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Table of Contents
Cover image
Title page
Copyright
Foreword
Preface
About the editors
Contributing authors
Reviewers
The key to improving your clinical practice
Acknowledgements
PART ONE: PARAMEDIC PRINCIPLES
SECTION 1: INTRODUCTION TO PARAMEDIC PRINCIPLES AND PRACTICE
Chapter 1: Introduction
Professionalism
Summary
SECTION 2: FOUNDATION KNOWLEDGE
Chapter 2: Introduction to: Foundation Knowledge
Chapter 3: Perfusion
Introduction
What is perfusion?
Factors leading to normal perfusion
Disturbances of perfusion
Assessment of perfusion
Principles of medical management of perfusion
Summary
Chapter 4: The Autonomic Response
Introduction
The autonomic nervous system
Assessment of ANS function
Principles of management
Summary
Chapter 5: The Inflammatory Response
Introduction
What is inflammation?
The basics of normal inflammation
Abnormal inflammation
Summary
Chapter 6: Pharmacokinetics and Pharmacodynamics
Introduction
Definitions
Pharmacodynamics (what the drug does to the body)
Pharmacokinetics (what the body does to the drug)
The effects of population variance on pharmacokinetics
Summary
SECTION
3:
FOUNDATION CONCEPTS
Chapter 7: Introduction to: Foundation Concepts
Chapter 8: Evidence-Based Practice in Paramedicine
Case 1
Introduction
Introduction to evidence-based practice
Strengths of evidence-based practice
Barriers and weaknesses of evidence-based practice
So what does this all mean for paramedics?
Chapter 9: The Clinical Reasoning Process
Introduction
How do paramedics make decisions?
Theoretical and conceptual foundations of clinical reasoning
Dual-process theory—a framework for reasoning
Approaches to decision-making 'on the ground’
Factors affecting the clinical reasoning process
Strategies to enhance quality of clinical reasoning
A step-by-step guide to clinical decision-making
Summary
Chapter 10: Introduction to: Communication and Non-technical Skills
SECTION 4: COMMUNICATION AND NONTECHNICAL SKILLS
Chapter 11: Interpersonal Communication and Patient-Focused Care
Introduction
Fundamental concepts of communication
Verbal and non-verbal communication
The science and art of patient communication
Effective listening
Patient-centred communication
Emotional and behavioural components of effective communication
Summary
SECTION 5: THE AUSTRALIAN AND NEW ZEALAND HEALTHCARE SYSTEMS
Chapter 12: Introduction to: The Australian and New Zealand Healthcare Systems
Chapter 13: The Paramedic Role in Healthcare
Introduction
The roles of ambulance services and paramedics in Australia and New Zealand
Professionalism, regulation and professional standards
The future paramedic role
Summary
Chapter 14: Characteristics of Ambulance Patients
Introduction
Who is using ambulance services?
What factors can lead to people calling for an ambulance?
From problem onset to the decision to call for an ambulance
The process of calling for an ambulance
Summary
SECTION 6: PATIENT AND PARAMEDIC SAFETY
Chapter 15: Introduction to: Patient and Paramedic Safety
Chapter 16: Patient Safety and Paramedicine
Introduction
The harm caused by healthcare errors
Types
of medical error
Models of error
Reducing diagnostic errors
Error defence
Error management
Evidence-based practice and patient safety
EBP, individual patients and clinical reasoning
Summary
Chapter 17: Paramedic Health and Wellbeing
Introduction
Paramedic health and safety
Definitions
Stress
Managing emotion
Fatigue
Shiftwork
Occupational violence
Getting help
Physical injury, physical employment standards and physical activity
Nutrition
Alcohol and other drugs
Summary
SECTION
7:
LEGAL, ETHICAL AND PROFESSIONAL CONSIDERATIONS
Chapter 18: Introduction to: Legal, Ethical and Professional Considerations
Chapter 19: Legal and Ethical Considerations in Clinical DecisionMaking
Introduction
Ethics and the law
Consent
Refusal of treatment
Elements of consent from a paramedic perspective
Case study evaluation
Documentation
Summary
Chapter 20: Introduction to: The Paramedic Clinical Approach
PART TWO: PARAMEDIC PRACTICE
SECTION 8: THE PARAMEDIC CLINICAL APPROACH
Chapter 21: The Structured Clinical Approach
Introduction
The structured clinical approach
Chapter 22: The Patient-Centred Interview
Introduction
The structured patient-centred interview
Paramedic-patient interview structure
Summary
Chapter 23: Introduction to: The Paramedic Approach to the Patient With a Respiratory Condition
SECTION 9: THE PARAMEDIC APPROACH TO THE PATIENT WITH A RESPIRATORY CONDITION
Chapter 24: Airway Obstruction
Introduction
Pathophysiology
ASSESS
TREAT
EVALUATE
Ongoing management
Hospital admission
Follow-up
ASSESS
CONFIRM
TREAT
EVALUATE ASSESS CONFIRM TREAT EVALUATE
Summary
Chapter 25: Asthma
Introduction
Pathophysiology
Gas trapping
Airway remodelling
ASSESS
CONFIRM TREAT
EVALUATE
Ongoing management
Follow-up
ASSESS
CONFIRM TREAT
EVALUATE
Future directions
Summary
Chapter 26: Acute Pulmonary Oedema
Introduction EVALUATE
Hospital admission
Long-term impact
Acute pulmonary oedema across the lifespan
ASSESS
CONFIRM TREAT
EVALUATE ASSESS CONFIRM
TREAT
EVALUATE
Ongoing management ASSESS CONFIRM TREAT
EVALUATE
Ongoing management
Future research
Summary
Chapter 27: Chronic Obstructive Pulmonary Disease
Introduction
Pathophysiology
Definitions
ASSESS TREAT
EVALUATE
Hospital admission
Investigations
Follow-up
ASSESS
CONFIRM TREAT
EVALUATE
Future research and trends
Summary
Chapter 28: Pneumothorax
Introduction
Pathophysiology
ASSESS
CONFIRM TREAT
EVALUATE
Ongoing management
Hospital admission
Long-term impact
ASSESS CONFIRM
TREAT
EVALUATE
Summary
Chapter 29: Pulmonary Embolism
Introduction
Pathophysiology
Risk factors
ASSESS CONFIRM
TREAT
EVALUATE
Research
Summary
SECTION 10: THE PARAMEDIC APPROACH TO THE PATIENT WITH A CARDIAC CONDITION
Chapter 30: Introduction to: The Paramedic Approach to the Patient With a Cardiac Condition
Chapter 31: Chest Pain
Introduction
Pathophysiology
Myocardial perfusion and myocardial workload
ASSESS CONFIRM TREAT
EVALUATE
Investigations
Ongoing management
Hospital admission
Follow-up
ACS across the lifespan
ASSESS
CONFIRM
TREAT
EVALUATE
ASSESS
CONFIRM TREAT
EVALUATE
Future research
Summary
Chapter 32: Arrhythmias
Introduction
Pathophysiology
ASSESS CONFIRM TREAT
EVALUATE
Ongoing management
Hospital admission
Arrhythmias across the lifespan
Wolff-Parkinson-White
Long QT syndrome
Commotio cordis
ASSESS
CONFIRM TREAT
EVALUATE
ASSESS
CONFIRM
TREAT
EVALUATE
Summary
Chapter 33: Cardiac Arrest
Introduction
Chain of survival
Pathophysiology
ASSESS
CONFIRM TREAT EVALUATE
Ongoing management
Long-term outcomes
ASSESS
CONFIRM
TREAT
EVALUATE
Future research
Summary
SECTION 11: THE PARAMEDIC APPROACH TO THE PATIENT WITH A MEDICAL CONDITION
Chapter 34: Introduction to: The Paramedic Approach to the Patient With a Medical Condition
Chapter 35: Hypoglycaemia and Hyperglycaemia
Introduction
Hypoglycaemia
Hyperglycaemia
Diabetic ketoacidosis
Euglycaemic DKA
Hyperglycaemic hyperosmolar states
ASSESS
CONFIRM
What else could it be?
TREAT EVALUATE
Summary
Chapter 36: Stroke
Introduction
Pathophysiology
Clinical manifestations
ASSESS
CONFIRM
TREAT EVALUATE
Ongoing management
Investigations
Hospital admission
Stroke across the lifespan
ASSESS
CONFIRM
TREAT
EVALUATE
ASSESS
CONFIRM TREAT
EVALUATE
ASSESS
CONFIRM TREAT
EVALUATE
Future research
Summary
Chapter 37: Overdose
Introduction
Pathophysiology
Methamphetamine
Opioids
Quetiapine
Tricyclic antidepressants
ASSESS
CONFIRM
TREAT
EVALUATE
Ongoing treatment
ASSESS
CONFIRM
TREAT EVALUATE ASSESS CONFIRM TREAT EVALUATE
Future research
Summary
Chapter 38: Anaphylaxis
Introduction ASSESS
CONFIRM
TREAT
EVALUATE
Investigations
Ongoing management
Hospital admission
Post-discharge management
Anaphylaxis across the lifespan
ASSESS CONFIRM TREAT
EVALUATE
ASSESS
CONFIRM TREAT EVALUATE ASSESS CONFIRM TREAT EVALUATE
