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In Paramedics On and Off the Streets, Michael K. Corman embarks on an institutional ethnography of the complex, mundane, intricate, and exhilarating work of paramedics in Calgary, Alberta. Corman’s comprehensive research includes more than 200 hours of participant observation ride-alongs with paramedics over a period of eleven months, more than one hundred first hand interviews with paramedics, and thirty-six interviews with other emergency medical personnel including administrators, call-takers and dispatchers, nurses, and doctors. At the heart of this ethnography are questions about the role of paramedics in urban environments, the role of information and communication technologies in contemporary health care governance, and the organization and accountability of pre-hospital medical services. Paramedics On and Off the Streets is the first institutional ethnography to explore the role and increasing importance of paramedics in our healthcare system. It takes readers on a journey into the everyday lives of EMS personnel and provides an in-depth sociological analysis of the work of pre-hospital health care professionals in the twenty-first century.
In Paramedics On and Off the Streets, Michael K. Corman embarks on an institutional ethnography of the complex, mundane, intricate, and exhilarating work of paramedics in Calgary, Alberta. Corman's comprehensive research includes more than 200 hours of participant observation ride-alongs with paramedics over a period of eleven months, more than one hundred first hand interviews with paramedics, and thirty-six interviews with other emergency medical personnel including administrators, call-takers and dispatchers, nurses, and doctors. At the heart of this ethnography are questions about the role of paramedics in urban environments, the role of information and communication technologies in contemporary health care governance, and the organization and accountability of pre-hospital medical services. Paramedics On and Off the Streets is the first institutional ethnography to explore the role and increasing importance of paramedics in our healthcare system. It takes readers on a journey into the everyday lives of EMS personnel and provides an in-depth sociological analysis of the work of pre-hospital health care professionals in the twenty-first century.
Nancy Caroline's Emergency Care in the Streets, Seventh Edition is the next step in the evolution of the premier paramedic education program. This legendary paramedic textbook was first developed by Dr. Nancy Caroline in the early 1970s and transformed paramedic education. Today, the American Academy of Orthopaedic Surgeons is proud to continue this legacy and set the new gold standard for the paramedics of tomorrow. The Seventh Edition reflects the collective experience of its top-flight author team and decades of street wisdom. This fully updated edition covers every competency statement of the National EMS Education Standards for paramedics with clarity and precision in a concise format that ensures student comprehension and encourages critical thinking. This edition emphasizes the ideal that becoming a paramedic is a continual pursuit of growth and excellence throughout an entire career. Concepts of team leadership and professionalism are woven throughout the chapters, challenging students to become more compassionate, conscientious health care professionals as well as superior clinicians.
The brutally honest story of an emergency medical technician. At 18, Joseph Clark started working as an ambulance attendant to pay his way through college. For the next seven years he worked New York City's most dangerous neighborhoods as an emergency medical technician (EMT), dealing with the medical emergencies from drug overdoses, gang fights, car crashes and worse, all while juggling schoolwork and a personal life. His stories are a graphic portrayal of the life of an ambulance EMT. From dealing with a body that is frozen solid and trapped under a front porch to climbing into the burned-out wreck of a car to treat the seriously injured driver, Clark's stories are horrifying, poignant, touching and often filled with the dark humor that is so characteristic of the people who work under extreme stress. My Ambulance Education is a testament to the medical first responders who scramble to provide the on-the-spot care so vital to the survival of victims. EMTs struggle daily (and nightly) with emotional strain, sleep deprivation and, inevitably, burnout.
A true account of going through UCLA’s famed Daniel Freeman Paramedic Program—and practicing emergency medicine on the streets of Los Angeles. Nine months of tying tourniquets and pushing new medications, of IVs, chest compressions, and defibrillator shocks—that was Kevin Grange’s initiation into emergency medicine when, at age thirty-six, he enrolled in the “Harvard of paramedic schools”: UCLA’s Daniel Freeman Paramedic Program, long considered one of the best and most intense paramedic training programs in the world. Few jobs can match the stress, trauma, and drama that a paramedic calls a typical day at the office, and few educational settings can match the pressure and competitiveness of paramedic school. Blending months of classroom instruction with ER rotations and a grueling field internship with the Los Angeles Fire Department, UCLA’s paramedic program is like a mix of boot camp and med school. It would turn out to be the hardest thing Grange had ever done—but also the most transformational and inspiring. An in-depth look at the trials and tragedies that paramedic students experience daily, Lights and Sirens is ultimately about the best part of humanity—people working together to help save a human life.
Without warning stroke can paralyze, blind, or kill. Some victims recover, but many do not and may even suffer another disabling or fatal attack. The drug known as tPA can drastically reduce the long-term disability associated with stroke, but despite its near-miraculous capabilities and the growing support of most neurologists, it has been slow to win acceptance as the standard of care in emergency departments nationwide. tPA for Stroke chronicles how this remarkable drug came to be tested in stroke victims, its early years in development by the pharmaceutical giant Genentech, and its eventual marginalization due to a convergence of unfavorable political, fiscal, and medical circumstances. For instance, initially many stroke specialists were unconvinced that the drug's benefits outweigh its risks (tPA was originally developed and is still used for cardiac patients). Moreover, neurologists called upon to assess stroke patients have not typically been trained to make decisions in emergency settings--and tPA must be given within a scant few hours after stroke. These and other factors have continued to delay the drug's universal acceptance as the most effective treatment available, and to hamper the general public's awareness that such a treatment exists--a troubling state of affairs that Zivin and Simmons argue must be rectified. Instilling the knowledge that anyone, at any time, is susceptible to stroke, from the old and infirm to the young and healthy, tPA for Stroke is a clarion call to awareness in a rapidly changing healthcare environment in which stroke, long a disease in thrall to resignation and pessimism, must be neglected no longer.
A former paramedic’s "thrilling, captivating" (Booklist), and mordantly funny account of a decade spent as a first responder in Atlanta saving lives and connecting with the drama and occasional beauty that lies inside catastrophe. In the aftermath of 9/11 Kevin Hazzard felt that something was missing from his life—his days were too safe, too routine. A failed salesman turned local reporter, he wanted to test himself, see how he might respond to pressure and danger. He signed up for emergency medical training and became, at age twenty-six, a newly minted EMT running calls in the worst sections of Atlanta. His life entered a different realm—one of blood, violence, and amazing grace. Thoroughly intimidated at first and frequently terrified, he experienced on a nightly basis the adrenaline rush of walking into chaos. But in his downtime, Kevin reflected on how people’s facades drop away when catastrophe strikes. As his hours on the job piled up, he realized he was beginning to see into the truth of things. There is no pretense five beats into a chest compression, or in an alley next to a crack den, or on a dimly lit highway where cars have collided. Eventually, what had at first seemed impossible happened: Kevin acquired mastery. And in the process he was able to discern the professional differences between his freewheeling peers, what marked each—as he termed them—as “a tourist,” “true believer,” or “killer.” Combining indelible scenes that remind us of life’s fragile beauty with laugh-out-loud moments that keep us smiling through the worst, A Thousand Naked Strangers is an absorbing read about one man’s journey of self-discovery—a trip that also teaches us about ourselves.
Experience the rush as an emergency medic details some of the most formative calls of his career in the Big Easy in this action-packed memoir. Known as one of America’s most dangerous cities, New Orleans plays host to incidents ranging from the tragic and disturbing to the completely bizarre—and during his career as an emergency medic, Jon McCarthy saw it all. He chronicles some of the most formative calls of his career in this autobiography that reads like crime fiction. McCarthy demonstrates with detail and clarity that the difficult choice is often the right choice. While not for the faint of heart, each entry in this collection provides poignant insight into the bonds between medics and the people and city they serve. Praise for Hard Roll “One of the things Jon McCarthy does so well in this book is capture that combination of adrenaline, dark humor, and old-fashioned heroism that makes up the daily life of a first responder.” —Susan Larson, NPR’s The Reading Life “Masterfully describes the exhilaration of touching a patient at their most vulnerable moment and the emotional toll it takes when the outcome is not favorable and the sheer joy when medical experience meets the opportunity to make a difference . . . A must-read as one tries to grasp the social inequities, fragility of the war on crime, and paucity of basic healthcare that plagues our urban communities.” —Juliette M. Saussy, FACEP, former director and medical director of the New Orleans EMS, former paramedic, City of New Orleans
Stripping away the stigma of addiction through stories that are hard-hitting, poignant, sad, confessional, funny, and overall, human, Killing Season will change minds about the epidemic, help obliterate stigma, and save lives.
"A great book written by a truly medical family ... This book will prove invaluable to the student paramedic and a great aid to the practicing paramedic ... The case studies are thought provoking and give an opportunity for students to learn about situations they will encounter during their careers and experienced paramedics and practitioners the opportunity to reflect on similar cases and question their practice ... I would highly recommend this book." Paul Bates (Paramedic), Higher Education Programme Manager, London Ambulance Service NHS Trust, UK "Individuals new to pre-hospital care will find this text well structured and clear. The informative introduction and subsequent case studies are written in an easy to read question and answer style. These provide a starting point for the reader to undertake further focused reading and investigation. A helpful text for students who are new to caring for patients, in the pre-hospital environment." Amanda Blaber, Senior Lecturer, University of Brighton, UK "This book presents a series of medical vignettes of varying complexity. It discusses the differential diagnosis and clinical care, offering important background knowledge to assist the Paramedic in following the best clinical pathway. Fellows and Fellows provide the vital link between the classroom and reality, removing the mysticism from the complex and ever changing world of pre-hospital care" Dr David Zideman, Clinical Lead – Emergency Medical Care, London Organising Committee of the Olympic and Paralympic Games "This is a great introductory text … The language is easy to read and does not use over complicated medical jargon, which can be off putting for novice students (and experienced ambulance personnel alike!) whilst introducing the reader to ‘ambulance language’. The comprehensive glossary is an unexpected find and a fabulous revision tool, explaining many difficult medical concepts and conditions." Emma Redwood, State Registered Paramedic, University of Northampton, UK "Until now there have been very few books that outline the importance of all stages of the care received by a patient. This book fills that gap without overwhelming those new to the paramedic profession. In addition it works well as a supplementary book for anyone working in the pre-hospital field to remind them the importance of seeking a differential diagnosis and not jumping to any conclusions ... A good book for paramedic students to read and enjoy." Ruth Lambert, Student Paramedic, University of Northampton, UK This accessible book is designed to help both practising and student paramedics prepare to deal with 25 of the most commonly seen pre-hospital care scenarios, as well as to revise for practical exams. Part of a new Case Book series, the book starts with a description of the patient history and examination, then challenges you to spot important signs, determine a likely diagnosis and make important management decisions. This technique helps to cement prior knowledge and teach both scientific and practical knowledge, both vital for today’s paramedic. By looking at the journey of the patient and paramedic, the authors provide a more complete understanding of the care pathway, helping you to be aware of signs of severe illness and develop safe practice. In addition, the book: Encourages you to develop knowledge of pathophysiology, pharmacology and out of hospital emergency treatment plans to point of handover at definitive care Covers a wide range of scenarios, from everyday situations to more complex Contains practical cases, checklists, clinical tools, key information boxes and clear answers to clinical questions The book is written by a unique father and daughter author team, with the complementary perspectives of a paramedic educator and a student.