Wilderness and Rescue Medicine 8th Edition

v

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