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

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Wilderness and Rescue Medicine

Section III: Critical System Problems and Treatment. ..........55 Chapter 7: Basic and Advanced Life Support.............................................................. 56 Respiratory Failure....................................... 56 Circulatory Failure....................................... 58 Cardiac Arrest............................................... 58 Severe Bleeding and Shock.......................... 59 Brain Failure.................................................. 60 Risk Versus Benefit in BLS.......................... 61 Chapter 7 Review: Basic and Advanced Life Support.......................................................... 62 Chapter 8: Allergy and Anaphylaxis............. 63 Allergy............................................................ 63 Anaphylaxis................................................... 64 Treatment of Anaphylaxis........................... 65 Risk Versus Benefit....................................... 66 Chapter 8 Review: Allergy and Anaphylaxis................................................... 67 Chapter 9: Severe Asthma.............................. 68 Risk Versus Benefit....................................... 69 Chapter 9 Review: Severe Asthma............. 70 Chapter 10: Problems with Sugar.................. 71 Diabetic Emergencies.................................. 71 Hypoglycemia............................................... 71 Treatment of Hypoglycemia. ...................... 72 Risk Versus Benefit....................................... 72 Chapter 10 Review: Problems with Sugar.74 Section IV: Trauma....................77 Chapter 11: General Principles of Trauma.... 78 Energy and Injury. ....................................... 78 Deceleration.................................................. 79 Cavitation...................................................... 79 Pay Attention to the History....................... 80 Problems Are Cumulative........................... 80 Critical Systems Come First........................ 80 Chapter 11 Review: General Principles of Trauma........................................................... 82 Chapter 12: Pain Management....................... 83 Pain Medication............................................ 83 Risk Versus Benefit....................................... 85 Chapter 12 Review: Pain Management..... 87

Chapter 13: Musculoskeletal Injury.............. 88 Structure and Function................................ 88 Unstable Injury............................................. 89 Traction into Position.................................. 90 Special Wilderness Considerations............ 93 Femur Fracture............................................. 93 Pelvic Fracture.............................................. 94 Clavicle Fracture........................................... 94 Compartment Syndrome. ........................... 94 Open Fracture............................................... 95 Joint Infection............................................... 96 Impending Surgery. ..................................... 96 Stable Injury.................................................. 96 Overuse Syndromes..................................... 97 Risk Versus Benefit....................................... 98 Chapter 13 Review: Musculoskeletal Injury.............................................................. 99 Chapter 14: Dislocations...............................100 Shoulder Dislocations................................101 Treatment of Shoulder Dislocation..........102 Patella Dislocation......................................104 Treatment of Patella Dislocation..............104 Dislocations of Finger and Toes...............105 Treatment of Digit Dislocation.................105 Difficult Dislocations.................................106 Risk Versus Benefit.....................................106 Chapter 14 Review: Dislocations. ............108 Chapter 15: Spine Injury...............................109 Field Assessment of Spine Injury.............110 No Spine Injury. .........................................112 Low Risk Spine Injury................................112 High Risk Spine Injury..............................113 Risk Versus Benefit.....................................114 Chapter 15 Review: Spine Injury..............116 Chapter 16: Wounds and Burns. .................117 Wounds........................................................118 Wound Assessment....................................118 Low Risk Wounds.......................................118 High-Risk Wounds.....................................119 Field Treatment of Wounds. .....................120 Impaled Objects..........................................122 Bandages and Dressings for a Hostile Environment...............................................122 Evisceration.................................................124 Traumatic Amputation..............................124