Cover image for First responder
Title:
First responder
Author:
Bergeron, J. David, 1944-2012.
Edition:
Fifth edition.
Publication Information:
Upper Saddle River, NJ : Brady, [1999]

©1999
Physical Description:
xxvi, 550 pages : illustrations color illustrations ; 28 cm + 1 computer laser optical disc (4 3/4 in.)
General Note:
Includes index.
Language:
English
Added Author:
ISBN:
9780835951869
Format :
Book

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Central Library RC86.7 .B47 1999 Book and Software Set Central Closed Stacks-Oversize
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Summary

Summary

The leader in the field this text provides clear First Responder level training. This edition includes a free skills review CD-ROM with every book.


Excerpts

Excerpts

THE FIRST RESPONDER PROGRAM First Responder courses are designed to meet training needs in local communities. While all First Responder courses meet the same National Standard Curriculum objectives, jurisdictions may require that prerequisites be met before enrolling in the course. For the most part, emergency care procedures remain the same from EMS system to EMS system. However, many EMS programs may require completion of American Heart Association (AHA) CPR, or basic life support, before entering a First Responder program. While CPR guidelines are undergoing changes for the layperson, this textbook includes the most recent AHA guidelines for the emergency care provider, at the time of printing. AED procedures are also included in the CPR chapter. AED has become an important part of basic life support, and many public facilities are beginning to place them on the premises and train their personnel in their use. The content of the 7th edition is summarized below, with emphasis on "what's new" in each unit of this edition: UNIT I, PREPARATORY: CHAPTERS 1-5 The first unit sets a framework for all the units that follow by introducing essential concepts, information, and skills. The EMS system and the role of the First Responder within the system are introduced. Issues of First Responder safety, well-being, and legal and ethical issues are covered. So are basic anatomy and physiology and techniques of safe lifting and moving. What's New in the Preparatory Unit? In Chapter 1, Introduction to EMS Systems: "First Responder" is defined in relation to other rescue personnel who may be among the first on the scene of an emergency. List of patient-related duties has been expanded to include confidentiality and patient advocacy. Using an AED and working under direction of Incident Commander has been added to the list of First Responder skills. Appropriate barriers (masks and gloves) is now included in the list of DOT-recommended equipment. N-95 respirator has been added to the list of personal protective equipment. In Chapter 2, Legal and Ethical Issues: Difference between scope of care and standard of care is explained more fully. Documentation of refusal of care has been given more emphasis. "Vial of Life" is included as an example of a medical identification device. In Chapter 3, Well-Being of the First Responder: Information on stress has been folded into this chapter. It includes discussion of stressors, burnout, and long- and short-term stress. The term "critical incident stress management" has been added. In Chapter 4, The Human Body: Supine, prone, and lateral recumbent positions are now included in the discussion of terms. In Chapter 5, Lifting, Moving, and Positioning Patients: Full-body spinal immobilization devices and pedi-boards are included in , the list of equipment used to move patients. UNIT 2, AIRWAY MANAGEMENT: CHAPTER 6 There is only one chapter in Unit 2, but it may be considered the most important one in the text, because no patient will survive without an open airway. Basic airway management techniques are covered in detail. What's New in the Airway Management Unit? In Chapter 6, Airway Management: Discussion of barrier devices has been expanded. Section on mouth-to-barrier ventilation is now included. UNIT 3, PATIENT ASSESSMENT: CHAPTER 7 This unit explains and illustrates some of the most important skills of a First Responder. All the steps of the assessment and their application to different types of trauma and medical patients, plus the skills of measuring vital signs, taking a patient history, communication, and hand-off to EMTs are discussed. What's New in the Patient Assessment Unit? In Chapter 7, Assessment of the Patient: Discussions of a stable vs. unstable scene and a stable vs. unstable patient have been added. New algorithm for patient assessment is now included. UNIT 4, CIRCULATION: CHAPTER 8 This unit discusses one- and two-rescuer CPR, the chain of survival, the responsibilities of the First Responder, and using automated defibrillators. What's New in the Circulation Unit? In Chapter 8, CPR and Automated External Defibrillators (AEDs): The new AHA guidelines have been incorporated. New AHA information on pediatric defibrillation is now included. The "newly born" category is now part of the discussion of pediatric CPR. UNIT S, ILLNESS AND INJURY: CHAPTERS 9-I I The Illness and Injury unit covers medical emergencies such as chest pain and respiratory emergencies, environmental emergencies such as heat and cold emergencies, behavioral emergencies, emergencies related to alcohol and other drugs, and poisoning, bites, and stings. Also contained in this unit are a chapter on bleeding and soft-tissue injuries, which covers types of bleeding, shock, and burns; and a chapter on muscle and bone injuries, which discusses the musculoskeletal system, injuries to the extremities, injuries to the head, spine, and chest, and helmet removal. What's New in the Illness and Injury Unit? In Chapter 9, Medical Emergencies: Nitroglycerin patches (called transdermal patches) have been added. xx Preface apter 10, Bleeding, Shock, and Soft-Tissue Injuries:<< Hemorrhagic shock is now included in the list of types of shock., CHILDBIRTH AND CHILDREN: CHAPTERS I unit offers an understanding of childbirth and the complications and emer it's New in the Childbirth and Children Unit? ' Chapter 13, Infants and Children: Algorithms for the START and JumpSTART systems have been added. UNIT 7, EMS OPERATIONS: CHAPTERS I4-I S This unit deals with nonmedical operations and special situations, including gaining access in motor-vehicle collisions and buildings, hazards such as fire, hazardous materials, and radiation accidents, multiple-casualty incidents, triage, and the Incident Management System. What's New in the EMS Operations Unit? Chapter 14, Gaining Access and Hazards on Scene: 9 Above-ground transformers have been added to the section on electrical hazards. Material Safety Data Sheet (MSDS) have been included in the hazmat sec tion. Chapter 15, Multiple-Casualty Incidents, Triage, and the Incident Management System: Incident Management System is introduced. 9 The JumpSTART Pediatric MCI Triage system has been added. APPENDICES Six appendices cover determining blood pressure, breathing aids and oxygen therapy, pharmacology, swimming and diving accidents, response to terrorism and weapons of mass destruction, and First Responder roles and responsibilities. What's New in the Appendices? Appendix 1, Determining Blood Pressure: The term "trending" is introduced. Appendix 3, Pharmacology: ' Transdermal patch has been added to the routes of medication administration. Appendix 5, Response to Terrorism and Weapons of Mass Destruction: ALL NEW Our Goal: Improving Future Training and Education Some of the best ideas for better training and education methods come from instructors who can tell us what areas of study caused their students the most trouble. Other sound ideas come from practicing First Responders and from students who are new to the field. Excerpted from First Responder by J. David Bergeron, Gloria Bizjak, Bob Elling, George W. Krause, Christopher Le Baudour All rights reserved by the original copyright owners. Excerpts are provided for display purposes only and may not be reproduced, reprinted or distributed without the written permission of the publisher.

Table of Contents

Unit 1 Preparatoryp. 1
Chapter 1 Introduction to EMS Systemsp. 1
Chapter 2 Legal and Ethical Issuesp. 17
Chapter 3 Well-Being of the First Responderp. 33
Chapter 4 The Human Bodyp. 53
Chapter 5 Lifting, Moving, and Positioning Patientsp. 67
Unit 2 Airwayp. 93
Chapter 6 Airway Managementp. 93
Unit 3 Patient Assessmentp. 135
Chapter 7 Assessment of the Patientp. 135
Unit 4 Circulationp. 181
Chapter 8 CPR and Automated External Defibrillators (AEDs)p. 181
Unit 5 Illness and Injuryp. 227
Chapter 9 Medical Emergenciesp. 227
Chapter 10 Bleeding, Shock, and Soft-Tissue Injuriesp. 281
Chapter 11 Muscle and Bone Injuriesp. 351
Unit 6 Childbirth and Childrenp. 419
Chapter 12 Childbirthp. 419
Chapter 13 Infants and Childrenp. 454
Unit 7 EMS Operationsp. 497
Chapter 14 Gaining Access and Hazards on the Scenep. 497
Chapter 15 Multiple-Casualty Incidents, Triage, and the Incident Management Systemp. 525
Appendices
Appendix 1 Determining Blood Pressurep. 541
Appendix 2 Breathing Aids and Oxygen Therapyp. 547
Appendix 3 Pharmacologyp. 559
Appendix 4 Swimming and Diving Incidentsp. 569
Appendix 5 Response to Terrorism and Weapons of Mass Destructionp. 577
Appendix 6 First Responder Roles and Responsibilitiesp. 581
Glossaryp. 583
Indexp. 597

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