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The Emergency Department Technician Handbook
- 1st Edition - October 20, 2022
- Editors: Robert Shesser, Ali Pourmand, Amy Keim
- Language: English
- Hardback ISBN:9 7 8 - 0 - 3 2 3 - 8 3 0 0 2 - 7
- eBook ISBN:9 7 8 - 0 - 3 2 3 - 8 3 0 0 3 - 4
Emergency Department Technicians (EDTs) play a vital role in actively supporting the medical team in today’s hospitals, and the role continues to expand in light of staffing… Read more
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Institutional subscription on ScienceDirect
Request a sales quoteEmergency Department Technicians (EDTs) play a vital role in actively supporting the medical team in today’s hospitals, and the role continues to expand in light of staffing shortages and increased emergency department volumes. The Emergency Department Technician Handbook is a reliable, comprehensive resource in this increasingly important field, filling a timely need in EDT workforce development for both technicians and educators. Concise, readable text, along with high-quality clinical photos and a video library that depict procedures and patient positioning, make this new handbook a must-have resource in every emergency department.
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Provides quick, convenient access to practical guidance and everyday answers in an easy-to-read outline format.
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Discusses key topics such as patient flow and assessment in the ED, triage, and point-of-care testing.
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Advises on best practices for wound care, including cleansing, dressing, and splinting a wound as well as how to set up a suture tray and advanced wound care techniques.
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Covers essential imaging-based procedures, including the use of ultrasound-guided IV.
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Features a companion video library with a range of clips depicting how to perform procedures and patient examinations in real time.
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Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, videos, and references from the book on a variety of devices.
Trainee and practicing ED Technicians
- Instructions for Online Access
- Cover image
- Title page
- Table of Contents
- Any screen, Any time, Anywhere
- Copyright
- List of Contributors
- Preface
- Dedication
- Video Contents
- Chapter 1. The Role of the Hospital Emergency Department and the Specialty of Emergency Medicine
- Abstract
- The Organization of the Hospital
- Medical Staff
- Hospital Administration
- Regulatory Environment
- The Specialty of Emergency Medicine
- Emergency Medicine Training
- Chapter 2. Emergency Department Organization and Flow
- Abstract
- Emergency Department Organization
- Hospital Personnel Responding to Emergency Department Consultations
- Emergency Department Administration
- Emergency Department Patient Flow
- Patient Intake and Front-End Operations
- Patient Logistics and “Rooming Strategies”
- Admission and Discharge
- Patient Tracking Board
- References
- Chapter 3. Medical Terminology
- Abstract
- Introduction
- Structure of Medical Terms
- Combining Vowels
- Putting it Together
- Medical Abbreviations Commonly Used in the Emergency Department
- Anatomic Relationships
- References for Additional Reading
- Chapter 4. Teamwork and Communication
- Team Dynamics in the Emergency Department
- Communication and Patient Safety
- Patient Communication
- Language and Barriers
- Special Needs
- Health Literacy
- Body Language
- Communication Systems and Technology
- Conclusion
- References for Additional Reading
- Chapter 5. Initial Emergency Department Patient Assessment
- Doorway Examination
- Primary Survey: ABCDE
- Vital Signs
- Oxygen Delivery
- Monitor
- Intravenous Access
- SAMPLE History
- Critical Situations
- Initial Evaluation of Suspected Cardiac Emergencies
- Initial Evaluation of Suspected Neurologic Emergencies
- Initial Evaluation of Trauma Patients
- Initial Evaluation of Obstetric Emergencies
- References for Additional Reading
- Chapter 6. Triage
- Abstract
- Triage Overview
- Triage Scales
- Regulatory Environment
- Emergency Department Technician Roles in Triage
- References for Additional Reading
- Chapter 7. Point-of-Care Testing
- Abstract
- Introduction
- Comparisons With Laboratory Tests
- Point-of-Care Testing Operation
- References for Additional Reading
- Chapter 8. The Electrocardiogram and Cardiac Monitoring
- Abstract
- The Electrocardiogram
- Cardiac Pacemaker and Conducting System
- Components of an ECG
- The Cardiac Cycle
- Obtaining a 12-Lead ECG
- Cardiac Monitoring
- Cardiac Rhythms
- Summary
- References for Additional Reading
- Chapter 9. Cardiologic Emergencies
- Introduction
- Cardiac Anatomy
- Understanding of Heart Disease
- Initial Assessment and Triage of the Cardiac Patient
- Coronary Syndrome
- Cardiac Arrest
- LUCAS Device
- Summary
- References for Additional Reading
- Chapter 10. Respiratory System Emergencies
- Abstract
- Anatomy of the Respiratory System
- Respiratory Emergencies
- Important Respiratory Diseases
- Respiratory Failure, Noninvasive Positive Pressure Ventilation, and Endotracheal Intubation
- References for Additional Reading
- Chapter 11. Abdominal and Genitourinary Problems
- Introduction
- Initial Evaluation
- Brief Overview of the Clinical Assessment of the GI or GU System
- Focused GI Issues in the ED
- Critical Actions for the ED Technician
- References for Additional Reading
- Chapter 12. Endocrinologic Emergencies
- Abstract
- Basic Structure of the Endocrine System
- Signaling
- Diabetes
- ED-Specific Management
- References for Additional Reading
- Chapter 13. Ear, Nose, and Throat and Ophthalmologic Emergencies
- Abstract
- Otorhinolaryngologic Emergencies
- Ear
- Nose
- Throat
- The Eye
- References for Additional Reading
- Chapter 14. Stroke and Neurologic Emergencies
- Abstract
- Introduction
- Initial Assessment and Triage
- Ischemic Stroke
- Hemorrhagic Stroke
- Diagnosis
- Treatment
- Hemorrhagic Stroke Treatment
- Conclusion
- References for Additional Reading
- Chapter 15. Vascular Access
- Abstract
- Introduction
- Patient Triage and Assessment
- IV Peripheral Vascular Access
- Laboratory Sample Acquisition
- IO Access
- Arterial Blood Gas Sampling
- Reference for Additional Reading
- Chapter 16. Ultrasound-Guided IV Access
- Abstract
- Introduction
- Equipment
- Knobology
- Needle Guidance
- Starting a Program
- Dedication
- References for Additional Reading
- Chapter 17. Wound Management
- Acute Traumatic Wounds
- Preparing a Wound for Laceration Repair
- Aseptic Technique
- Acute Wound Dressings
- Suture and Staple Removal
- Assessment
- Chronic Wound Types
- Wound Care Principles
- Burn Wounds
- References for Additional Reading
- Chapter 18. Musculoskeletal Injuries
- Emergent General Assessment
- Immediate General Interventions
- Common Musculoskeletal Injuries
- Common Fractures
- Dislocations
- Contusions
- Amputations
- Compartment Syndrome
- Back Pain
- References for Additional Reading
- Chapter 19. Orthopedic Immobilization Techniques
- Abstract
- Prefabricated Immobilization Products
- Correct Anatomic Positioning
- After Splinting
- Patient Counseling
- Ambulatory Assist Devices
- Conclusion
- References for Additional Reading
- Chapter 20. The Major Trauma Patient
- Abstract
- Introduction
- Trauma Activation
- Initial Assessment
- Blood Products
- Transfusion Protocols
- Tourniquet
- Cervical Spine Stabilization
- C-spine Immobilization
- References for Additional Reading
- Chapter 21. Behavioral Health and Toxicologic Emergencies
- Abstract
- Introduction
- Initial Patient Assessment and Room Assignment
- Techniques for Verbal De-escalation
- Chemical Sedation
- Physical Restraints
- Common Psychiatric Conditions
- Approach to the Patient With a Toxicologic Emergency
- Common Substances Associated With Toxicity in Overdose
- References for Additional Reading
- Chapter 22. Medical Ethics, the Law, and Cultural Competency
- Abstract
- Introduction
- Emergency Medical Treatment and Labor Act
- Health Insurance Portability and Accountability Act
- Three Cs: Consent, Capacity, Competence
- Against Medical Advice
- Hospice and Palliative Care in the Emergency Department
- Accountability
- Errors in the ED
- Recognizing Implicit Biases: “Do Not Jump to Conclusions!”
- Cultural Competence
- Lesbian, Gay, Bisexual, Transgender, Queer, +
- References for Additional Reading
- Chapter 23. Patient Transport
- Abstract
- Introduction
- Initial Assessment
- Preventing Provider Injury
- Patient Positioning
- Special Considerations
- Preventing Falls
- Assisting Patients With Alternative Waste Apparatuse
- Passport to Leave/Ticket to Ride
- Transporting Patients
- Morgue Prep
- Conclusion
- Chapter 24. Pediatrics
- Abstract
- General Approach
- Initial Assessment of the Pediatric Patient
- Physiologic Differences
- Normal Vital Signs
- Intravenous Access
- Restraining Techniques for Procedures
- Musculoskeletal and Wound Care
- Nonaccidental Trauma
- Respiratory Distress: Cough and Wheezing
- Fever
- Neurologic Complaints: Seizures
- Gastrointestinal Complaints: Vomiting and Abdominal Pain
- Cardiopulmonary Resuscitation
- References for Additional Reading
- Chapter 25. Documentation
- Abstract
- Use of Documentation
- Electronic Medical Record
- Barcode Scanning
- Equipment Association
- Registration
- Best Practices
- Patient Privacy
- Litigation
- Downtime
- References for Additional Reading
- Chapter 26. Disasters and Mass Casualty Events
- Introduction
- Disaster Cycle
- Disaster Declarations
- Disaster Planning and Operations
- ED Operations
- Disaster Triage
- Staffing/Shift Change
- ED Flow in a Surge
- Role and Challenges of the ED in a Disaster
- Personal Protective Equipment
- Hospital Security in a Mass Casualty Incident
- Hospital Decontamination
- Infectious Disease Outbreaks
- Role and Challenges of the ED in an Outbreak
- References for Additional Reading
- Chapter 27. Infection Control in the Emergency Department
- Abstract
- Introduction
- Hand Hygiene
- Personal Protective Equipment
- Infection Control Precautions
- Conclusion
- References for Additional Reading
- Chapter 28. Case Studies in Emergency Triage
- Abstract
- Chest Pain
- Shortness of Breath in a Younger Person
- Abdominal Pain
- Trauma
- Unilateral Weakness and Slurred Speech
- Conclusion
- CHAPTER 29. Obstetrics and Gynecology in the Emergency Department
- Introduction
- Anatomy
- Physiology
- General Approach to the Patient With Abdominal Pain or Vaginal Bleeding, Unknown Pregnancy Status
- Pelvic Exam Setup
- General Approach to the Known Pregnant Patient
- Initial Assessment and Triage Information
- Vaginal Bleeding, Known Pregnancy
- Trauma in Pregnancy
- Patient in Active Labor
- Gynecologic Complaints in the Nonpregnant Patient
- Vaginal and Labial Problems
- Conclusion
- References for Additional Reading
- Glossary
- Index
- No. of pages: 344
- Language: English
- Edition: 1
- Published: October 20, 2022
- Imprint: Elsevier
- Hardback ISBN: 9780323830027
- eBook ISBN: 9780323830034
RS
Robert Shesser
Dr. Shesser is the Chair of the Department of Emergency at George Washington University. He currently supervises 70 physicians and 30 Advanced Practice Providers who staff four emergency departments in the DC metropolitan area. He has over 40 years of academic administration and clinical experience and developed an undergraduate course at GW University for future ED technicians.
Affiliations and expertise
Professor and Chair, Department of Emergency Medicine, George Washington University School of Medicine, Washington, District of ColumbiaAP
Ali Pourmand
Affiliations and expertise
Professor of Emergency Medicine, George Washington University School of Medicine, Washington, District of ColumbiaAK
Amy Keim
Affiliations and expertise
Clinical Associate Professor of Emergency Medicine, George Washington University School of Medicine, Washington, District of Columbia