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More About This Title Fundamentals of Paramedic Practice - A SystemsApproach, Includes Wiley E-text
English
An essential text for the aspiring student paramedic, Fundamentals of Paramedic Practice makes paramedic science and pre-hospital care accessible, straightforward and exciting. It assumes no prior knowledge of the subject, presenting the must-have information that students need about both the theory and practice of what it means to be a paramedic. With extensive full-colour illustrations throughout, as well as activities and scenarios, this user-friendly textbook will support paramedic students throughout their course.
English
ABOUT THE EDITORS
Sam Willis is Lecturer in Paramedic Sciences at the University of Tasmania, Sydney, Australia.
Roger Dalrymple is Principal Lecturer for the Professional Education and Leadership Programmes at Oxford Brookes University, Oxford, UK.
English
About the series xvii
Contributors xviii
Preface xxi
Acknowledgements xxiii
How to use your textbook xxiv
About the companion website xxviii
Part One Theory and Background
Chapter 1 Professionalism in paramedic practice 3
Netta Lloyd-Jones
Introduction 4
Professionalism in paramedic practice 4
Defining professionalism 5
Professionalism as ethical practice 6
Professional identity, socialisation and culture 6
How do students learn professionalism? 7
Assessment and standards of professionalism 9
Regulatory areas, fitness to practise processes and outcomes 9
Conclusion 10
Activities 11
Glossary 11
References 12
Chapter 2 Human factors of paramedic practice 14
Sam Willis
Introduction 15
Background 16
Defining human factors 16
Human factors of paramedic practice 16
Hazardous attitudes 21
Crew resource management (CRM) 23
Conclusion 24
Activities 25
Glossary 27
References 28
Chapter 3 Communication skills for the pre-hospital professional 29
Sam Willis
Introduction 30
Background 31
The importance of effective communication 31
A model of communication 32
Non-verbal communication 33
Verbal communication 38
Effective listening 39
Empathy 40
Barriers to effective communication in the pre-hospital setting 40
Conclusion 42
Activities 42
Glossary 43
References 44
Chapter 4 Sociological aspects of paramedic practice 46
Kellie Tune
Introduction 47
The sociological imagination 47
Three sociological paradigms 48
The sociocultural context of health 51
Medicalisation and demedicalisation 52
Conclusion 53
Activities 53
Glossary 55
References 56
Chapter 5 Legal and ethical aspects of paramedic practice 58
Sam Willis, Nevin Mehmet
Introduction 59
Ethical aspects of paramedic practice 63
Conclusion 67
Activities 67
Glossary 67
References 68
Chapter 6 The psychology of paramedic care 70
Heather Knight, Helen Pocock
Introduction 71
Llewellyn’s core domains of clinical health psychology 71
Psychological concepts of health 75
Influences of a loss of control on health 75
Psychological considerations for the paramedic 77
The system 79
Conclusion 80
Activities 80
Glossary 82
References 83
Chapter 7 The role of leadership in paramedic practice 85
Roger Dalrymple
Introduction 86
Theories of leadership: a brief overview 88
Definitions of leadership 88
From leaders to leadership behaviours 88
Leadership styles and approaches 89
Leadership at the individual level 91
Leadership and the mentoring or supervisory role 92
Leadership and teamwork 93
Conclusion 95
Activities 95
Glossary 96
References 97
Chapter 8 Safeguarding vulnerable people 98
Rozz McDonald
Introduction 99
Background 99
Legislation and Policy 100
Types of abuse and neglect 101
Recognising abuse and neglect 103
How do you assess seriousness? 109
Practice principles of safeguarding 109
Paramedic responsibilities 109
Responding to abuse and neglect 111
Conclusion 112
Activities 112
Glossary 113
References 114
Chapter 9 Introduction to medicines in pre-hospital care 116
Edward England
Theories and principles 117
Cardiovascular system 121
Parasympathetic nervous system 122
Sympathetic nervous system 122
Antiarrhythmics 124
Angina and hypertension 124
Left ventricular failure (LVF) 125
Respiratory system 125
Endocrine system 126
Pain 128
Nausea and vomiting 131
Conclusion 133
Activities 133
Glossary 133
References 134
Chapter 10 The role of reflection in paramedic practice 136
Sally Markwell, Andrew Kerry
Introduction 137
‘Reflection’: what are we talking about? 138
Models and methods of reflection 139
From models to methods and skills 143
Becoming a reflective practitioner in paramedic practice 145
Conclusion 146
Activities 146
Glossary 148
References 148
Chapter 11 Research methods and paramedic practice 150
Jan Davison-Fischer, Catherine J. Davison-Fischer
Introduction 151
Qualitative and quantitative research 151
Ethics 152
Literature reviews 154
Case reports 155
Case control studies 155
Questionnaire studies 155
Interview studies 158
Focus group studies 158
Observational and participatory studies 159
Before-and-after studies and routinely collected data 159
Randomised controlled trials 159
Longitudinal cohort and panel studies 160
Conclusion 160
Activities 160
Glossary 161
References 162
Chapter 12 Using simulation to educate the pre-hospital healthcare professional 163
Clair Merriman
Introduction 164
Definition of simulation 164
History of simulation 165
Simulation and paramedic practice 166
The simulated learning environment 166
Pedagogic principles of simulation 167
Types of simulation and equipment 170
Getting the most out of simulated sessions 172
Conclusion 175
Activities 175
Glossary 176
References 177
Part Two Assessment and Application
Chapter 13 Trauma 181
Charlie McGurk, Sam Willis
Introduction 182
Head injuries 182
Facial injuries 185
Neck and back injuries 186
Chest injuries 187
Abdominal injuries 188
Pelvic injuries 190
Limb injuries 190
Upper limb injuries 191
Conclusion 192
Activities 192
Glossary 193
References 194
Chapter 14 Pre-hospital electrocardiography 195
Nathan Puckeridge
Introduction 196
What is an ECG? 196
The P, Q, R, S and T waves 197
Evaluating the ECG 198
Heart rate 198
Heart rhythm 198
The ‘P’-wave 198
The ‘QRS’ complex 199
The ‘T’-wave 200
The ‘PR’ interval 200
Atrioventricular (AV) heart blocks 200
Performing and reviewing a 12-lead ECG 201
Acute coronary syndromes and the ECG 203
Idioventricular rhythm 204
Bundle branch blocks 204
Conclusion 205
Activities 205
Glossary 206
References 207
Chapter 15 Assessing the cardiac system 208
Mark Ives, Sam Willis
Introduction 209
The heart 209
Common cardiac conditions 211
Patient assessment 215
Conclusion 220
Activities 221
Glossary 221
References 222
Chapter 16 Assessing the nervous system 223
Clair Merriman
Introduction 224
The nervous system: structure and function 224
Central nervous system 225
Peripheral nervous system 228
Upper and lower motor neurones 230
The history and physical examination 231
Detecting increased in intracranial pressure (ICP) 239
Conclusion 240
Activities 240
Glossary 240
References 241
Chapter 17 Assessing the abdomen 242
Matthew Faulkner
Introduction 243
Abdominal anatomy and physiology 243
History-taking 247
Abdominal physical assessment 251
The nature of abdominal pain 253
The acute abdomen 256
Important abdominal pathologies 256
Conclusion 258
Activities 259
Glossary 260
References 261
Chapter 18 Respiratory assessment 262
Dan Staines
Introduction 263
Anatomy of the respiratory system 263
Lungs and pleural membranes 265
Mechanism of breathing 265
Pathophysiology of respiratory conditions 266
Respiratory system assessment 266
‘Eyeballing’ the scene (also known as a global overview) 267
‘Eyeballing’ the patient (patient assessment triangle) 267
Primary survey 269
Subjective history 269
Secondary survey 270
Chest examination 273
Conclusion 279
Activities 279
Glossary 280
References 280
Chapter 19 Paramedic skills 281
Roshan Raja
Introduction 282
Airway 282
Ventilation 291
Circulation 292
Conclusion 296
Activities 296
Glossary 298
References 298
Chapter 20 Pre-hospital obstetrics 300
Robb Kightley
Introduction 301
Normal (physiological) birth 301
Birth phases 302
Preparing for the birth 304
Paramedic intervention following normal childbirth 306
Birth complications 307
Conclusion 311
Activities 311
Glossary 312
References 313
Chapter 21 Paediatrics 314
Sam Whitby
Introduction 315
Paediatric anatomy and physiology 315
Pediatric examination 317
Paediatric assessment triangle (PAT) 318
Paediatric emergencies 320
Conclusion 327
Activities 327
Glossary 327
References 328
Chapter 22 Managing medical emergencies 329
Bonita Baber, Sam Willis
Introduction 330
Respiratory emergencies 330
Cardiac emergencies 338
Neurological emergencies 341
Metabolic disorders 344
Immunological emergencies 348
Conclusion 349
Activities 349
Glossary 349
References 350
Chapter 23 Managing the older adult 352
Helen Pocock, Heather Knight
Introduction 353
Physiology of ageing 353
Ageing and health psychology 355
Long-term conditions in the ageing population 357
Poly-pharmacy and pharmacology in ageing 359
Conclusion 361
Activities 361
Glossary 361
References 362
Chapter 24 Managing minor injuries in the pre-hospital setting 364
Craig Barlow
Introduction 365
Background 366
The importance of history-taking 366
Examination 367
Minor head injury 370
Nose injury 371
Wound care and assessment 372
Ankle injury 374
Minor burn 375
Conclusion 376
Activities 376
Glossary 377
References 379
Chapter 25 Mental capacity and pre-hospital care 380
Sue Putman
Introduction 381
What is mental capacity? 381
How do we make decisions? 382
The five principles 383
Additional mental capacity safeguards 387
Legal aspects of mental capacity 388
Conclusion 390
Activities 391
Glossary 391
References 392
Chapter 26 Mental health and pre-hospital care 393
Sue Putman
Introduction 394
What is ‘mental health’? 394
What are ‘mental disorder’ and ‘mental illness’? 395
Emotions (mood) and behaviour 397
ABC model of emotion 397
Brief outline of common mental illnesses 398
General strategies to help all mental health conditions in the pre-hospital environment 403
Mental Health Act 1983 (amended 2007) England and Wales (MHA) 403
Conclusion 404
Activities 404
Glossary 404
References 405
Chapter 27 Supporting people with learning disability as a pre-hospital professional 407
Jenny Begley, Mark Begley, Sam Willis
Introduction 408
Background 408
Conditions and syndromes associated with learning disability 409
Dispelling common assumptions relating to LD patients 411
Pre-hospital management considerations for the patient with an LD 413
Conclusion 414
Activities 414
Glossary 415
References 416
Chapter 28 Attending major incidents in paramedic practice 417
Gail Rowntree
Introduction 418
Civil Contingency Act 2004 419
Reality vs. theory: interview with A 420
How to manage a site 421
First attendant crew 422
What a major incident scene looks like 422
Reality of attending a major incident: interview with B 423
Triage 424
Media 425
Self-care 425
Building resilience 426
Conclusion 427
Activities 427
Glossary 428
References 429
Answers to activities 430
Index 451
English
“Overall this is packed with goodies: interactive resources, photographs, illustrations, glossaries of terminology, references, additional suggested reading and supplementary information in tabular format. The ability of the editors to combine all of these into a coherent whole is commendable in itself. Positive stuff.” (Journal of Paramedic Practice, 1 June 2015)
