Prehospital Emergency Pharmacology, 8th edition

Published by Pearson (March 30, 2018) © 2019

  • Bryan E. Bledsoe
  • Dwayne E. Clayden DO, FACEP, FAAEM, EMT-P

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For courses in advanced emergency medical services.

A complete guide to need-to-know medications for EMS personnel

Prehospital Emergency Pharmacology is a comprehensive guide to the most common medications and fluids used in prehospital emergency care. A cornerstone of EMS education for over 30 years, the text encompasses the most up-to-date, evidence-based practices of emergency care. It covers accepted practices in the US and Canada, as well as medication dosages meeting national standards of the AMA, AHA and PDR.

The 8th Edition has been extensively revised to reflect current trends in prehospital care. It also examines drugs that are now more commonly used in EMS settings, such as ketamine and haloperidol.

Hallmark features of this title

Both an academic text and a reference guide

  • Profiles of all medications and IV fluids used in EMS settings include classifications, action, indications, contraindications, precautions, side effects, dosages and administration routes.
  • Chapters on each type of emergency contextualize pharmacological approaches.
  • Drug dosages unavailable in the AHA guidelines are taken from national standards in AMA's Drug Evaluations, Physicians' Desk Reference and Pearson's Drug Guide.

Trends impacting emergency care

  • Information on medical research and trends grounds students in the latest science.
  • Coverage of natural and herbal medications equips learners to manage related drug interactions.
  • A chapter on weapons of mass destruction prepares EMS personnel to respond to related events.

New and updated features of this title

Assessment of specific drugs and their uses

  • UPDATED: Several medications now used more commonly in EMS settings have been added.
  • NEW: The use of ketamine to treat excited delirium and pain management is evaluated in this edition.
  • EXPANDED: The evolving role of haloperidol to treat intractable vomiting syndromes and similar conditions is addressed.
  • EXPANDED: The expanding role of magnesium sulfate is now detailed. This agent is now being used more for nontraditional conditions.

Current standards and trends in prehospital emergency care

  • UPDATED: The latest American Heart Association guidelines are reflected in the 8th edition.
  • NEW: The concept of “push-dose pressor” is now discussed.

1. General Information
2. Pharmacokinetics and Pharmacodynamics
3. Administration of Medications
4. Medication Dosage Calculations
5. Fluids, Electrolytes, and Intravenous Therapy
6. The Autonomic Nervous System
7. Medications Used in the Treatment of Cardiovascular Emergencies
8. Medications Used in the Treatment of Respiratory Emergencies
9. Medications Used in the Treatment of Allergic Reactions and Anaphylaxis
10. Medications Used in the Treatment of Metabolic-Endocrine Emergencies
11. Medications Used in the Treatment of Neurological Emergencies
12. Medications Used in the Treatment of Obstetrical and Gynecological Emergencies
13. Medications Used in Toxicological Emergencies
14. Medications Used in the Treatment of Behavioral Emergencies
15. Medications Used in the Treatment of Gastrointestinal Emergencies
16. Sedation and Pain Management
17. Weapons of Mass Destruction

Appendices
A. Glossary of Street Drug Names
B. Emergency Intravenous Fluids Quick Reference Guide
C. Quick Medication Reference
D. Common Home Prescription Drug Information
E. Medication Administration Skills
F. A Guide to Herbal Supplements
G. Practice Problems Answer Key - Chapter 4

About our authors

Bryan E. Bledsoe, DO, FACEP, FAEMS, EMT-P, is an emergency physician, researcher and EMS author. Presently, he is a Professor of Emergency Medicine at the University of Nevada, Las Vegas School of Medicine, and an Attending Emergency Physician at the University Medical Center of Southern Nevada in Las Vegas. He is board-certified in emergency medicine and EMS.

Prior to attending medical school, Dr. Bledsoe worked as an EMT, a paramedic and a paramedic instructor. He completed EMT training in 1974 and paramedic training in 1976 and worked for six years as a field paramedic in Fort Worth, Texas. In 1979, he joined the faculty of the University of North Texas Health Science Center and served as a coordinator of EMT and paramedic education programs at the university.

Dr. Bledsoe is active in emergency medicine and EMS research. He is a popular speaker at state, national and international seminars and writes regularly for numerous EMS journals. He is active in educational endeavors with the United States Special Operations Command (USSOCOM) and the University of Nevada at Las Vegas. Dr. Bledsoe is the author of numerous EMS textbooks and has in excess of 1 million books in print. Dr. Bledsoe was named a “Hero of Emergency Medicine” in 2008 by the American College of Emergency Physicians as a part of their 40th anniversary celebration and was named a “Hero of Health and Fitness” by Men's Health magazine as part of their 20th anniversary edition in November of 2008. He is frequently interviewed in the national media. Dr. Bledsoe is married and divides his time between his residences in Midlothian, TX, and Las Vegas, NV.

Dwayne E. Clayden, MEM, BHSC, PARAMEDIC, is the Director of Emergency Services and Emergency Management for the Stoney-Nakoda First Nation in Morley, Alberta, Canada. He was previously Academic Chair, Prehospital Care Programs in the School of Health and Public Safety at SAIT Polytechnic, Calgary, Alberta, Canada. During his career in emergency services, he has been a Manager, Learning and Development for Alberta Health Services-Emergency Medical Services; Assistant Deputy Chief, Staff Development; and Assistant to the Medical Director for the City of Calgary Emergency Medical Services in Calgary, Alberta, Canada. He was responsible for clinical competency assessment, medical control protocols, field training, prehospital research, quality care, the in-house paramedic program and the tactical EMS team.

In 2000, the Governor General of Canada presented Mr. Clayden with the Exemplary Service Medal for his contributions to EMS in Canada. In 1998, the Alberta Prehospital Professions Association presented him with the Award of Excellence for his contributions to emergency medical services in Alberta.

Mr. Clayden began his career in 1978 as a police officer in Calgary. In 1980, he joined the Calgary Fire Department, Ambulance Division, as an emergency medical technician (EMT). Following his paramedic education at the Southern Alberta Institute of Technology (SAIT), he became a member of the Staff Development Division of the City of Calgary Emergency Medical Services. In 1987, he began his teaching career at SAIT, first in the EMT program and then in 1988 in the paramedic program. In August 2011, he returned to SAIT Polytechnic as the Academic Chair, Prehospital Care Programs.

From 1991 to 1996, Mr. Clayden was the publisher and editor-in-chief of ON SCENE, an EMS periodical for Canadian EMS. He has coauthored two texts with Dr. Bryan Bledsoe for Brady Publishing, Prehospital Emergency Pharmacology and Pocket Reference for EMTs and Paramedics, and coauthored Essentials of Paramedic Care, Canadian Edition. Mr. Clayden is also a fiction writer of crime thrillers.

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