Contributors vii // Preface to the second edition ix // Preface to the first edition x // Acknowledgements xi // Drug doses xii // Section 1 Setting the Scene 1 // 1. Scene approach and assessment 3 // 2. Approach to the patient 11 // 3. An introduction to clinical examination 17 // 4. Emergency services: structures and roles 29 // Section 2 Resuscitation Skills 35 // 5. Basic life support 37 // 6. Basic management of the airway and ventilation 47 // 7. Advanced management of the airway and ventilation 63 // 8. Intravenous access 79 // Section 3 Medicine 87 // 9. Taking a medical history 89 // 10. Therapeutics 93 // 11. Respiratory emergencies 113 // 12. The heart: anatomy, physiology and the ECG 121 // 13. Monitoring and defibrillation 145 // 14. Cardiac arrest in adults: advanced life support 153 // 15. Cardiovascular emergencies 167 // 16. The unconscious patient 179 // 17. The acute abdomen 191 // 18. Poisoning 199 // 19. Risk of infection 205 // Section 4 Trauma 213 // 20. Obtaining a trauma history 215 // 21 The primary and secondary survey 219 // 22. Shock 227 // 23. Head injuries 235 // 24. Facial injuries 247 // 25. Chest injuries 253 // 26. Abdominal and genitourinary trauma 263 // 27. Bone and joint injuries 269 // 28. Spinal injuries 297 // 29. Patient immobilization and extrication 313 // 30. Blast and gunshot injuries 333 // 31. Burns 339 // 32. Wound management 349 // 33. Overview of trauma resuscitation 357 // Section 5 Paediatrics 365 // 34. Obtaining a paediatric history 367 // 35. Assessment of the ill or injured child 373 // 36. The sick child 381 // 37. Paediatric cardiac arrest 387 // 38. The injured child 393 // Section 6 Care of the elderly 399 // 39. Care of the elderly 401 // Section 7 The hostile environment 411 // 40. Hypothermia 413 // 41. Near drowning 419 // 42. Heat illness 423 // 43. Electrocution 427 // 44. Chemical incidents 431 //
45. Nuclear incidents .439 // 46. The sports arena 445 // Section 8 Rescue 453 // 47. Rescue from remote places 455 // 48. Aeromedical evacuation 463 // 49. The paramedic in a hostile environment 471 // Section 9 Pregnancy and Childbirth 485 // 50. Childbirth 487 // 51. Emergencies in pregnancy 505 // 52. Trauma in pregnancy 511 // 53. Neonatal resuscitation and transport 519 // Section 10 Psychiatry 523 // 54. Substance abuse 525 // 55. The uncooperative or violent patient 531 // 56. Psychiatric emergencies 539 // 57. Coping with stress 549 // Section 11 Major Incidents 555 // 58. The major incident: an overview 557 // 59. Triage 569 // 60. The ambulance service at mass gatherings 577 // Section 12 Administration, Ethics and the Law 581 // 61. Record keeping in prehospital care 583 // 62. Communications and despatch 587 // 63. Ethical issues 591 // 64. Legal issues 595 // 65. Clinical governance and audit in prehospital care 603 // Appendices 609 // Glossary 611 // Glossary of obstetric terms 631 // Radio communications 635 // Trauma Scoring 641 // Abbreviations 643 // Index 645