Wilderness and Rescue Medicine 7th Edition Jeffrey Isaac, PA-C and David E. Johnson, MD

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Expanded Contents

Section I: General Principles.......1 Chapter 1: General Principles of Physiology and Pathology..................................................... 2 Oxygenation and Perfusion. ......................... 2 Three Critical Systems, Three Serious Problems................................. 3 Patterns and Trends. ...................................... 3 Mental Status and Level of Consciousness.. 3 Swelling and Pressure. ................................... 4 Obstruction to Infection . ............................. 5 Ischemia to Infarction.................................... 5 Anticipated Problem...................................... 5 Most People Live. ........................................... 6 Chapter 1 Review: General Principles of Physiology and Pathology............................. 7 Chapter 2: General Principles of Wilderness Rescue. ................................................................ 8 Serious or Not Serious................................... 8 The Risk/Benefit Ratio................................... 8 Probability & Consequence. ......................... 9 Generic to Specific. ........................................ 9 Ideal to Real................................................... 10 Focus on Important. .................................... 10 The Problem List. ......................................... 11 Medicine Is Dynamic................................... 11 Chapter 2 Review: General Principles of Wilderness Rescue. ...................................... 12 Chapter 3: Patient Assessment and the SOAP Format............................................................... 13 Gathering Information................................ 13 The Scene Size-Up........................................ 13 The Primary Assessment............................. 14 The Secondary Assessment......................... 15 Creating a Problem List: SOAP.................. 18 Chapter 3 Review: Patient Assessment and the SOAP Format......................................... 21 Section II: Critical Body Systems.......................................25 Chapter 4: The Circulatory System............... 26 Structure and Function................................ 26 Shock.............................................................. 27

Volume Shock............................................... 28 Vascular Shock.............................................. 30 Cardiogenic Shock....................................... 30 Acute Stress Reaction................................... 31 Risk Versus Benefit in Shock. ..................... 32 Chapter 4 Review: The Circulatory System............................................................ 33 Chapter 5: The Respiratory System............... 34 Structure and Function................................ 34 Respiratory Problems................................... 35 Generic Treatment for Respiratory Distress..................................... 36 Specific Treatments for Respiratory Distress..................................... 36 Upper Airway Obstruction......................... 36 Lower Airway Constriction........................ 37 Alveoli............................................................ 37 Chest Wall and Diaphragm......................... 38 Nervous System Drive................................. 39 Risk Versus Benefit....................................... 40 Chapter 5 Review: The Respiratory System............................................................ 41 Chapter 6: The Nervous System.................... 42 Structure and Function................................ 42 Brain Failure.................................................. 42 Assessing the Level of Consciousness........ 43 Differential Diagnosis of Brain Failure...... 43 Increased Intracranial Pressure.................. 44 Non-Traumatic Brain Injury....................... 45 Traumatic Brain Injury................................ 45 Assessment of TBI........................................ 45 Risk Versus Benefit in TBI. ......................... 46 Post concussive Syndrome.......................... 47 Stroke............................................................. 47 Seizure............................................................ 48 Treatment of Seizure.................................... 48 Exercise Associated Hyponatremia............ 49 Treatment of Exertional Hyponatremia.... 49 Chapter 6 Review: The Nervous System. .. 50