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Nancy Caroline's Emergency Care in the Streets, Seventh Edition

Author(s): American Academy of Orthopaedic Surgeons (AAOS)
Nancy L. Caroline
Bob Elling, MPA, EMT-P
Mike Smith, BS, MICP, Tacoma Community College, Washington
  • ISBN-13: 9781449645861
  • Product With Access Code    1486 pages      © 2013
Price: $318.95 US List
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Paramedic Digital Curriculum Solution Packages
Technology and content combine to expand the reach of Paramedic education.

Nancy Caroline's Emergency Care in the Streets, Seventh Edition is the next step in the evolution of the premier paramedic education program. This legendary paramedic textbook was first developed by Dr. Nancy Caroline in the early 1970s and transformed paramedic education. Today, the American Academy of Orthopaedic Surgeons is proud to continue this legacy and set the new gold standard for the paramedics of tomorrow.

The Seventh Edition reflects the collective experience of its top-flight author team and decades of street wisdom. This fully updated, two-volume edition covers every competency statement of the National EMS Education Standards for paramedics with clarity and precision in a concise format that ensures student comprehension and encourages critical thinking. This edition emphasizes the ideal that becoming a paramedic is a continual pursuit of growth and excellence throughout an entire career. Concepts of team leadership and professionalism are woven throughout the chapters, challenging students to become more compassionate, conscientious health care professionals as well as superior clinicians.

Interested in learning more? Visit our Navigate website for:

Nancy Caroline's Emergency Care in the Streets Premier Package
Nancy Caroline's Emergency Care in the Streets Preferred Package
Nancy Caroline's Emergency Care in the Streets Advantage Package, Print Edition
Nancy Caroline's Emergency Care in the Streets Advantage Package, Digital Edition
Navigate TestPrep:Nancy Caroline's Emergency Care in the Streets
Navigage Course Manager: Nancy Caroline's Emergency Care in the Streets

The "sandbox" environment is designed to allow instructors the opportunity to test system functionality. The entire site automatically resets to its original appearance every 5 hours.   Take a tour of a "live" sample chapter or lesson right from your desktop by clicking the "sandbox" link. Use the posted username and password to log in.

Features & Benefits

  • “Setting a Standard for Excellence” is the central theme of the Seventh Edition: The text addresses both skills and knowledge needed to be excellent clinicians and also the affective behavior and professionalism required to be outstanding health care providers
  • Complete coverage of all paramedic-level competency statements in EMS Education Standards
  • Expanded coverage of cardiovascular emergencies, pathophysiology, and pharmacology
  • A single, comprehensive Patient Assessment chapter
  • Expanded progressive case studies with complete patient care reports
  • Complete audio book available on the companion web site

Applicable Courses

This is a core training program for Paramedics, following the National Education Standards.

Section  1  Preparatory
Chapter  1  EMS Systems
Chapter  2  Workforce Safety and Wellness
Chapter  3  Public Health
Chapter  4  Medical, Legal, and Ethical Issues
Chapter  5  Communications
Chapter  6  Documentation
Section  2  The Human Body and Human Systems
Chapter  7  Anatomy and Physiology
Chapter  8  Pathophysiology
Chapter  9  Life Span Development
Section  3  Pharmacology
Chapter  10  Principles of Pharmacology
Chapter  11  Medication Administration
Chapter  12  Medication Formulary
Section  4  Patient Assessment
Chapter  13  Patient Assessment
Chapter  14  Critical Thinking and Clinical Decision Making
Section  5  Airway Management
Chapter  15  Airway Management and Ventilation
Section  6  Medical
Chapter  16  Respiratory Emergencies
Chapter  17  Cardiovascular Emergencies
Chapter  18  Neurologic Emergencies
Chapter  19  Diseases of the Eyes, Ears, Nose, and Throat
Chapter  20  Abdominal and Gastrointestinal Emergencies
Chapter  21  Genitourinary and Renal Emergencies
Chapter  22  Gynecologic Emergencies
Chapter  23  Endocrine Emergencies
Chapter  24  Hematologic Emergencies
Chapter  25  Immunologic Emergencies
Chapter  26  Infectious Diseases
Chapter  27  Toxicology
Chapter  28  Psychiatric Emergencies
Section  7  Trauma
Chapter  29  Trauma Systems and Mechanism of Injury
Chapter  30  Bleeding
Chapter  31  Soft-Tissue Trauma
Chapter  32  Burns
Chapter  33  Face and Neck Trauma
Chapter  34  Head and Spine Trauma
Chapter  35  Chest Trauma
Chapter  36  Abdominal and Genitourinary Trauma
Chapter  37  Orthopaedic Trauma
Chapter  38  Environmental Trauma
Section  8  Shock and Resuscitation
Chapter  39  Responding to the Field Code
Chapter  40  Management and Resuscitation of the Critical Patient
Section  9  Special Patient Populations
Chapter  41  Obstetrics
Chapter  42  Neonatal Care
Chapter  43  Pediatric Emergencies
Chapter  44  Geriatric Emergencies
Chapter  45  Patients With Special Challenges
Section  10  Operations
Chapter  46  Transport Operations
Chapter  47  Incident Management and Multiple-Casualty Incidents
Chapter  48  Vehicle Extrication and Special Rescue
Chapter  49  Hazardous Materials
Chapter  50  Terrorism
Chapter  51  Disaster Response
Chapter  52  Crime Scene Awareness

American Academy of Orthopaedic Surgeons (AAOS)

With more than 38,000 members, the American Academy of Orthopaedic Surgeons ( or, is the premier not-for-profit organization that provides education programs for orthopaedic surgeons and allied health professionals, champions the interests of patients and advances the highest quality of musculoskeletal health. Orthopaedic surgeons and the Academy are the authoritative sources of information for patients and the general public on musculoskeletal conditions, treatments and related issues.

More than one in four Americans have bone or joint health problems, making them the greatest cause of lost work days in the U.S. When orthopaedic surgeons restore mobility and reduce pain, they help people get back to work and to independent, productive lives. Orthopaedic surgeons keep this “Nation in Motion.” To learn more about A Nation in Motion campaign, or to read hundreds of patient stories or to submit your own story, visit

Additional Titles by this Author

Nancy L. Caroline

Nancy Lee Caroline was born in a Boston suburb to Leo and Zelda Caroline in 1944. Nancy had a strong social conscience and devoted her life to medicine, teaching, and her patients—and she had a superb sense of humor. She has often been rightly called the Mother of Paramedics because of her dedication to paramedic education. She died of multiple myeloma at age 58 in 2002.

Nancy’s medical career began at the young age of 15 in the pathology laboratory of the famous Benjamin Castleman, MD, at Massachusetts General Hospital, where she conducted medical research long before she entered college. Nancy majored in linguistics at Radcliffe College, and received her MD from Case Western Reserve University in 1977. Thereafter she took a fellowship in Critical Care Medicine at the University of Pittsburgh. It was here that she began her groundbreaking work in paramedicine.

Around that time, the late Peter Safar, MD, was overseeing a US Department of Transportation grant to create a curriculum for paramedics. Dr. Safar offered Nancy an opportunity, as medical director of Freedom House Enterprises Ambulance Service, to train paramedics chosen from a group of African-American men who did not have a chance to complete their high school educations. Nancy was extremely successful—so successful that she was asked to write a curriculum for paramedic training, a curriculum that was published as the first edition of Emergency Care in the Streets.

The list of Nancy’s other accomplishments is long. She served as the first medical director of Israel’s Red Cross society, Senior Medical Officer of the African Medical and Research Foundation (AMREF), consultant for the League of Red Cross Societies, director of medical programs for the American Joint Distribution Committee in Addis Ababa, medical consultant for the Center for Educational Technology, and adjunct professor at the University of Pittsburgh’s medical school. She also performed significant volunteer work focused on humanitarian efforts, such as providing better nourishment and health care to orphans and founding a hospice program in Upper Galilee.

Nancy left the world too soon, but unquestionably left the world a better place.

Bob Elling, MPA, EMT-P

Bob has been involved in EMS since 1975. He is a full time clinical instructor for Albany Medical Center working in the Hudson Valley Community College Paramedic Program. He is also a paramedic with the Town of Colonie EMS Department, Times Union Center, and Whiteface Mountain Medical Services. He has served as National and Regional Faculty for the AHA, and Regional Faculty for the NYS Bureau of EMS. He also has served as a paramedic and lieutenant for NYC EMS, a Paramedic Program Director, Associate Director of the NYS EMS Bureau, and the Education Coordinator for PULSE: Emergency Medical Update.


He is an author/coauthor of these Jones and Bartlett/AAOS books: Paramedic: Anatomy and Physiology, Paramedic: Pathophysiology, Paramedic: Pharmacology, Paramedic Field Guide, Student Workbook for Emergency Care in the Streets, and Editor of Nancy Caroline's Emergency Care in the Streets.


Bob was also a co-author of the National First Responder, Paramedic and EMT-Intermediate curricula, the 2007 Paramedic Practice Guidelines, as well as a co-author of the AHA Guidelines 2005 which have paved the way to improving successful resuscitation of cardiac arrest.  He is an AHA Board member and a passionate advocate for strengthening the links in the chain of survival.

Additional Titles by this Author

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

Additional Titles by this Author
  • “I like the writing style; it presents material simply and thoroughly. I really enjoy the way the book addresses the reader, not simply presenting information. The book becomes the instructor, not just a resource.”

    Kerry Sousa Pomelow
    Paramedic, Education Coordinator
    Maine EMS
    Canaan, Maine

  • “In comparison to the equivalent chapter in competitor's materials, Nancy Caroline's chapter is superior. ”

    Anthony Rowley, EMT-P
    All State Career School
    Lansdowne, Pennsylvnia

  • The new Caroline Cardiology chapter reflects current trends and demands on a national level that help the student understand the importance of all around cardiac care. The gradual increase in knowledge from introduction to mastering the skills of 12-lead ECG have been written well and support the today and future demands of EMS and better cardiac care in the field.

    David Glendenning, Education and Training Officer
    New Hanover Regional EMS
    Wilmington, North Carolina

Instructors Only

Instructor's ToolKit DVD

ISBN-13: 9781449636098 ISBN-10: 1449636098

The DVD includes:

  • Powerpoint presentations with embedded video and animations
  • Lecture Outlines
  • Teaching tips, enhancements, support materials, and preparation guidance
  • Student activities and assignment
  • Image and table bank
  • Skill sheets
  • Answers to end-of-chapter student questions
Please contact your sales rep to order

Instructor's TestBank

ISBN-13: 9781449636883

This powerful evaluation tool allows educators to gauge student competency through both general knowledge and critical-thinking questions. Each scenario-based, multiple-choice question is page-references to the Seventh Edition. Educators can originate tailor-made tests quickly and easily by selecting, editing, and printing a test along with an answer key.


Student Workbook

ISBN-13: 9781449609245

This resource is designed to encourage critical-thinking and aid comprehension of the course material through a variety of activities:

  • Realistic and engaging case studies
  • ECG interpretation exercises
  • "What would you do?" scenarios
  • Skill drill activities
  • Anatomy labeling exercises
  • Medical vocabulary building exercises
  • Complete the Patient Care Report

Navigate TestPrep: Paramedic

ISBN-13: 9781449609252 ISBN-10: 1449609252

Begin the task of studying for your state or national Paramedic certification examination by concentrating on those subject areas where you need the most help.

This dynamic program is designed to prepare you to sit for your state or national Paramedic certification examination by including the same type of questions you are likely to encounter in a similar electronic environment.

Navigate TestPrep: Paramedic provides a series of self-study modules, offering practice examinations and simulated certification examinations using case-based questions and detailed rationales to help you hone your knowledge of the subject matter.

By the time you are done, you will feel confident and prepared to complete the final step in the certification process—passing the examination!

Learn more about Navigate TestPrep: Paramedic here.


Nancy Caroline's Emergency Care in the Streets eBook/eWorkbook

ISBN-13: 9781449637958

Companion Website

ISBN-13: 9781449637781 is specifically designed to complement the Seventh Edition. This engaging companion website provides a wealth of resources that are free and available to all, including:

  • Anatomy review
  • Flashcards
  • Glossary
  • Ready for Review

The code printed on the front inside cover of this textbook provides students with special user privleges:

  • AudioBook
  • Case Studies
  • Chapter Pretests
  • Practical Examination Tools
  • Much more!

Navigate Course Manager: Nancy Caroline's Emergency Care in the Streets, Seventh Edition

ISBN-13: 9781449637934

Access to Navigate Course Manager can be packaged with Nancy Caroline's Emergency Care in the Streets, Seventh Edition textbook at a discount.

Combining our robust teaching and learning materials with an intuitive and customizable learning platform, Navigate Course Manager enables instructors to create an online course quickly and easily. The system allows instructors to readily complete the following tasks:

  • Customize preloaded content or easily import new content
  • Provide online testing
  • Offer discussion forums, real-time chat, group projects, and assignments
  • Organize course curricula and schedules
  • Track student progress, generate reports, and manage training and compliance activities

Nancy Caroline's Emergency Care in the Streets Textbook and Student Workbook Package

Bundle ISBN: 9781449673413
Nancy Caroline's Emergency Care in the Streets Textbook and Student Workbook Package

Paramedic Premier Package 2.0 with Student Workbook

Bundle ISBN: 9781284035995
The Nancy Caroline's Emergency Care in the Streets, Seventh Edition Premier Package 2.0 with the Student Workbook.

Nancy Caroline's Emergency Care in the Streets Premier Package

Bundle ISBN: 9781284038316
Components of the Package include: Print Textbook, Interactive eBook, Course Management Tools (Course Manager), Practice Activities at, Assessment (TestPrep), Interactive Course Lectures, Experiential Learning

Nancy Caroline's Emergency Care in the Streets Advantage Package, Print Edition

Bundle ISBN: 9781284043099
Components of the Package include: Print Textbook, Print Student Workbook, Course Management Tools (Course Manager), Practice Activities at, Experiential Learning

Nancy Caroline's Emergency Care in the Streets Preferred Package

Bundle ISBN: 9781284043082
Components of the Package include: Print Textbook, Interactive eBook, Course Management Tools (Course Manager), Practice Activities at, Assessment (TestPrep), Experiential Learning

Nancy Caroline's Emergency Care in the Streets Preferred Package with Student Workbook

Bundle ISBN: 9781284043433
Nancy Caroline's Emergency Care in the Streets Preferred Package with Student Workbook

Paramedic Premier Package with PEPP and ALS Skills

Bundle ISBN: 9781284099317
Paramedic Premier Package with PEPP, Third Edition and ALS Skills Review