Wilderness and Rescue Medicine 8th Edition

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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 and 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..................19 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............................................................ 38 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............................................................. 48 Seizure............................................................ 48 Treatment of Seizure....................................48 Exercise Associated Hyponatremia............49 Treatment of Exertional Hyponatremia....49 Chapter 6 Review: The Nervous System...50