Advanced EMT: A Clinical Reasoning Approach, 2nd edition

Published by Pearson (November 3, 2016) © 2017

  • Melissa Alexander Lake Superior State University, School of Criminal Justice, Fire Science, and EMS
  • Richard Belle Acadian Ambulance/National EMS Academy Lafayette, Louisiana

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For Advanced EMT courses.

Clinical-reasoning skill-building, for the Advanced EMT

Advanced EMT: A Clinical Reasoning Approach helps students complete their Advanced EMT course and ultimately obtain licensure. Drawing on the latest National EMS Education standards, the authors equip students for care delivery grounded in the latest evidence-based guidelines. Rather than simply presenting facts, principles and concepts, they challenge learners to use clinical reasoning to solve patient care problems, preparing them to transfer their skills and knowledge into a future career.

The 2nd Edition covers the latest treatment guidelines and uses of medication, while enhancing content to support the clinical-reasoning approach.

Hallmark features of this title

Practical guidance

  • Chapter-opening Case Studies guide students through real-life EMT emergencies, while framing the importance of chapter content. In lengthier chapters, the case study unfolds throughout the chapter.
  • Chapter-ending Case Study Wrap-ups present the clinical-reasoning process used by the Advanced EMT to address and resolve the problems in each case study.
  • In the Field feature offers hints and tips to prepare students to respond to real-life emergencies.

Learning aids

  • Critical-thinking and multiple-choice questions at the end of each chapter gauge student comprehension.
  • Personal Perspective feature reflects on what Advanced EMTs experience in the field.
  • Pediatric and Geriatric Care Notes highlight key considerations for treating children and older adults.

New and updated features of this title

Skill development for the Advanced EMT

  • UPDATED: The latest treatment guidelines are provided in areas such as field triage (Ch. 14), life-sustaining treatment (Ch. 4) and spinal motion restriction (Ch. 40).
  • EXPANDED: Medication updates include new information on obesity and weight-based medication calculations (Ch. 11 & 12), medications administered via auto-injector (Ch. 12) and the use or abuse of opiates and opioids, synthetic cannabinoids and vaping, and designer drugs (Ch. 32).
  • EXPANDED: In the Field features in Chapter 8 have been expanded and updated to highlight the importance of understanding anatomy and physiology.

Career prep

  • ENHANCED: Clinical reasoning is emphasized in newly added anatomic and systems-based frameworks (Ch. 19) and in a new assessment of specific cardiovascular emergencies (Ch. 21).
  • EXPANDED: Professional skills are addressed in expanded sections on professionalism, social media use and self-directed learning (Ch. 1), new content on mobile integrated health care and community paramedicine (Ch. 1 & 2) and added information on National Health Goals (Ch. 3).
  • EXPANDED: New information on EMS provider mental health covers shift-work disorder (Ch. 3) and mental illness among EMS personnel (Ch. 31).

Highlights of the DIGITAL UPDATE (available for Fall 2024 classes)

Instructors, contact your sales rep to ensure you have the most recent version of the course.

  • UPDATED: Content updates reflect current evidence and practice, aligning the text with the most up-to-date treatment guidelines.
  • UPDATED: Some outdated sources have been removed to ensure students are relying on the most recent available research.

Features of MyLab Brady for the 2nd Edition; published 2016

  • Chapter Audio Review curated by expert authors highlights each chapter’s key concepts.
  • Pretest/Homework/Post Test Learning Path covers all chapter objectives and consists of multiple-choice questions assessing students’ baseline knowledge.
  • Decision-Making Case Studies help learners apply and retain knowledge regarding situations they may encounter in the field.
  • Skills Videos allow students to watch and review critical skills on demand.
  • Multimedia Library gathers all media items in one searchable location.

SECTION 1: PREPARING FOR ADVANCED EMERGENCY MEDICAL TECHNICIAN PRACTICE

  1. Introduction to Advanced Emergency Medical Technician Practice
  2. Emergency Medical Services, Health Care, and Public Health Systems
  3. Workforce Wellness and Personal Safety
  4. Ethical and Medical/Legal Considerations in Advanced EMT Practice
  5. Ambulance Operations and Responding to EMS Calls
  6. Communication and Teamwork

SECTION 2: HUMAN DEVELOPMENT, HEALTH, AND DISEASE

  1. Medical Terminology
  2. Human Body Systems
  3. Life Span Development and Cultural Considerations
  4. Pathophysiology: Selected Impairments of Homeostasis

SECTION 3: PHARMACOLOGY

  1. Principles of Pharmacology
  2. Medication Administration
  3. Medications

SECTION 4: ASSESSMENT AND INITIAL MANAGEMENT

  1. General Approach to Patient Assessment and Clinical Reasoning
  2. Scene Size-Up and Primary Assessment
  3. Airway Management, Ventilation, and Oxygenation
  4. Resuscitation: Managing Shock and Cardiac Arrest
  5. Vital Signs and Monitoring Devices
  6. History Taking, Secondary Assessment, and Reassessment

SECTION 5: MEDICAL EMERGENCIES

  1. Respiratory Disorders
  2. Cardiovascular Disorders
  3. Neurologic Disorders
  4. Endocrine Disorders
  5. Abdominal Pain and Gastrointestinal Disorders
  6. Renal, Genitourinary, and Gynecologic Disorders
  7. Hematologic Disorders
  8. Immunologic Disorders
  9. Infectious Illnesses
  10. Nontraumatic Musculoskeletal and Soft-Tissue Disorders
  11. Disorders of the Eye, Ear, Nose, Throat, and Oral Cavity
  12. Mental Illness and Behavioral Emergencies
  13. Toxicologic Emergencies

SECTION 6: TRAUMA

  1. Trauma Systems and Incident Command
  2. Mechanisms of Injury, Trauma Assessment, and Trauma Triage Criteria
  3. Soft-Tissue Injuries and Burns
  4. Musculoskeletal Injuries
  5. Head, Brain, Face, and Neck Trauma
  6. Thoracic Trauma
  7. Abdominal Trauma
  8. Spine Injuries
  9. Environmental Emergencies
  10. Multisystem Trauma and Trauma Resuscitation

SECTION 7: SPECIAL PATIENT POPULATIONS

  1. Obstetrics and Care of the Newborn
  2. Pediatric Emergencies
  3. Geriatrics
  4. Patients with Special Challenges

SECTION 8: RESCUE AND SPECIAL OPERATIONS

  1. Rescue Operations and Vehicle Extrication
  2. Hazardous Materials
  3. Response to Terrorism and Disasters

APPENDICES

  1. Endotracheal Intubation
  2. Advanced ECG Recognition
  3. Adult Intraosseous Infusion
  4. Additional Emergency Medications

About our authors

Melissa Alexander, EdD, Paramedic, became an EMT-A in 1982 and earned a Certificate in Paramedicine from Home Hospital School of Paramedicine in Lafayette, Indiana, in 1984. She has a BA in Community Health Education from Purdue University, an MS in Health Sciences Education from Indiana University and an EdD in Human Resources Development from The George Washington University. Dr. Alexander is the Senior Director of Planning, Assessment, and Evaluation for Medical Student Education for Indiana University School of Medicine. She is actively involved in national-level innovations in medical education, including the American Medical Association (AMA) Accelerating Change in Medical Education (ACE) grant and the American Association of Medical Colleges (AAMC) initiative for creating entrustment-based curricula and assessments to ensure medical students’ readiness to enter residency.

Dr. Alexander previously served as the Director of the EMS Academy at the University of New Mexico, as an Assistant Professor of Emergency Medicine at The George Washington University, as an Assistant Professor of Criminal Justice, Fire Science and EMS at Lake Superior State University and as a paramedic at Wishard Ambulance Service in Indianapolis. She has authored and contributed to several EMS texts and educational products. Dr. Alexander’s research interests include assessing and improving clinical-reasoning skills and creating valid assessments of learning. She has three daughters, Lindsay (Chris) Giroux, Brittany Streuker and Eleanor Shook; and five grandsons, Asher, Ethan, Grant, Rhys and Jasper. She enjoys bicycling, spending time with family, organic gardening and hanging out with her dogs, Sabrina and Benito.

Richard Belle, BS, NRP, a native of New Orleans, Louisiana, began his EMS career in 1996 after completing EMT-Basic and Paramedic training at Nicholls State University in Thibodaux, Louisiana. Richard has worked throughout south Louisiana as a field paramedic, new employee preceptor, student preceptor and as a flight paramedic. He has been actively involved in EMS education since 1999. Richard served as Education Coordinator for Acadian Ambulance’s southeastern district while he returned to Nicholls State University and earned a Bachelor of Science degree. After four years of teaching EMT Basic and Paramedic courses, he transferred to Lafayette, Louisiana, to serve as Acadian Ambulance’s Continuing Education Coordinator; he was responsible for providing refresher training and continuing education opportunities to medics across Louisiana, Texas and Mississippi. Currently, Richard works in Lafayette, Louisiana, as Continuing Education Manager for Acadian Ambulance and the National EMS Academy. Richard lives in south Louisiana with his wife, Rhonda, and their three children, James, Victoria and Allison.

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