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Emergency Care, 14th edition

Published by Pearson (February 21, 2020) © 2021

  • Daniel Limmer
  • Michael F. O'Keefe Department of Health
  • Edward T. Dickinson Hospital of the University of Pennsylvania

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For courses in emergency medical technician training and emergency medical services.

A standard in EMS education for over 35 years

Emergency Care has provided generations of EMT students with the practical information they need to succeed in the classroom and the field. Using the National EMS Education Standards as a foundation, the text reflects the most current EMS practices. Critical-thinking and decision-based features help students integrate need-to-know material into real-life scenarios.

The 14th Edition has been significantly reorganized to incorporate the assessment, treatment and care of children and older adults. Patient care features have been fine-tuned, and a new Infectious Diseases and Sepsis chapter explores the infectious diseases EMTs encounter.

Hallmark features of this title

Strategically organized material

  • DOT Objectives are listed and follow the DOT numbering system. Each chapter lists the US DOT objectives along with page references.
  • FYI sections broaden students' understanding of individual topics and provide material that goes beyond the DOT objectives.
  • Chapter Review sections include a summary of key points, key terms and definitions, review questions, case studies and more.

Real-world guidance

  • Street Scenes place chapter concepts within the context of real-life calls.
  • Decision Points call out key decisions that are made during assessment and care of a patient.
  • Critical Decision-Making exercises give students practice making patient-care choices on the scene.

New and updated features of this title

New focus on children and older adults, plus revised guidance

  • NEW: Pediatric and Geriatric assessment, care and treatment is integrated throughout the text. Each chapter now includes patient scenarios covering a range of ages.
  • UPDATED: The most current American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care are adhered to in all chapters of the text.
  • NEW: The Patient Care feature that appears in clinical chapters has been fine-tuned to address Principles of Care FIRST. It's followed by actions the EMT may need to employ in patient care.

New and reworked content

  • NEW: A new Infectious Diseases and Sepsis chapter (Chapter 24) gives an overview of common infectious diseases EMTs may encounter. It also describes the conditions that lead to sepsis and signify sepsis may be occurring.
  • UPDATED: The Secondary Assessment chapter was reworked into three more focused chapters that cover specific aspects of the EMT's role and care of patients.
  • UPDATED: The Operations section (Section 7) includes new triage procedures and updated guidelines for handling incident scenes.

Features of MyLab Brady for the 14th Edition

  • Street Scene Videos demonstrate key concepts in real-life EMS scenarios.
  • Decision-Making Cases assess competency of critical skills in knowledge and action.
  • Learning Modules let students review topics through a self-paced interactive design.
  • Student results can be viewed by chapter, outcome, homework and more, to help identify where more classroom time is needed.
  • Pearson eText is an easy-to-use digital textbook available within MyLab. It lets students read, highlight and take notes all in one place, even offline.
  • A robust gradebook gives you multiple views showing how your class is progressing. Customizable and exportable, the gradebook can be adapted to meet your specific needs.

SECTION 1: FOUNDATIONS

  1. Introduction to Emergency Medical Care
  2. Well-Being of the EMT
  3. Lifting and Moving Patients
  4. Medical, Legal, and Ethical Issues
  5. Medical Terminology
  6. Anatomy and Physiology
  7. Principles of Pathophysiology
  8. Life Span Development

SECTION 2: AIRWAY MANAGEMENT, RESPIRATION, AND ARTIFICIAL VENTILATION

  1. Airway Management
  2. Respiration and Artificial Ventilation

SECTION 3: PATIENT ASSESSMENT

  1. Scene Size-Up
  2. Primary Assessment
  3. Vital Signs and Monitoring Devices
  4. Principles of Assessment
  5. Secondary Assessment
  6. Reassessment
  7. Communication and Documentation

SECTION 4: MEDICAL EMERGENCIES

  1. General Pharmacology
  2. Respiratory Emergencies
  3. Cardiac Emergencies
  4. Resuscitation
  5. Diabetic Emergencies and Altered Mental Status
  6. Allergic Reaction
  7. Infectious Diseases and Sepsis
  8. Poisoning and Overdose Emergencies
  9. Abdominal Emergencies
  10. Behavioral and Psychiatric Emergencies and Suicide
  11. Hematologic and Renal Emergencies

SECTION 5: TRAUMA EMERGENCIES

  1. Bleeding and Shock
  2. Soft-Tissue Trauma
  3. Chest and Abdominal Trauma
  4. Musculoskeletal Trauma
  5. Trauma to the Head, Neck, and Spine
  6. Multisystem Trauma
  7. Environmental Emergencies

SECTION 6: SPECIAL POPULATIONS

  1. Obstetric and Gynecologic Emergencies
  2. Emergencies for Patients with Special Challenges

SECTION 7: OPERATIONS

  1. EMS Operations
  2. Hazardous Materials, Multiple-Casualty Incidents, and Incident Management
  3. Highway Safety and Vehicle Extrication
  4. EMS Response to Terrorism

About our authors

Daniel Limmer began working in EMS in 1978. He became an EMT in 1980 and a paramedic in 1981. Currently, he is a lecturer at Central Washington University in Ellensburg, Washington, and an adjunct faculty member at Eastern Maine Community College in Bangor, Maine. He especially enjoys teaching patient assessment and believes critical thinking and decision-making skills are the key to successful clinical practice of EMS. In addition to his EMS experience, he was a dispatcher and police officer in upstate New York. Daniel works part time as a freelance photojournalist and is working on a documentary project photographing EMS people and agencies throughout the United States. Daniel lives in Maine with his wife, Stephanie, and daughters Sarah and Margo. He is a Jimmy Buffett fan (Parrothead) who attends at least one concert each year.

Michael F. O'Keefe is an EMT Provider Level Leader for National EMS Education Standards. He served as an expert writer for 1994 revision of EMT-Basic curriculum. He has been an EMS volunteer since college in 1976. He is a member of the development group for the National EMS Education Agenda for the Future: A Systems Approach and The National EMS Scope of Practice Model. Michael has a special interest in EMS research and earned a master's degree in biostatistics. He is a past chairperson of the National Council of State EMS Training Coordinators. Michael's interests include science fiction, travel, foreign languages and stained glass.

Edward T. Dickinson is the medical director of the Malvern, Berwyn and Radnor Fire Companies in Pennsylvania. He was first certified as an EMT in 1979 in upstate New York and has been continuously certified as a National Registry Paramedic since 1983. In 1985, was the first volunteer firefighter to receive the top award from Firehouse Magazine for heroism for the rescue of two elderly women trapped in a house fire. Edward has a full-time academic emergency medicine practice at Penn Medicine in Philadelphia, where he also serves as the Medical Director for PENNStar Flight. He is board certified in both Emergency Medicine and Emergency Medical Services. He has served as medical editor for numerous Brady EMT and First Responder texts. Edward lives in Chester County, Pennsylvania, where he is married to Debbie and has two sons, Steve and Alex.

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