning Guidance to Subordinates |
|
|
970 | (1) |
|
Determine Casualty Flow From Target to Hospitalization |
|
|
971 | (1) |
|
|
971 | (1) |
|
Establish the Tactical Medical Support Plan |
|
|
971 | (1) |
|
Air Tactical Evacuation Plan |
|
|
971 | (1) |
|
Ground Tactical Evacuation Plan |
|
|
972 | (1) |
|
|
972 | (1) |
|
Medical Resupply Requirements and Methods |
|
|
972 | (1) |
|
Briefs, Rehearsals, and Pre-combat Inspections |
|
|
972 | (1) |
|
|
972 | (1) |
|
|
972 | (1) |
|
|
973 | (1) |
|
Casualty Collection Point Operations |
|
|
973 | (5) |
|
|
974 | (1) |
|
CCP Operational Guidelines |
|
|
974 | (1) |
|
Guidelines for Establishing CCP Inside a Building |
|
|
974 | (1) |
|
CCP Duties and Responsibilities |
|
|
974 | (1) |
|
Unit Leadership and Medical Planners |
|
|
974 | (1) |
|
General Guidelines for CCP Personnel |
|
|
974 | (1) |
|
General CCP Layout Templates |
|
|
974 | (4) |
|
|
978 | (1) |
|
|
978 | (1) |
|
|
978 | (1) |
|
Chapter 34 Medical Support of Urban Operations |
|
|
979 | (10) |
|
|
980 | (1) |
|
|
980 | (1) |
|
Characteristics of Urban Combat |
|
|
981 | (1) |
|
Restrictive Rules of Engagement |
|
|
982 | (1) |
|
|
982 | (2) |
|
|
983 | (1) |
|
|
983 | (1) |
|
|
983 | (1) |
|
|
984 | (1) |
|
Medical Preparation for Urban Combat |
|
|
984 | (1) |
|
|
984 | (1) |
|
|
985 | (1) |
|
|
985 | (1) |
|
|
985 | (1) |
|
|
986 | (2) |
|
|
988 | (1) |
|
Chapter 35 Ethical Considerations for the Combat Medic |
|
|
989 | (4) |
|
|
989 | (1) |
|
|
989 | (1) |
|
Ethics and Prisoners of War |
|
|
990 | (1) |
|
Management of Wounded Hostile Combatants |
|
|
990 | (1) |
|
|
991 | (1) |
|
|
991 | (2) |
Glossary |
|
993 | (16) |
Index |
|
1009 | |