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Advanced EMT Medical Assessment Scenarios: Mastering Critical Thinking Under Pressure
Introduction:
Stepping into the role of an Advanced EMT (AEMT) demands more than just textbook knowledge; it requires the ability to swiftly assess complex medical situations, make critical decisions under pressure, and deliver effective, life-saving interventions. This blog post dives deep into advanced EMT medical assessment scenarios, providing you with in-depth analysis, crucial considerations, and practical strategies to enhance your skills and confidence. We'll explore various high-stakes situations, examining the crucial steps involved in forming a differential diagnosis, prioritizing interventions, and ultimately, ensuring the best possible patient outcome. Whether you're a seasoned AEMT seeking to refine your skills or a student preparing for the field, this comprehensive guide offers invaluable insights into the critical thinking required for success.
Scenario 1: The Unconscious Trauma Patient
Identifying the Critical Details: Upon arrival at the scene, you find an unresponsive adult male lying in the street after a motorcycle accident. He's exhibiting signs of severe trauma: obvious deformities to his lower extremities, heavy bleeding from a head laceration, and shallow, irregular breathing. Your initial assessment reveals no palpable pulse.
Prioritizing the Assessment: In this high-stress scenario, your immediate priorities are airway management, controlling the severe bleeding (using a tourniquet if necessary), and initiating CPR. A rapid trauma assessment is critical, focusing on identifying life-threatening injuries. While managing the immediate threats, you must quickly assess for other potential problems: spinal injury, internal bleeding, and pneumothorax.
Differential Diagnosis: Your differential diagnosis should include traumatic brain injury (TBI), hemorrhagic shock, spinal cord injury, and multiple organ failure. Each of these possibilities needs immediate consideration and targeted treatment.
Advanced Interventions: As an AEMT, your advanced skills become crucial here. Intubation may be necessary to secure the airway, intravenous fluids will be essential for fluid resuscitation, and you may need to administer medications such as pain relief and possibly epinephrine (depending on the underlying cause of cardiac arrest).
Documentation: Thorough documentation of every step, from the initial scene assessment to the interventions performed and the patient's response, is paramount. This documentation serves as a crucial legal record and aids in the continuity of care.
Scenario 2: The Acute Coronary Syndrome (ACS) Patient
Identifying the Critical Details: A 65-year-old male complains of crushing chest pain radiating down his left arm, accompanied by shortness of breath, diaphoresis (excessive sweating), and nausea. He has a history of hypertension and hyperlipidemia. His vital signs show tachycardia, elevated blood pressure, and a low oxygen saturation.
Prioritizing the Assessment: The priority is to assess the patient's airway, breathing, and circulation (ABCs). Obtaining a 12-lead ECG is crucial for diagnosing ST-segment elevation myocardial infarction (STEMI) or non-ST-segment elevation myocardial infarction (NSTEMI).
Differential Diagnosis: Your differential diagnosis should include ACS (STEMI, NSTEMI, unstable angina), pulmonary embolism, pericarditis, and esophageal spasm. Given the presentation, ACS is the most likely diagnosis, demanding rapid intervention.
Advanced Interventions: As an AEMT, you can administer supplemental oxygen, establish IV access for fluid administration, and possibly administer aspirin (following local protocols) to prevent platelet aggregation. Rapid transport to a cardiac catheterization lab is critical for potentially life-saving interventions such as angioplasty and stenting.
Documentation: meticulous documentation of the patient's presenting symptoms, ECG findings, interventions, and vital signs is essential.
Scenario 3: The Severe Anaphylaxis Patient
Identifying the Critical Details: You are called to a scene where a young woman is experiencing a severe allergic reaction after being stung by a bee. She presents with widespread urticaria (hives), angioedema (swelling of the face and throat), wheezing, and hypotension. She's rapidly becoming unresponsive.
Prioritizing the Assessment: Airway management is the absolute priority. The impending airway compromise due to angioedema requires immediate intervention. Assess breathing and circulation, noting the significant drop in blood pressure indicative of shock.
Differential Diagnosis: Anaphylaxis is the primary diagnosis, but you should consider other potential causes of shock, such as sepsis or hypovolemic shock.
Advanced Interventions: As an AEMT, your skills are vital. Administering epinephrine via intramuscular injection is crucial to reverse the effects of the allergic reaction. Supplemental oxygen, establishing IV access for fluid resuscitation, and potentially administering other medications as per local protocols are essential.
Documentation: Note the allergen, the patient's response to the epinephrine, and the ongoing monitoring of vital signs. Documentation of the administration of epinephrine is critical.
Scenario 4: The Stroke Patient
Identifying the Critical Details: You are dispatched to a home where an elderly woman is experiencing sudden onset of weakness on one side of her body, slurred speech, and facial droop. She also has a history of atrial fibrillation.
Prioritizing the Assessment: A rapid neurological assessment is vital, using the Cincinnati Prehospital Stroke Scale or other relevant tools. Assessing airway, breathing, and circulation remains crucial, but the focus is on identifying the stroke symptoms and timely transport.
Differential Diagnosis: Your differential diagnosis must include ischemic stroke, hemorrhagic stroke, transient ischemic attack (TIA), and other conditions that could mimic stroke symptoms.
Advanced Interventions: While AEMTs typically don't administer thrombolytic agents, your role is crucial in ensuring rapid transport to a stroke center for potential clot-busting therapies (tPA) if administered within the therapeutic window. Continuous monitoring of vital signs is also critical.
Sample Book Outline: "Mastering Advanced EMT Medical Assessment: Real-World Scenarios and Solutions"
Introduction: The Importance of Critical Thinking in Advanced EMT Practice.
Chapter 1: Trauma Assessment and Management: From Scene Assessment to Definitive Care.
Chapter 2: Cardiac Emergencies: Recognizing and Managing Acute Coronary Syndromes.
Chapter 3: Respiratory Emergencies: Asthma, COPD Exacerbation, and Pulmonary Embolism.
Chapter 4: Neurological Emergencies: Stroke, Seizure, and Traumatic Brain Injury.
Chapter 5: Endocrine Emergencies: Diabetic Ketoacidosis and Hyperosmolar Hyperglycemic State.
Chapter 6: Toxicological Emergencies: Poisoning and Overdoses.
Chapter 7: Obstetrical and Gynecological Emergencies: Pre-eclampsia, Ectopic Pregnancy.
Chapter 8: Pediatric Emergencies: Respiratory Distress, Shock.
Conclusion: Refining your skills and staying up-to-date in Advanced EMT Practice.
(Note: Each chapter would then expand on the scenarios discussed, providing detailed case studies, treatment algorithms, and best practice guidelines.)
FAQs:
1. What is the difference between an EMT and an AEMT? AEMTs possess advanced skills and knowledge compared to EMTs, including the administration of certain medications and advanced airway management techniques.
2. How can I improve my critical thinking skills as an AEMT? Practice scenario-based learning, engage in regular continuing education, and participate in simulations.
3. What are the legal implications of improper documentation? Incomplete or inaccurate documentation can lead to legal repercussions and negatively impact patient care.
4. What are some common errors made during patient assessments? Rushing the assessment, overlooking subtle signs, and failing to adequately document findings are common pitfalls.
5. How do I stay updated on the latest AEMT protocols and guidelines? Participate in continuing education courses, review professional journals, and stay informed through your local EMS agency.
6. What resources are available for AEMT training and continuing education? Many online and in-person courses and certifications are available from various organizations.
7. What is the role of teamwork in advanced EMT practice? Effective teamwork ensures seamless communication and coordination of care during emergencies.
8. How do I handle stressful situations as an AEMT? Developing stress management techniques, such as mindfulness and debriefing, is crucial.
9. Where can I find more advanced EMT medical assessment scenarios for practice? Numerous textbooks, online simulations, and training programs offer opportunities to hone your assessment skills.
Related Articles:
1. Mastering Advanced Airway Management for AEMTs: This article delves into the techniques and considerations involved in securing a patient's airway.
2. Interpreting 12-Lead ECGs in Prehospital Settings: A guide to understanding ECG rhythms and their implications in cardiac emergencies.
3. Trauma Assessment and Management: A Comprehensive Guide: This article covers all aspects of trauma assessment and care for AEMTs.
4. Advanced EMT Medication Administration: Protocols and Procedures: A detailed review of commonly used medications and their administration in prehospital care.
5. Managing Shock in the Prehospital Setting: A guide to understanding different types of shock and appropriate management strategies.
6. Neurological Emergencies: Recognizing and Managing Stroke and TIA: Focuses on identifying and managing stroke symptoms in the prehospital setting.
7. Obstetric Emergencies for Advanced EMTs: A detailed guide on handling obstetric emergencies.
8. Pediatric Assessment and Management for AEMTs: Covers the specifics of assessing and managing pediatric emergencies.
9. Ethical Considerations in Advanced EMT Practice: An exploration of the ethical dilemmas faced by AEMTs.
| advanced emt medical assessment scenarios: Patient Assessment Practice Scenarios American Academy of Orthopaedic Surgeons (AAOS),, Les Hawthorne, 2010-03-26 Patient assessment may be the most challenging subject for EMS students to grasp, and there never seems to be enough time in the classroom for practice. Patient Assessment Practice Scenarios allows students to fine-tune their understanding of the patient assessment process. This BLS- and ALS-level text includes 150 EMS practice scenarios (75 trauma and 75 medical) that focus on the assessment process as dictated by the National Registry medical assessment and trauma assessment skill sheets. Each case is a script of an emergency call. The student and proctor (who may or may not be an instructor) may read through the case for rote practice of the assessment process, or the student may verbally work through the assessment process, with cues from the book read by the proctor. Cases may also be used as homework, in the classroom, or for self-study! This book is for BLS or ALS students who want to successfully learn patient assessment inside and out before actually working in the field, and any EMS provider who wants to refresh his or her assessment skills. |
| advanced emt medical assessment scenarios: EMS Scenarios , 2008 |
| advanced emt medical assessment scenarios: Advanced Emergency Medical Technician Transition Manual American Academy of Orthopaedic Surgeons (AAOS),, AAOS, Rhonda Hunt, 2013-06-19 The ideal resource for states needing to transition practicing EMT-Intermediates to the new AEMT level, Advanced Emergency Medical Technician Transition Manual bridges the gap between the knowledge and skills based on the 1985 National Standard Curriculum and those in the 2009 National EMS Education Standards. Advanced Emergency Medical Technician Transition Manual offers focused discussions on critical knowledge areas and new skills. Each chapter opens with a summary of what EMTs should already know about the topic as well as a brief overview of the content that is new or addressed in greater depth in the National EMS Education Standards. Case studies at the end of each chapter help students test their critical-thinking skills and gauge comprehension. This concise program can be used for continuing education or bridge courses to the National EMS Education Standards. Listen to a Podcast with AEMT Transition Manual author Rhonda Beck to learn more about this training program! Listen now: http://d2jw81rkebrcvk.cloudfront.net/assets.multimedia/audio/Beck_AEMT.mp3. |
| advanced emt medical assessment scenarios: Advanced Medical Life Support National Association of Emergency Medical Technicians (U.S.), 2019-12-06 NAEMT's Advanced Medical Life Support (AMLS) course is the first EMS education program that fully addresses how to best assess and manage the most common medical crises in patients, offering a think outside the box methodology. It is for all levels of practitioners with a strong commitment to patient care, including emergency medical technicians, paramedics, nurses, nurse practitioners, physician assistants, nurse anesthetists and physicians-- |
| advanced emt medical assessment scenarios: Medical Case Studies for the Paramedic American Academy of Orthopaedic Surgeons (AAOS), Stephen J. Rahm, 2009-04-06 Paramedics must perform a systematic assessment of the patient, determine appropriate treatment, and give it. While assessment and management principles are learned in initial training, they are not practiced until training is completed. Now, paramedic students can apply these principles with Medical Case Studies for the Paramedic. Medical Case Studies for the Paramedic presents 20 case studies on the most important medical emergencies for the ALS-level reader. A superb supplement to classroom and textbook learning, this book allows the reader to practice applying knowledge to cases before actually going on an emergency call. The types of emergencies include a range of presentations such as semiconsciousness, unconsciousness, difficulty breathing, weakness, nausea, headache, slurred speech, chest pain, allergic reaction, seizure, and anxiety. Each case study is presented in full, poses questions to the reader, and is followed by a summary of the case, including answers to the questions posed. |
| advanced emt medical assessment scenarios: Special Warfare , 2014 |
| advanced emt medical assessment scenarios: Pediatric Medical Emergencies Ann Dietrich, 2020 The first volume in the What Do I Do Now?: Emergency Medicine series, Pediatric Medical Emergencies uses a case-based approach to cover common and important topics in the examination, investigation, and management of acutely ill children. The book addresses a wide range of topics including neonatal fever, pediatric sepsis, intussusception, and more, and is suited for emergency medicine providers and pediatricians. |
| advanced emt medical assessment scenarios: Advanced Emergency Care and Transportation of the Sick and Injured American Academy Of Orthopaedic Surgeons, Rhonda J. Hunt, 2021-10 Fourth Edition revised to meet current ILCOR guidelines, scope of practice, educational standards, and other pertinent medical and science recommendations. Additional content on COVID-19 and new content on soft skills have been added-- |
| advanced emt medical assessment scenarios: Prepare for the Pediatric Emergency Medicine Board Examination Muhammad Waseem, Isabel A. Barata, Jennifer H. Chao, David Foster, Noah Kondamudi, 2020-05-22 This book outlines the essential knowledge required for the management of critically ill and severely injured children. It is designed to facilitate successful completion of the Pediatric Emergency Medicine Board Examination of the American Board of Pediatrics (ABP). Each chapter follows a Question & Answer format, covering major areas in pediatrics such as cardiology, dermatology, nephrology, surgery and trauma. The book concludes with a comprehensive practice test, allowing it to function as a well-rounded reference and study guide. Prepare for the Pediatric Emergency Medicine Board Examination is an essential resource for any clinician or trainee seeking a concise review of how to manage critically ill and severely injured children. |
| advanced emt medical assessment scenarios: Strategies to Improve Cardiac Arrest Survival Institute of Medicine, Board on Health Sciences Policy, Committee on the Treatment of Cardiac Arrest: Current Status and Future Directions, 2015-09-29 Cardiac arrest can strike a seemingly healthy individual of any age, race, ethnicity, or gender at any time in any location, often without warning. Cardiac arrest is the third leading cause of death in the United States, following cancer and heart disease. Four out of five cardiac arrests occur in the home, and more than 90 percent of individuals with cardiac arrest die before reaching the hospital. First and foremost, cardiac arrest treatment is a community issue - local resources and personnel must provide appropriate, high-quality care to save the life of a community member. Time between onset of arrest and provision of care is fundamental, and shortening this time is one of the best ways to reduce the risk of death and disability from cardiac arrest. Specific actions can be implemented now to decrease this time, and recent advances in science could lead to new discoveries in the causes of, and treatments for, cardiac arrest. However, specific barriers must first be addressed. Strategies to Improve Cardiac Arrest Survival examines the complete system of response to cardiac arrest in the United States and identifies opportunities within existing and new treatments, strategies, and research that promise to improve the survival and recovery of patients. The recommendations of Strategies to Improve Cardiac Arrest Survival provide high-priority actions to advance the field as a whole. This report will help citizens, government agencies, and private industry to improve health outcomes from sudden cardiac arrest across the United States. |
| advanced emt medical assessment scenarios: Advanced Emergency Care and Transportation of the Sick and Injured , 2012 The foundation for EMS education was established in 1971 when the American Academy of Orthopaedic Surgeons (AAOS) authored the first emergency medical technician textbook. Since then, the AAOS has set the gold standard for EMS training programs with the Orange Book Series. This Second Edition, based on Intermediate Emergency Care and Transportation of the Sick and Injured, raises the bar even higher with world-class medical content and innovative instructional resources that meet the diverse needs of today's educators and students.Based on the new National EMS Education Standards for Advanced Emergency Medical Technician, the Second Edition offers complete coverage of every competency statement with clarity and precision in a concise format that ensures student comprehension and encourages critical thinking. New cognitive and didactic material is presented, along with new skills and features, to create an innovative AEMT training solution.Topics including advanced pathophysiology, acid-base balance, fluids and electrolytes, intravenous therapy, intraosseous access, blood glucose monitoring, and administration of AEMT-level medications tailor this textbook to the new Advanced EMT level. Additional online skills allow this textbook to be customized for every AEMT training program's unique needs. Current, State-of-the-Art Medical ContentAdvanced Emergency Care and Transportation of the Sick and Injured, Second Edition incorporates up-to-date, evidence-based medical concepts to ensure that students are taught assessment and treatment modalities that will help patients in the field today.Advanced PathophysiologyAdvanced Emergency Care and Transportation of the Sick and Injured, Second Edition provides a solid foundation in pathophysiology--one of the key knowledge areas required to become a successful Advanced EMT.Patient AssessmentThis Second Edition teaches and reinforces the concept of Patient Assessment with a single, comprehensive chapter, ensuring that students understand patient assessment as a single, integrated process--the way that providers actually practice it in the field. Each medical and trauma chapter reinforces the patient assessment process by highlighting the unique aspects of the illness or injury.Clear Application to Real-World EMSThrough evolving patient case studies in each chapter, the Second Edition offers students a genuine context for the application of the knowledge presented in the chapter. This approach makes it clear how all of the information will be used to help patients in the field. |
| advanced emt medical assessment scenarios: Lange Q&A: EMT-Paramedic (P) Self Assessment and Review, Second Edition Richard Westfal, Gregory Santa Maria, 2006-10-20 The only EMT(P) review with questions + answers citing major textbooks + a new e CD-ROM! The ultimate, all-in-one review for the EMT-Paramedic Exam! Lange Q&A: EMT-Paramdeic (P) Self Assessment and Review offers test-acing preparation for anyone taking the national registry Paramedic Exam and state exams. You'll be ready for any exam-related topic with this powerful, just-in-time resource, where you'll find: Exam-type questions and detailed answers with explanations referenced to all major textbooks-plus a new CD-ROM Mastery-building coverage of all the content areas that reflect today's EMT(P) practice, from pharmacology to patient assessment A 10% increase in the total number of questions-all of which are selected and formatted to approximate the real exam NEW section on terrorism (CBRNE) that shows how to respond to when people are affected by chemical and, biological agents, radiological and nuclear materials , and explosive devices NEW coverage of 12-Lead EKGs, pulse oximetry, pulmonary inhalers (Atrovent, steroid, Combivent), and pediatric end tidal CO2 detectors NEW coverage of drugs, including Amiodarone Expanded coverage of cardiac emergencies, transcutaneous pacemakers, and trauma |
| advanced emt medical assessment scenarios: Disease Control Priorities in Developing Countries Dean T. Jamison, Joel G. Breman, Anthony R. Measham, George Alleyne, Mariam Claeson, David B. Evans, Prabhat Jha, Anne Mills, Philip Musgrove, 2006-04-02 Based on careful analysis of burden of disease and the costs ofinterventions, this second edition of 'Disease Control Priorities in Developing Countries, 2nd edition' highlights achievable priorities; measures progresstoward providing efficient, equitable care; promotes cost-effectiveinterventions to targeted populations; and encourages integrated effortsto optimize health. Nearly 500 experts - scientists, epidemiologists, health economists,academicians, and public health practitioners - from around the worldcontributed to the data sources and methodologies, and identifiedchallenges and priorities, resulting in this integrated, comprehensivereference volume on the state of health in developing countries. |
| advanced emt medical assessment scenarios: Life Support Mike Rubin, 2021-11-17 Mike Rubin’s conversational style and self-deprecating humor appeal to healthcare providers and patients, educators and students, employers, and employees. Whether you’re a rescuer or you aspire to be, you’ll find entertainment, advice, and encouragement in Life Support. |
| advanced emt medical assessment scenarios: EMT Exam For Dummies with Online Practice Arthur Hsieh, 2014-07-28 Test-taking strategies and steps to succeed as an EMT No two EMT exam experiences are exactly alike, as questions are tailored to the test-taker and range in topics from handling medical emergencies and patient assessment, to medical ethics, ambulance operations, and pediatrics. EMT Exam For Dummies takes the intimidation out of the test, offering everything you need to prepare for—and pass—the exam. Along with the book, there is also an online companion website that features two additional practice tests that you do your best on test day. Career opportunities are abundant for certified EMTs, and this straightforward guide increases your chances of scoring higher on the computer-adaptive and practical portions of the exam so you can get out in the field and dispense lifesaving medical care. In the book, you'll find an overview of the EMT Exam, including test organization and how the exam is scored, content review with practice questions, a sneak peek at the practical exam, and one full-length practice test with detailed answer explanations. Includes sample test questions and detailed answers throughout, as well as a sneak peek into the practical test Gives you two bonus practice exams via the companion online test bank, with tests available in timed and untimed formats Offers clear test-taking advice for passing the crucial, practical part of the exam Covers the psychomotor component of the EMT Exam EMT Exam For Dummies has everything you need to succeed as an EMT and continue your training, and with an easy-to-read style and focus on the most important details, you'll be ready to pass the exam in no time! |
| advanced emt medical assessment scenarios: Paramedic Care: Patient assessment Bryan E. Bledsoe, Robert S. Porter, Richard A. Cherry, 2005 Written by the best-selling author team of Bryan E. Bledsoe D.O., F.A.C.E.P., EMT-P, Robert S. Porter M.A., NREMT-P, and Richard A. Cherry , M.S., NREMT-P , this student-friendly easy to understand series covers the DOT National Standard Curriculum .The second of 5 titles in the Brady Paramedic Care Principles and Practice series, Volume 2 - Patient Assessment - covers history, physical exam, field assessment, clinical decision-making, communications, and documentation.Paramedic Level Emergency Responders or Intermediate level responders training to enter into Paramedic. |
| advanced emt medical assessment scenarios: Classification and minimum standards for emergency medical teams , 2021-06-18 |
| advanced emt medical assessment scenarios: Tactical Medicine Essentials John E. Campbell, E. John Wipfler III, Jim Smith, Lawrence E. Heiskell, 2020-07-15 Designed for EMS and medical professionals at all levels of training, Tactical Medicine Essentials, Second Edition provides the foundation needed to become a world-class tactical medical provider (TMP). Written by an experienced team of authors from diverse backgrounds, this text covers the essential curriculum of tactical medicine, including tactical patient assessment, expedient extrication and evacuation, and self-defense skills. The Second Edition thoroughly prepares medical professionals to safely accompany a SWAT unit into the tactical environment. Current, State-of-the-Art Medical Content for the Tactical EnvironmentThe rapidly changing tactical environment requires specialized rapid assessment techniques. The tactical patient assessment process is presented in a single, comprehensive chapter, ensuring that students understand how to rapidly apply this specialized process to the patient in the tactical environment. Each traumatic injury chapter further reinforces the tactical patient assessment process by highlighting the unique aspects of each traumatic injury. A new chapter about active assailant mass casualty incidents has been added. Law enforcement education topics for TMPs are compiled in a new appendix. Dynamic FeaturesThese features allow EMS and medical professionals to take the extra step toward becoming outstanding TMPs:• At the Scene Advice from experienced TMPs on how to excel during a mission• Safety Information on how to remain safe in the tactical environment, even under the threat of violence• Medical Gear Tips on the best equipment to pack and utilize in the tactical environment• Detailed Step-by-Step Skill Reviews A thorough discussion of how to perform lifesaving skills in the high-intensity tactical environment |
| advanced emt medical assessment scenarios: Nancy Caroline's Emergency Care in the Streets, Includes Navigate 2 Preferred Access + Nancy Caroline's Emergency Care in the Streets Student Workbook American Academy of Orthopaedic Surgeons (AAOS),, Nancy L. Caroline, Bob Elling, Mike Smith, 2012-08-16 Nancy Caroline's Emergency Care in the Streets, Seventh Edition is the next step in the evolution of the premier paramedic education program. This legendary paramedic textbook was first developed by Dr. Nancy Caroline in the early 1970s and transformed paramedic education. Today, the American Academy of Orthopaedic Surgeons is proud to continue this legacy and set the new gold standard for the paramedics of tomorrow. The Seventh Edition reflects the collective experience of its top-flight author team and decades of street wisdom. This fully updated edition covers every competency statement of the National EMS Education Standards for paramedics with clarity and precision in a concise format that ensures student comprehension and encourages critical thinking. This edition emphasizes the ideal that becoming a paramedic is a continual pursuit of growth and excellence throughout an entire career. Concepts of team leadership and professionalism are woven throughout the chapters, challenging students to become more compassionate, conscientious health care professionals as well as superior clinicians. |
| advanced emt medical assessment scenarios: Oxford American Handbook of Disaster Medicine Robert A. Partridge, Lawrence Proano, David Marcozzi, Eric S. Weinstein, 2012-04-12 Disasters are difficult to manage for many reasons: the immediacy of the event, magnitude of the event, lack of evidence-based practices, and the limited usefulness of many developed protocols. Consequently, combining academic approaches with realistic and practical recommendations continues to be an underdeveloped aspect of disaster texts. The Oxford American Handbook of Disaster Medicine offers a functional blend of science with pragmatism. Approached from a real-world perspective, the handbook is a portable guide that provides sufficient scientific background to facilitate broader application and problem solving yet approach the topic in a prioritized fashion, supporting rapid understanding and utilization. Contributing authors are clinical and public health providers with disaster experience. This book encompasses the entire scope of disaster medicine from general concepts and fundamental principles to both manmade and natural threats. |
| advanced emt medical assessment scenarios: Crisis Standards of Care Institute of Medicine, Board on Health Sciences Policy, Committee on Guidance for Establishing Standards of Care for Use in Disaster Situations, 2012-08-26 Catastrophic disasters occurring in 2011 in the United States and worldwide-from the tornado in Joplin, Missouri, to the earthquake and tsunami in Japan, to the earthquake in New Zealand-have demonstrated that even prepared communities can be overwhelmed. In 2009, at the height of the influenza A (H1N1) pandemic, the Assistant Secretary for Preparedness and Response at the Department of Health and Human Services, along with the Department of Veterans Affairs and the National Highway Traffic Safety Administration, asked the Institute of Medicine (IOM) to convene a committee of experts to develop national guidance for use by state and local public health officials and health-sector agencies and institutions in establishing and implementing standards of care that should apply in disaster situations-both naturally occurring and man-made-under conditions of scarce resources. Building on the work of phase one (which is described in IOM's 2009 letter report, Guidance for Establishing Crisis Standards of Care for Use in Disaster Situations), the committee developed detailed templates enumerating the functions and tasks of the key stakeholder groups involved in crisis standards of care (CSC) planning, implementation, and public engagement-state and local governments, emergency medical services (EMS), hospitals and acute care facilities, and out-of-hospital and alternate care systems. Crisis Standards of Care provides a framework for a systems approach to the development and implementation of CSC plans, and addresses the legal issues and the ethical, palliative care, and mental health issues that agencies and organizations at each level of a disaster response should address. Please note: this report is not intended to be a detailed guide to emergency preparedness or disaster response. What is described in this report is an extrapolation of existing incident management practices and principles. Crisis Standards of Care is a seven-volume set: Volume 1 provides an overview; Volume 2 pertains to state and local governments; Volume 3 pertains to emergency medical services; Volume 4 pertains to hospitals and acute care facilities; Volume 5 pertains to out-of-hospital care and alternate care systems; Volume 6 contains a public engagement toolkit; and Volume 7 contains appendixes with additional resources. |
| advanced emt medical assessment scenarios: Instructors Resource Manual Daniel Elling, Michael OKeefe, Bob Elling, 2001-12 |
| advanced emt medical assessment scenarios: Reasoning as Memory Aidan Feeney, Valerie A. Thompson, 2014-10-03 There is a growing acknowledgement of the importance of integrating the study of reasoning with other areas of cognitive psychology. The purpose of this volume is to examine the extent to which we can further our understanding of reasoning by integrating findings, theories and paradigms in the field of memory. Reasoning as Memory consists of nine chapters that make explicit links between basic memory process, and reasoning and decision-making. The contributors address a number of key topics including: the relationship between semantic memory and reasoning the role of expert memory in reasoning recognition memory and induction working memory and reasoning metamemory in reasoning. In addition, the chapters provide broad coverage of the field of thinking, and invite the intriguing question of how much there is left to explain in the field of reasoning when one has extracted the variance due to memory. This book will be of great interest to advanced undergraduates, postgraduates and researchers interested in reasoning or decision making, and to researchers interested in the role played in cognition by a variety of memory processes. |
| advanced emt medical assessment scenarios: PreTest Emergency Medicine, Fifth Edition Adam J. Rosh, Ciara Barclay-Buchanan, 2020-12-28 The trusted resource that asks the right questions so that you’ll will be equipped with the answers Emergency Medicine: PreTest® is the the perfect way to ensure that you are prepared for the Emergency Medicine shelf exam. Written by clerkship faculty and reviewed by students who know what it takes to pass, Emergency Medicine: PreTest® is perfect for clerkship exam review and the USMLE Step 2CK. You’ll find hundreds of high-yield questions, along with targeted answers explaining both correct and incorrect choices. This new edition has been heavily revised to reflect the latest information and practice, including a new chapter on professionalism, communication and ethics. 500 USMLE-style Q&A cover core topics on the clerkship exam Complete explanations explain each answer option Answer discussions highlight essential topics for high-yield review Tested and reviewed by students who know what it takes to pass |
| advanced emt medical assessment scenarios: Vocational and Technical Resources for Community College Libraries Mary Ann Laun, 1995 |
| advanced emt medical assessment scenarios: Community Health Paramedicine American Academy of Orthopaedic Surgeons, American Academy of Orthopaedic Surgeons (Aaos), 2017-01-27 Based on nationally recognized and field-tested curricula from across the country, Community Health Paramedicine offers clarity and precision in a concise format that ensures comprehension and encourages critical thinking. Important Notice: The digital edition of this book is missing some of the images or content found in the physical edition. |
| advanced emt medical assessment scenarios: Swimming and Water Safety Canadian Red Cross Society, 1995 Discusses the history and techniques of swimming and diving, safety rescue techniques, and skills for a variety of aquatic activities. |
| advanced emt medical assessment scenarios: Trauma Case Studies for the Paramedic Stephen J. Rahm, 2005 This text is intended to reinforce the importance of a systematic patient assessment and management approach to paramedic students by presenting them with 20 case studies on the most important trauma emergencies they are likly to encounter in the field. emergencies |
| advanced emt medical assessment scenarios: Paramedic Lab Manual Professor Department of Philosophy Sue Campbell, Sue Campbell, Melissa B. Robinson, 2005-10 This resource has been developed to document compliance with the 1998 DOT National Standard Curriculum (NSC) psychomotor and affective domain objectives. The authors have created skill sheets and scenarios to meet CAAHEP/CoAEMSP joint review for national accreditation, as well as the diagnosis-based patient assessment requirements of the NSC. |
| advanced emt medical assessment scenarios: Case Studies Beth McNeill, 2011-10-03 This manual is the ideal student supplement, in support of case-based learning, to Emergency Care and Transportation of the Sick and Injured, Tenth Edition. |
| advanced emt medical assessment scenarios: Clinical Case Studies for the Family Nurse Practitioner Leslie Neal-Boylan, 2011-11-28 Clinical Case Studies for the Family Nurse Practitioner is a key resource for advanced practice nurses and graduate students seeking to test their skills in assessing, diagnosing, and managing cases in family and primary care. Composed of more than 70 cases ranging from common to unique, the book compiles years of experience from experts in the field. It is organized chronologically, presenting cases from neonatal to geriatric care in a standard approach built on the SOAP format. This includes differential diagnosis and a series of critical thinking questions ideal for self-assessment or classroom use. |
| advanced emt medical assessment scenarios: Estimation of the Time Since Death Burkhard Madea, 2015-09-08 Estimation of the Time Since Death remains the foremost authoritative book on scientifically calculating the estimated time of death postmortem. Building on the success of previous editions which covered the early postmortem period, this new edition also covers the later postmortem period including putrefactive changes, entomology, and postmortem r |
| advanced emt medical assessment scenarios: Mosby's Paramedic Refresher and Review Alice Dalton, Richard A. Walker, 2006-10-25 This revised reprint is now updated to reflect the new 2005 emergency cardiac care guidelines. Using a case-based approach, it offers the most realistic view of prehospital emergency care. This unique text is the only case-based text available covering all of the information needed for paramedic refresher and certification preparation and review. In a concise, user-friendly format, the text features basic concepts of patient assessment and treatment, incorporating anatomy, physiology, and pathophysiology in the context of actual patient encounters. Each chapter presents several real-life emergency scenarios. Questions and answers follow for immediate feedback. Unique! The only case-based text on the market today for paramedics who are recertifying or taking the National Registry exam for the first time. The case-based approach uses actual patient encounters for realistic learning and increased retention to make information more easily applicable in the field. The text relates anatomy, physiology, and pathophysiology to patient signs and symptoms to promote understanding at the most basic levels, which means a more thorough grasp of the topic and better performance in the field. Content overviews! Each chapter provides a brief summary of the subject matter and integrates the content into patient scenarios to maximize comprehension. Each case includes the final diagnosis and outcomes based on actual patient situations. Questions, Answers, and Outcomes in each chapter encourage critical thinking skills and help the reader appreciate the consequences of decisions. A concise, one-column design provides a user-friendly format. Updated to reflect the new 2005 emergency cardiac care guidelines. Two new chapters - Scene Management and Weapons of Mass Destruction. Updated throughout to reflect the most current research, updated pharmacologic interventions, and new treatment standards. Chapters have been organized in the order of the National Standard Curriculum (NSC). |
| advanced emt medical assessment scenarios: Emergency Care and Transportation of the Sick and Injured Aaos American Academy of Orthopaedic Surgeons, 2016 Based on the National EMS Education Standards and the 2015 CPR/ECC Guidelines, the Eleventh Edition offers complete coverage of every competency statement with clarity and precision in a concise format that ensure students' comprehension and encourages critical thinking. New cognitive and didactic material is presented, along with new skills and features, to create a robust and innovative EMT training solution.--Back cover. |
| advanced emt medical assessment scenarios: Our Watch , |
| advanced emt medical assessment scenarios: Foundations of Education: An EMS Approach National Association of EMS Educators (NAEMSE),, 2019-07-15 The evolving field of emergency medical services (EMS) requires professional educators who are knowledgeable about teaching and learning strategies, classroom management, assessment and evaluation, technology in learning, legal implications in education, program infrastructure design, and administering programs of excellence to meet state and national accreditation guidelines. Foundations of Education: An EMS Approach, Third Edition, provides EMS educators with the tools, ideas, and information necessary to succeed in each of these areas.The content reflects how current educational knowledge and theory uniquely apply to EMS students, educators, and programs.This textbook is used in the NAEMSE Instructor Courses, and is an excellent reference for all EMS educators, as well as educators in allied health professions.Evidence-Based ContentIn addition to foundational topics such as teaching philosophy and classroom management, the text covers brain-based learning, accreditation and program evaluation, emerging technologies, and assessment strategies. It guides educators to write objectives, prepare lesson plans, and deliver education in engaging ways to maximize student learning. Grounded in this information, EMS educators can promote effective education regardless of the type of course or setting.Highlights-Covers current educational theory and teaching methodologies specific to EMS-Meets and exceeds the latest DOT National Guidelines for Educating EMS Instructors-Offer practical advice and scenarios in the form of Teaching Tips and Case in Points |
| advanced emt medical assessment scenarios: Respiratory Care: Patient Assessment and Care Plan Development David C. Shelledy, Jay I. Peters, 2021-02-08 Respiratory Care: Patient Assessment and Care Plan Development, Second Edition describes the purpose of patient assessment and then guides the reader through the process of reviewing existing data in the medical record |
| advanced emt medical assessment scenarios: Emergency , 1994 |
| advanced emt medical assessment scenarios: Critical Care Transport American Academy of Orthopaedic Surgeons (AAOS),, American College of Emergency Physicians (ACEP),, 2009-11-09 Welcome to the new gold standard in critical care transport training. Published in conjunction with the American Academy of Orthopaedic Surgeons (AAOS) and the American College of Emergency Physicians (ACEP), Critical Care Transport offers cutting edge content relevant to any healthcare provider training in critical care transport. Like no other textbook in this market, Critical Care Transport thoroughly prepares medical professionals to function as competent members of a critical care team by covering the material that everyone—paramedics, nurses, physicians, and specialty crew—needs to know to operate effectively in the prehospital critical care environment. This book meets the curricula of major critical care training programs, including University of Maryland, Baltimore County (UMBC). It covers both ground and flight transport, and meets the objectives of critical care transport certification exams such as the Certified Flight Paramedic (FP-C) exam administered by the Board for Critical Care Transport Paramedic Certification. Content includes information specific to prehospital critical care transport, such as flight physiology, lab analysis, hemodynamic monitoring, and specialized devices such as the intra-aortic balloon pump. Standard topics such as airway management, trauma, and pharmacology are covered in the context of critical care. Chapters have been authored by leading critical care professionals across the country and represent the most current, state-of-the-art information on management of critical care patients. |
| advanced emt medical assessment scenarios: Trauma Anesthesia Charles E. Smith, 2015-04-09 Trauma patients present a unique challenge to anesthesiologists, since they require resource-intensive care, often complicated by pre-existing medical conditions. This fully revised new edition focuses on a broad spectrum of traumatic injuries and the procedures anesthesiologists perform to care for trauma patients perioperatively, surgically, and post-operatively. Special emphasis is given to assessment and treatment of co-existing disease, including surgical management of trauma patients with head, spine, orthopaedic, cardiac, and burn injuries. Topics such as training for trauma (including use of simulation) and hypothermia in trauma are also covered. Six brand new chapters address pre-hospital and ED trauma management, imaging in trauma, surgical issues in head trauma and in abdominal trauma, anesthesia for oral and maxillofacial trauma, and prevention of injuries. The text is enhanced with numerous tables and 300 illustrations showcasing techniques of airway management, shock resuscitation, echocardiography and use of ultrasound for the performance of regional anesthesia in trauma. |
