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ACLS for EMT-Basics

Author(s): American Academy of Orthopaedic Surgeons (AAOS)
Mike Smith, BS, MICP, Tacoma Community College, Washington
Details:
  • ISBN-13: 9780763743956
  • ISBN-10:076374395X
  • Paperback    128 pages      © 2003
Price: International Sales $60.95 US List
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Overview

EMT-Basics can find themselves in critical situations that require advanced cardiac life support (ACLS). Although EMT-Bs are not trained to provide advanced-level skills, there is much they can do to improve the quality of management and thus the patient’s chance for survival by understanding ACLS and facilitating its administration by ALS providers. ACLS for EMT-Basics familiarizes the reader with cardiac emergencies and skills used to manage them.

Although EMT-Basics are not trained to provide advanced cardiac life support (ACLS), there is much they can do to improve the quality of management and thus the patient's chance for survival in a cardiac emergency.

When the EMT-Basic in the field is faced with the decision of whether or not to request a Paramedic unit, and when the Paramedic unit arrives, the EMT-Basic will be a more integral part of the team due to the base knowledge attained from this program.  This text can be used in an ACLS training course for EMT-Basics, or as a supplement in an EMT-Basic course.

Specific strengths include:

  • A good review of BLS procedures (i.e. oral airway placement, assessing the airway, etc.)
  • An in-depth explanation of myocardial oxygen demand versus supply (surpasses EMT-B Curriculum)
  • Clear differentiation between angina pectoris and acute myocardial infarction (AMI) disease processes (surpasses EMT-B Curriculum)
  • A writing style which presents advanced material in a manner that is easy to understand.

Includes coverage of:

  • BLS and ALS team approach
  • Prevention of sudden cardiac arrest
  • Airway evaluation and control
  • ECG rhythm analysis
  • Electrical interventions
  • Cardiac pharmacology
  • Challenging resuscitation situations
  • Legal and ethical considerations

ShowTable of Contents

Chapter 1:  The EMT-B and the Advanced Life Support Team
Sudden Cardiac Arrest
ALS and the EMT-B
BLS and ALS: The Team Approach
Goals for Patient Care
Prevention of Sudden Cardiac Arrest in the Field
When the Patient Experiences Sudden Cardiac Arrest
What to Expect When ALS Arrives
Wrap Up

Chapter 2:  Airway Evaluation and Control
Anatomic Issues
Mechanical Considerations
Chemical Processes/Gas Exchanges
Primary Adjuncts for Airway Control
Preparing the Patient
Preparing the Equipment
Intubating the Patient
Wrap Up

Chapter 3:  From Angina to AMI: The Cardiac Care Continuum
The Progression of Cardiac Disease
Assessment of the Cardiac Patient
Key Concepts of Emergency Cardiac Care
Wrap Up

Chapter 4:  Rhythms of the Heart
The Pump of a Lifetime
The Fundmentals of Cardiac Rhythm Analysis
Step 1 of Rhythm Analysis
Step 2 of Rhythm Analysis
Cardiac Rhythms
Wrap Up

Chapter 5:  Electrical Interventions in Cardiac Care
Defibrillation
Types of Defibrillators
Automated Implantable Cardiac Defibrillators
EMT-B Interventions
Smooth Transition to ACLS Care
Defibrillator Care and Maintenanace
Cardioversion
Cardiac Pacing
Wrap Up

Chapter 6:  The Fundamentals of Cardiac Pharmacology
The Language of Pharmacology
Common Cardiac Drugs
Intravenous Therapy
Wrap Up

Chapter 7:  Challenging Resuscitation Situations
Stroke or Brain Attacks
Risk Factors for Stroke
The Events Leading Up to a Stroke
Prehospital Care of the Stroke Patient
Trauma-induced Cardiac Arrest
Hypothermia
Electrical Injuries
Lightning-related Injuries
Drug-related Cardiac Emergencies
Considerations with Pediatric and Neonatal Resuscitation
Wrap Up

Chapter 8:  Legal Considerations
Obtaining Consent to Treat
Good Samaritan Laws
Public Access Defibrillation Legislation
Advance Directives
Lawsuits
Wrap Up

Chapter 9:  Provider Care. . .Taking Care of You!
Emotions, Medicine, and You
The Stress of EMS
Teamwork and EMS
Death and Dying
Reaching Out to Others
Wrap Up

Chapter 10:  Putting It All Together
Early Access to ALS
Cardiopulmonary Resuscitation
Airway Control and Oxygen Therapy
Cardiac monitoring
Intravenous Therapy
Drug Therapy
Defibrillation
Documentation
Scene Choreography
Wrap Up

Glossary


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ShowAbout the Author(s)

American Academy of Orthopaedic Surgeons (AAOS)

The American Academy of Orthopaedic Surgeons (AAOS) provides education and practice management services for orthopaedic surgeons and allied health professionals. The Academy also serves as an advocate for improved patient care and informs the public about the science of orthopaedics. Founded at Northwestern University as a not-for-profit organization in 1933, the Academy has grown from a small organization serving less than 500 members to the world's largest medical association of musculoskeletal specialists. The Academy now serves about 24,000 members internationally.

Additional Titles by this Author

Mike Smith, BS, MICP-Tacoma Community College, Washington

Additional Titles by this Author

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ShowReviews

  • "This is a great course! The material covered will greatly help our EMT-Basics understand advanced life support skills and offer better support on an ALS level transport."

    Butch Russell
    North East Mobile Health Services
    S. Portland, Maine

     

    Reviewed in the June issue of EMS Magazine.
    Review by Norm Rooker

    There seems to be a growing trend in EMS to run ALS ambulances with a one-and-one configuration.  That is, with one EMT and one paramedic.  This is done for several reasons.  It is cheaper for many providers to pay for an EMT and paramedic rather than two paramedics.  Plus, for the last several years, many parts of the U.S. have experienced a paramedic shortage, and going to one-and-one is a strategy that keeps ALS units in service.  Whatever the reason, this puts a lot of pressure on the paramedic.  To help fill the gab between BLS and ALS providers, long-time and well-known paramedic, EMS educator, speaker and author Mike Smith has developed ACLS for EMT-Basics, one of the seven-part EMT continuing education series from the American Academy of Orthopedic Surgeons.  

    ACLS for EMT-Basics came about as a workshop idea of the same name, hatched up between Mike Smith and Baxter Larmon, another highly popular and well-known EMS educator and speaker who wrote the forward on this book.  They’ve been giving their ever-expanding workshop at various EMS conferences over the years. I called Smith for a brief insight into the book, which doesn’t so much create junior paramedics or a “paramedic-lite” EMT as it does ALS assistants who are more informed and involved members of the ALS team. 

    Smith explains that ACLS for EMT-Basics was designed to be a supplemental text to accompany the course.
     “This is true continuing-ed, not refresher training, but a real sharing of new knowledge to assist the EMT into taking a more active role in working with his or her paramedic partner in running ALS calls,” says Smith.  “As such, this book is a bit different.  It’s not designed to be read cover-to-cover prior to or instead of taking the course.  Rather, it’s designed to be read as the EMT takes each module.  For instance, we take the current 58 hours of pharmacology that a paramedic student receives and distill them down to a two-hour module covering the standard drugs for various medical conditions, why and how they’re given and how to know if they are achieving the desired effect.”

    Richly supported with photos, sidebars, glossaries and a website, ACLS for EMT-Basics is a well-written, succinct (only 125 pages) aid to helping and EMT become a true ALS assistant and not just a paramedic’s driver and scribe.  In fact, I have recommended it to my department for inclusion in the four-day EMT preparation program all our new firefighters go through before they do their four-month rotation on the ambulance as part of probation.

    There is also a separate instructor’s tool-kit CD-ROM available.  For more information, visit www.jbpub.com, or call 800-832-0034.

    Norm Rooker is a paramedic firefighter, in that order, and is frequently detailed as an acting rescue captain/paramedic supervisor for the San Francisco Fire Dept. He has been active in EMS since 1973 and is a member of his department’s technical rescue committee and surf and cliff rescue teams.


    "ACLS for EMT-Basics is one of the better training manuals I have seen on the subject.  It takes the EMT-B to the next EMS support level in patient care.  The more an EMT-B can do to support the ALS provider, the more effective the EMS team becomes.  This manual should be used in a bridge class and I will recommend ACLS for EMT-Basics to my Training Chief and Course Director."

    Al M. Slarve
    EMT Instructor, Cochise College
    Lt. Fry Fire District

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ShowResources

    • show overview$202.95 Instructors Only

      Instructor's ToolKit CD-ROM

      ISBN-13: 9780763746759 ISBN-10: 0763746754

      Preparing for a class is easy with the resources found on this CD-ROM including:

      • PowerPoint presentations
      • Lecture Outlines
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