Contents

[draft of TOC - upon approval, I would seek additional reviews by experts on contents before finalizing, including Dr. Peter Cameron]

Top 100 Secrets

Section 1 History of Emergency Medical Services

1. History of Emergency Medical Services

Section 2 Emergency Medical Services Operations

2. Destination Guidelines and Hospital Designation
3. Emergency Vehicle Operation
4. EMS System Design
5. Media and Public Relations
6. Medical Direction
7. Medicolegal Issues
8. Prehospital Communications
9. Public Health and EMS
10. Quality Improvement
11. Research in EMS

Section 3 Personal Safety and Wellness

12. Critical Incident Stress
13. Infectious Disease Exposure
14. Occupational Health Issues in EMS
15. Scene Safety

Section 4 Adult Medical Care

16. Decision making and critical interpretation of vital signs
17. Prehospital physical assessment
18. Abdominal pain, vomiting and diarrhea, dehydration
19. Altered mental status
20. Arrhythmias
21. Cardiac arrest, including ECMO
22. Cardiac emergencies - chest pain, STEMI, ACS, CHF
23. Cardiac device emergencies - pacemaker/implanted defibrillator dysfunction, left ventricular assist devices
24. Diabetic emergencies
25. Gastrointestinal hemorrhage
26. Hypotension and shock
27. Infectious disease emergencies/sepsis
28. Psychiatric emergencies/Care of the agitated or suicidal patient
29. Obstetrics and Gynecologic emergencies
30. Overdose
31. Poisonings
32. Renal failure and dialysis
33. Respiratory emergencies - anaphylaxis, COPD, asthma, pneumonia
34. Seizures
35. Stroke and TIA
36. Syncope

Section 5 Adult Trauma Care

37. General Adult trauma principles and triage
38. Head injuries and facial trauma
39. Cervical spine and spinal cord injuries
40. Chest, abdominal, and pelvic injuries
41. Extremity injuries
42. Penetrating injuries
43. Thermal burns and inhalational injuries
44. Care of the entrapped patient, including crush injury

Section 6 Pediatric Medical Care

45. Decision making and critical interpretation of vital signs
46. Abdominal pain, vomiting and diarrhea, dehydration
47. Altered mental status
48. Cardiac arrest and arrhythmias
49. Chest pain and syncope
50. Infectious disease emergencies/sepsis
51. Prehospital physical assessment
52. Respiratory distress emergencies - asthma, bronchiolitis, croup, pneumonia, anaphylaxis
53. Seizures
54. Shock
55. Technology dependent children
56. Poisonings

Section 7 Pediatric Trauma Care

57. General Pediatric trauma principles and triage
58. Head injuries and facial trauma
59. Cervical spine and spinal cord injuries
60. Chest, abdominal, and pelvic injuries
61. Extremity injuries
62. Penetrating injuries
63. Thermal burns and inhalational injuries

Section 8 Disaster and Multiple Casualty Incidents

64. General principles in disasters and multiple casualty incidents
65. Prehospital triage for mass casualties
66. Mass casualty evacuation and patient movement
67. Biological terrorism
68. Chemical terrorism
69. Radiation and radiation injury
70. Blast injuries
71. Hazardous materials response
72. Tactical EMS
73. Search and rescue
74. Community disaster preparedness

Section 9 Wilderness EMS and Austere medicine

75. General principles in wilderness medicine
76. Bites, stings, and envenomations
77. Decompression illnesses
78. Dysbarisms
79. Heat related illness
80. Hypothermia
81. Lightning and electrical emergencies
82. Submersion injuries/drownings
83. Wilderness survival

Section 10 Special Prehospital Situations

84. Interfacility transport, including Ground Critical Care Transport
85. Bariatric emergencies
86. Geriatric emergencies
87. Aeromedical Transport
88. Community Paramedicine
89. Intimate partner violence, sexual assault, and child maltreatment
90. End of life issues

Section 11 Prehospital Skills and Procedures

91. Airway Management
92. Analgesia and sedation
93. CPR, AED, mechanical compression
94. Electrocardiogram interpretation
95. Field amputation
96. Hemorrhage control
97. Intravascular/ interosseous access and fluids resuscitation
98. Oxygenation and ventilation
99. Perimortem caesarian section
100. Point of care testing
101. Procedures in the trauma patient
102. Splinting and spinal immobilization
103. Telemedicine and emerging telecommunications
104. Termination of resuscitation
105. Transport of the highly infectious patient