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Ambulance Care Practice

Ambulance Care Practice

Richard Pilbery | Kris Lethbridge

(2016)

Additional Information

Book Details

Abstract

Ambulance Care Practice is an essential guide to the curriculum for trainee associate ambulance practitioners.   Key features of the book are:   •In line with the National Education Network for Ambulance Services standards  •Illustrated throughout with anatomical drawings and photographs •Procedures boxes which take you step by step through essential clinical skills •Chapters on mental health and end of life care which are specific to associate ambulance practitioner level •Evidence-based throughout and referenced to the latest guidance, research and policy •Key points to guide you through the book.

Table of Contents

Section Title Page Action Price
cover 1
title page 1
imprint page 1
contents page 1
abbreviations 1
acknowledgements 1
CHAPTER 1 INTRODUCTION 1
1 textbook guide 1
1.1 introduction 1
1.2 companion website 1
1.3 textbook 1
1.4 getting started 1
2 anatomy of an emergency call 1
2.1 introduction 1
2.2 the emergency operations centre 1
2.3 arriving on scene 1
2.4 principles of communication 1
2.5 patient assessment 1
2.6 patient history 1
2.7 the 12-lead ECG 1
2.8 manual handling 1
2.9 assist the paramedic 1
2.10 hospital arrival 1
2.11 clean up and prepare for the next call 1
CHAPTER 2 THE AMBULANCE SERVICE 1
1 organisational structure 1
1.1 learning objectives 1
1.2 organisational structure 1
2 response to a 999 call 1
2.1 learning objectives 1
2.2 introduction 1
2.3 call for help and triage 1
2.4 ambulance service response 1
2.5 onward care 1
3 roles within the ambulance service 1
3.1 Learning objectives 1
3.2 introduction 1
3.3 clinical roles 1
4 clinical leadership roles 1
4.1 paramedic consultant 1
4.2 clinical development manager (CDM) 1
4.3 pharmaceutical adviser 1
4.4 medical director 1
5 command and control 1
5.1 operational commanders 1
5.2 tactical commanders 1
5.3 strategic commanders 1
Untitled 1
6 working relationships 1
CHAPTER 3 COMMUNICATION 1
1 principles of communication 1
1.1 learning objectives 1
1.2 introduction 1
1.3 who will you be communicating with? 1
1.4 basics of comminication 1
1.5 social context 1
1.6 barriers to communication 1
1.7 summary 1
2 Practical communication 1
2.1 learning objectives 1
2.2 introduction 1
2.3 handover 1
2.4 pre-alert 1
2.5 breaking bad news 1
3 electronic communication devices 1
3.1 learning objectives 1
3.2 introduction 1
3.3 radios 1
4 mobile data terminals 1
5 electronic patient records 1
CHAPTER 4 LEGAL, ETHICAL AND PROFESSIONAL ISSUES 1
1 being a healthcare professional; 1
1.1 learning objectives 1
1.2 introduction 1
1.3 values-based healthcare 1
1.4 duty of care 1
1.5 negligence 1
1.6 scope of practice and standards 1
1.7 when things go wrong 1
1.8 reflection 1
2 provision of healthcare 1
2.1 learning objectives 1
2.2 introduction 1
2.3 health inequalities 1
2.4 person-centred care 1
2.5 health promotion 1
3 consent and capacity 1
3.1 learning objectives 1
3.2 introduction 1
3.3 consent 1
3.4 mental capacity 1
3.5 summary 1
4 confidentiality and information governance 1
4.1 learning objectives 1
4.2 introduction 1
4.3 maintaining confidentiality 1
4.4 key points 1
5 equality and diversity 1
5.1 learning objectives 1
5.2 introduction 1
5.3 equality in healthcare 1
5.4 discrimination 1
5.5 identity, self-image and self-esteem 1
6 safeguarding adults and children 1
6.1 learning objectives 1
6.2 introduction 1
6.3 learning from previous cases 1
6.4 vulnerability 1
6.5 forms of abuse 1
6.6 managing abuse or disclosures of abuse 1
6.7 safeguarding referrals 1
6.8 summary 1
7 counter terrorism and anti-radicalisation 1
7.1 learning objectives 1
7.2 introduction 1
7.3 prevent 1
7.4 your role 1
CHAPTER 5 HEALTH AND SAFETY 1
1 health and safety policies and legislation 1
1.1 learning objectives 1
1.2 introduction 1
1.3 health and safety at work etc. act 1
1.4 management of health and safety at work regulations 1
1.5 manual handling operations regulations 1
1.6 provision and use of work equipment regulations 1
1.7 lifting operations and lifting equipment regulations 1
1.8 personal protective equipment at work regulations 1
1.9 control of substances hazardous to health regulations 1
1.10 regulatory bodies 1
1.11 why health and safety matters 1
1.12 communicating health and safety 1
2 risk assessment 1
2.1 learning objectives 1
2.2 introduction 1
2.3 risk assessment 1
3 infection prevention and control 1
3.1 learning objectives 1
3.2 introduction 1
3.3 regulations and legislation 1
3.4 microorganisms 1
3.5 infection and precautions 1
3.6 personal hygiene 1
3.7 hand hygiene 1
3.8 personal protective equipment 1
3.9 managing healthcare waste 1
3.10 decontamination process 1
3.11 handling linen and laundry 1
3.12 sharps injury 1
3.13 splash contamination 1
3.14 occupational health 1
3.15 reporting incidents 1
4 fire safety 1
4.1 learning objectives 1
4.2 introduction 1
4.3 fire prevention 1
4.4 what to do in case of fire 1
5 stress 1
5.1 learning objectives 1
5.2 introduction 1
5.3 signs of stress 1
5.4 managing stress 1
CHAPTER 6 MANUAL HANDLING 1
1 musculoskeletal anatomy and physiology 1
1.1 learning objective 1
1.2 introduction 1
1.3 anatomical terms 1
1.4 joints 1
1.5 the skeletal system 1
1.6 skeletal muscle 1
2 principles of manual handling 1
2.1 learning of manual handling 1
2.2 introduction 1
2.3 consequences of poor manual handling 1
2.4 risk assessment 1
2.5 biomechanics 1
2.6 general principles 1
2.7 handling aids 1
2.8 team handling 1
2.9 bariatric patients 1
2.10 further help and support 1
3 moving and handling equipment and techniques 1
3.1 learning objectives 1
3.2 introduction 1
3.3 patients of the floor 1
3.4 seated patients 1
3.5 patients in bed 1
3.6 carry chair 1
3.7 ambulance trolley 1
CHAPTER 7 DRUG ADMINISTRATION 1
1 drug legislation and guidelines 1
1.2 introduction 1
1.3 legislation and guidelines 1
1.4 routes of administration 1
1.5 drug administration 1
2 administering medication to patients 1
2.1 learning objectives 1
2.2 drawing medication from an ampoule 1
2.3 administering oral medication 1
2.4 administering nebulised drugs 1
2.5 adminstering intramuscular drugs 1
CHAPTER 8 SCENE ASSESSMENT 1
1 scene assessment and safety 1
1.1 learning objectives 1
1.2 introduction 1
1.3 safety 1
1.4 cause 1
1.5 environment 1
1.6 number of patients 1
1.7 extra resources 1
2 major incidents 1
2.1 learning objectives 1
2.2 introduction 1
2.3 classification of incidents 1
2.4 role of the ambulance service 1
2.5 incident command and control 1
2.6 first crew on scene 1
2.7 subsequent crews on scend 1
2.8 triage 1
3 hazardous materials 1
3.1 learning objectives 1
3.2 introduction 1
3.3 labelling hazardous substances 1
3.4 transporting hazardous substances 1
3.5 danger labels 1
3.6 ambulance crew actions at scene 1
CHAPTER 9 PATIENT ASSESSMENT 1
1 patient assessment process 1
1.1 learning objectives 1
1.2 introduction 1
1.3 primary survey 1
1.4 history taking 1
1.5 secondary survey 1
1.6 reassessment 1
CHAPTER 10 AIRWAY 1
1 airway anatomy 1
1.1 learning objective 1
1.2 introduction 1
1.3 nose 1
1.4 mouth 1
1.5 pharynx 1
1.6 lower airway 1
1.7 trachea 1
1.8 bronchi 1
1.9 lungs 1
2 assessing and managing the airway 1
2.1 learning objectives 1
2.2 introduction 1
2.3 assessing the airway 1
2.4 step-wise approach to the airway 1
2.5 manual airway manoeuvres 1
2.6 suction 1
2.7 airway adjuncts 1
2.8 supraglottic airway device (SAD) 1
2.9 removal of foreign bodies with laryngoscopy in adults 1
3 tracheostomies 1
3.1 learning objectives 1
3.2 introduction 1
3.3 tracheostomy tubes 1
3.4 management of the tracheostomy patient 1
3.5 management of the laryngectomy patient 1
4 choking in adults 1
4.1 learning objectives 1
4.2 introduction 1
4.3 recognition 1
4.4 management 1
5 choking in the paediatric patient 1
5.1 learning objective 1
5.2 introduction 1
5.3 the paediatric airway 1
5.4 recognition 1
5.5 management 1
CHAPTER 11 BREATHING 1
1 respiratory system physiology 1
1.1 learning objective 1
1.2 introduction 1
1.3 respiration 1
1.4 the lungs 1
1.5 mechanics of breathing 1
1.6 gas exchange 1
1.7 control of breathing 1
1.8 oxygen physiology 1
2 using medical gases safely 1
2.1 learning objectives 1
2.2 introduction 1
2.3 medical gas cylinder storage 1
2.4 anatomy of a medical gas cylinder 1
2.5 safety first 1
2.6 preparing a new cylinder for use 1
2.7 oxygen 1
2.8 entonox 1
3 assessment of breathing 1
3.1 learning objectives 1
3.2 respiratory rate 1
3.3 oxygen saturations 1
3.4 peak flow 1
3.5 capnography 1
3.6 auscultation 1
4 common respiratory conditions 1
4.1 learning objectives 1
4.2 asthma 1
4.3 chronic obstructive pulmonary disease 1
4.4 pneumonia 1
pulmonary embolism 1
CHAPTER 12 CIRCULATION 1
1 cardiovascular system anatomy and physiology 1
1.1 learning objectives 1
1.2 introduction 1
1.3 heart 1
1.4 blood 1
1.5 blood vessels 1
1.6 cardia cycle 1
lymphatic system and immunity 1
2.1 learning objectives 1
2.2 introduction 1
2.3 anatomy and physiology 1
2.4 immunity 1
2.5 autoimmune disease 1
3 assessment of circulation 1
3.1 learning objectives 1
3.2 introduction 1
3.3 pulse 1
3.4 capillary refill time 1
3.5 blood pressure 1
3.6 electrocardiograms 1
4 cardiovascular system disorders 1
4.1 learning objectives 1
4.2 introduction 1
4.3 coronary atery disease 1
4.4 stable angina 1
4.5 acute coronary syndromes 1
4.6 heart failure 1
4.7 aortic dissection 1
4.8 shock 1
4.9 sickle cell disease 1
CHAPTER 13 DISABILITY 1
1 nervous system anatomy and physiology 1
1.1 learning objectives 1
1.2 introduction 1
1.3 anatomy and physiology 1
1.4 brain 1
1.5 spinal cord 1
1.6 somatic nervous system 1
1.7 autonomic nervous system 1
1.8 the eye 1
2 assessment of disabilty 1
2.1 learning objectives 1
2.2 introduction 1
2.3 glasow coma scale 1
2.4 pupillary response 1
2.5 face, arm, speech test 1
3 disorders of the nervous system 1
3.1 learning objectives 1
3.2 introduction 1
3.3 epilepsy 1
3.4 stroke 1
3.5 meningococcal disease 1
3.6 cauda equina syndrome 1
3.7 paralysis 1
3.8 coma 1
CHAPTER 14 EXPOSURE/ENVIRONMENT 1
1.1 learning objectives 1
1.2 introduction 1
1.3 assessment of temperature 1
1.4 hypothermia 1
1.5 heat-related illness 1
2 drowning 1
2.1 learning objectives 1
2.2 introduction 1
2.3 pathophysiology 1
2.4 management 1
CHAPTER 15 MEDICAL AND SURGICAL EMERGENCIES 1
1 anaphylaxis 1
1.1 learning objectives 1
1.2 introduction 1
1.3 signs and symptoms 1
1.4 management 1
2 sepsis 1
2.1 learning objectives 1
2.2 introduction 1
2.3 recognition and management 1
3 endocrine system disorders 1
3.1 learning objectives 1
3.2 introduction 1
3.3 anatomy and physiology of the pancreas 1
3.4 anatomy and physiology of the adrenal glands 1
3.5 diabetes 1
3.6 hypoglycaemia 1
3.7 severe hyperglycaemia 1
3.8 blood sugar measurement 1
3.9 addison’s disease 1
4 poisoning 1
4.1 toxidromes 1
4.2 assessment and management 1
5 the acute abdomen 1
5.1 learning objectives 1
5.2 introduction 1
5.3 the abdominal cavity 1
5.4 locating abdominal organs 1
5.5 the digestive system 1
5.6 abdominal pain 1
5.7 mangement of abdominal pain 1
6 urinary system disorders 1
6.1 learning objectives 1
6.2 introduction 1
6.3 anatomy and physiology 1
6.4 urinary tract infections 1
6.5 renal dialysis 1
CHAPTER 16 TRAUMA 1
1 major trauma services 1
1.1 learning objectives 1
1.2 introduction 1
1.3 inclusive trauma systems 1
1.4 major trauma triage tool 1
2 mechanism of injury 1
2.1 learning objectives 1
2.2 introduction 1
2.3 kinetics 1
2.4 energy 1
2.5 mechanisms that cause injury 1
3 integumentary system anatomy and physiology 1
3.1 learning objective 1
3.2 introduction 1
3.3 epidermis 1
3.4 dermis 1
3.5 hypodermis 1
3.6 physiology 1
4 wounds and bleeding 1
4.1 learning objectives 1
4.2 introduction 1
4.3 bleeding 1
4.4 wounds 1
5 assessment and management of the trauma patient 1
5.1 learning objectives 1
5.2 introduction 1
5.3 scene assessment 1
5.4 primary survey 1
5.5 secondary survey 1
5.6 head injuries 1
5.7 maxillofacial injuries 1
5.8 spinal injuries 1
5.9 thoracic injuries 1
5.10 abdominal injuries 1
5.11 pelvic injuries 1
5.12 suspension trauma 1
5.13 musculoskeletal injuries 1
6 skeletal immobilisation 1
6.1 learning objective 1
6.2 introduction 1
6.3 first-aid techniques 1
6.4 spinal immobilisation 1
6.5 splints 1
7 burns 1
7.1 learning objectives 1
7.2 introduction 1
7.3 assessment of burns 1
7.4 thermal burns 1
7.5 chemical burns 1
7.6 radiation burns 1
7.7 electrical injuries 1
7.8 the problem with burns 1
CHAPTER 17 ASSISTING THE PARAMEDIC 1
1 endotracheal intubation 1
1.1 learning objectives 1
1.2 introduction 1
1.3 endotracheal intubation 1
1.4 equipment 1
1.5 procedure for endotracheal intubation 1
1.6 additional manoeuvres/procedures 1
1.7 dopes 1
2 intravenous drug administration 1
2.1 learning objectives 1
2.2 introduction 1
2.3 intravenous cannulation 1
2.4 preparing an intravenous infusion 1
2.5 intraosseous cannulation 1
CHAPTER 18 OBSTETRICS AND GYNAECOLOGY 1
1 reproduction 1
1.1 learning objectives 1
1.2 introduction 1
1.3 anatomy and physiology 1
1.4 normal pregnancy 1
1.5 terminology and abbreviations 1
1.6 assessing the pregnant woman 1
2 complications in pregnancy 1
2.1 learning objectives 1
2.2 ectopic pregnancy 1
2.3 ante-partum haemorrhage 1
2.4 miscarriage 1
2.5 pre-eclampsia 1
2.6 trauma in pregnancy 1
3 normal childbirth 1
3.1 learning objectives 1
3.2 stages of labour 1
3.3 equipment for childbirth 1
3.4 management of the first stage of labour 1
3.5 management of the second stage of labour 1
3.6 management of the third stage of labour 1
4 childbirth complications 1
4.1 learning objectives 1
4.2 cord prolapse 1
4.3 shoulder dystocia 1
4.4 breech presentation 1
4.5 post-partum haemorrhage 1
4.6 multiple births 1
4.7 pre-term labour 1
newborn life support 1
5.1 learning objectives 1
5.2 introduction 1
5.3 management 1
5.4 the pre-term infant 1
6 genaecological emergencies 1
6.1 learning objectives 1
6.2 introduction 1
6.3 vaginal tissue damage 1
6.4 heavy menstrual bleeding (menorrhagia) 1
6.5 termination of pregnancy 1
6.6 uterine prolapse 1
6.7 gynaecological cancers 1
CHAPTER 19 CHILDREN AND INFANTS 1
1 why paediatric patients are different 1
1.1 learning objective 1
1.2 introduction 1
1.3 anatomy and physiology 1
1.4 cognitive development 1
2 initial assessment and management of the paediatric patient 1
2.1 learning objectives 1
2.2 introduction 1
2.3 developmental approach to the paediatric patient 1
2.4 recognising the sick infant and child 1
2.5 primary survey 1
CHAPTER 20 MENTAL HEALTH 1
1 mental health legislation and codes of practice 1
1.1 learning objectives 1
1.2 introduction 1
1.3 the mental health act 1983 (as amended 2007, MHA) 1
1.4 transporting patients 1
2 mental disorders 1
2.1 learning objectives 1
2.2 introduction 1
2.3 organic disorders 1
2.4 schizophrenia and delusional disorders 1
2.5 mood (affective) disorders 1
2.6 neurotic, stress-related and somatoform disorders 1
2.7 personality disorders 1
2.8 suicide and deliberate self-harm (DSH) 1
2.9 assessment of patient with mental health problems 1
2.10 management of patients with mental disorders 1
2.11 cognitive behavioural therapy 1
CHAPTER 21 LEARNING DISABILITIES 1
1.1 learning objectives 1
1.2 introduction 1
1.3 learning disabilities legislation and rights 1
1.4 causes of learning disabilities 1
1.5 categories of learning disabilities 1
2 disabilities and healthcare 1
2.1 learning objectives 1
2.2 inequality in healthcare 1
2.3 tackling inequality 1
2.4 communication 1
2.5 learning difficulties and vulnerability 1
2.6 further support 1
CHAPTER 22 OLDER PEOPLE 1
1 ageing 1
1.1 learning objective 1
1.2 introduction 1
1.3 anatomy and physiology of ageing 1
2 caring for older patients 1
2.1 learning objectives 1
2.2 age-realted conditions 1
2.3 attidudes to ageing 1
2.4 patients with co-morbidities 1
3 dementia 1
3.1 learning objectives 1
3.2 introduction 1
3.3 dementia 1
3.4 communication 1
3.5 challenging behaviour 1
CHAPTER 23 CARDIAC ARREST 1
1 adult basic life support 1
1.1 learning objectives 1
1.2 introduction 1
1.3 adult BLS 1
2 paediatric basic life support 1
2.1 learning objectives 1
2.2 introduction 1
2.3 infant BLS 1
2.4 child BLS 1
3 defibrillation 1
3.1 learning objectives 1
3.2 introduction 1
3.3 shockable rhythms 1
3.4 non-shockable rhythms 1
3.5 defibrillators 1
4 cardiac arrest in special circumstances 1
4.1 learning objectives 1
4.2 introduction 1
4.3 cardiac arrest in pregnancy 1
4.4 cardiac arrest in hypothermic patients 1
4.5 traumatic cardia arrest 1
5 post-resuscitation care 1
5.1 learning objectives 1
5.2 introduction 1
5.3 mangement 1
cardiac arrest decisions 1
6.1 learning objectives 1
6.2 when to start and stop resuscitation 1
6.3 end of life decisions 1
6.4 recognition of life extinct (ROLE) 1
6.5 sudden unexpected death in infants, children and adolescents 1
CHAPTER 24 END OF LIFE CARE 1
1 end of life care 1
1.1 learning objectives 1
1.2 introduction 1
1.3 palliative care 1
1.4 six-step end of life care pathway 1
1.5 religious and spiritual influences on end of life care 1
1.6 advance care planning 1
1.7 disclosures of patient wishes 1
1.8 hospices 1
1.9 supporting carers and relatives 1
2 bereavement 1
2.1 learning objectives 1
2.2 introduction 1
2.3 bereavement and grieving process 1
2.4 referring for additional help 1
2.5 sources of help 1
2.6 support for health professionals 1
references 1
glossary 1
index 1