The second edition of Emergency Medical Technician: EMT in Action has been completely rewritten to conform to the new National EMS Education Standards published by the National Association of EMS Educators (NAEMSE) in January 2009. Specific differences between the first and second editions are outlined below:
Chapter 1: New coverage on characteristics of professional behavior; additional coverage on primary duties as an EMT.
Chapter 2: New content on wellness; updated content on injury prevention, lifting and moving patients, body mechanics and lifting techniques, emergency and urgent moves, patient positioning, using restraint, and death and dying.
Chapter 3: Updated information on the ethics, the legal system, and documentation (from Chapter 11 in the first edition).
Chapter 4 (Chapter 10 in first edition): Updated content on EMS system communication.
Chapter 5 (section of Chapter 11 in first edition): Greatly expanded content on medical terminology, including root words, prefixes, suffixes, combining forms, plural medical terms, body positions, and directional terms (Figures 5-1 and 5-2), and an updated list of common abbreviations and acronyms.
Chapter 6: Enhanced content on the human body, including three full-page color plates of anatomical figures (Plates A, B, and C).
Chapter 7: All new content on pathophysiology, including cell function, factors affecting cell function, disease risk factors, and causes of disease.
Chapter 8: All new content on life span development covering infants, toddlers, preschoolers, school-age children, adolescents, early adulthood, middle adulthood, and late adulthood.
Chapter 9 (Chapter 12 in first edition).
Chapter 10 (section of Chapter 12 in first edition): Updated content on medication administration, including six rights of drug administration, reassessment, and documentation.
Chapter 11: All new content on emergency medications.
Chapter 12 (Chapter 7 in first edition): Updated content on airway management.
Chapter 13 (Chapter 7 in first edition): Expanded coverage of respiration, including physiology and pathophysiology of respiration, and assessment of ventilation and oxygenation.
Chapter 14: All new content on ventilation.
Chapter 15 (Chapters 5 in first edition): New content on therapeutic communications and updated content on history taking.
Chapter 16 (Chapter 8 in the first edition).
Chapter 17 (Chapters 5 and 9 in the first edition): Updated content on reassessment.
Chapter 18: All new content on medical overview, the responsive medical patient, and the unresponsive medical patient, including an updated algorithm on assessment of the medical patient (Figure 18-1).
Chapter 19: All new content on neurological disorders: seizures, stroke, syncope, and headache.
Chapter 20 (Chapter 15 in first edition): Expanded coverage of endocrine disorders, including new images on the endocrine glands (Figure 20-2), goiter (Figure 20-3), and Graves’ disease (Figure 20-4).
Chapter 21 (Chapter 13 in first edition): Expanded coverage of respiratory disorders, including determining the patient’s level of respiratory distress, pertussis, cystic fibrosis, spontaneous pneumothorax, and metered-dose inhalers.
Chapter 22 (Chapter 14 in first edition): New information on cardiogenic shock and the chain of survival.
Chapter 23: New content on abdominal and gastrointestinal disorders; review of digestive system anatomy and physiology and the acute abdomen; new images include referred pain (Figure 23-3) and the best position for abdominal examination (Figure 23-4).
Chapter 24: New content on genitourinary/renal disorders, including review of urinary system, renal disorders, and new images of AV shunts (Figure 24-2) and arteriovenous fistulas (Figure 24-3).
Chapter 25: New content on gynecologic emergencies, including nontraumatic and traumatic gynecological conditions, such as PID, STDs, ovarian cyst, and apparent sexual assault.
chapter 26: New content on nontraumatic musculoskeletal disorders, such as arthritis, osteoporosis, and overuse syndromes.
Chapter 27 (Chapter 16 in first edition): Updated information on immunology, including age-related considerations.
Chapter 28 (Chapter 17 in first edition): Updated content on toxicology.
Chapter 29 (Chapter 19 in first edition): Updated content on psychiatric disorders, including new content on excited delirium.
Chapter 30 (section of Chapter 22 in first edition): Expanded coverage on diseases of the nose, epistaxis.
Chapter 31: New coverage on hematological disorders, including sickle cell disease and hemophilia.
Chapter 32 (Chapter 21 in first edition): Expanded coverage on shock, including shock in older adults.
Chapter 33: New coverage on trauma overview, including reconsidering the MOI and trauma patient with significant MOI.
Chapter 34 (Chapter 22 in first edition): Expanded coverage of bleeding and soft tissue trauma.
Chapter 35 (section of Chapter 25 in first edition): Updated coverage of chest trauma, including new content on commotio cordis.
Chapter 36 (section of Chapter 25 in first edition): Expanded coverage of abdominal and genitourinary trauma, including closed and open abdominal injuries.
Chapter 37 (Chapter 23 in first edition): Updated content on orthopedic trauma, including a new Skill Drill 37-2 (Application of the SEFRS Adaptor) and an updated Skill Drill 37-3 (Applying the Sager SX 405 Unipolar Traction Splint).
Chapter 38 (Chapter 24 in first edition): Expanded coverage, including injuries to the face and injuries to the neck.
Chapter 39: Expanded content on special considerations in trauma, including trauma in pregnancy and pediatric trauma (sections of Chapters 20 and 26 in first edition), and new content on trauma in older adults.
Chapter 40 (Chapter 18 in first edition).
Chapter 41: New content on multisystem trauma including blast injuries.
Chapter 42 (Chapter 20 in first edition): Updated coverage of obstetrics, including abuse, substance abuse, and diabetes mellitus as complications of pregnancy; high-risk pregnancy; and postpartum complications.
Chapter 43 (section of Chapter 20 in first edition): Expanded coverage on neonatal care.
Chapter 44 (Chapter 26 in first edition): Expanded coverage, including new images of anatomy of children (Figure 44-2), epiphyseal growth plates (Figure 44-3), and using a bulb syringe (Figure 44-9).
Chapter 45 (Appendix B in first edition): Greatly expanded content on older adults, including common health problems in older adults, such as problems of the cardiovascular and respiratory systems and metabolic and endocrine problems.
Chapter 46: New content on patients with special challenges, including sections on child abuse and neglect, elder abuse, homelessness, bariatric patients, patients with special healthcare needs, and hospice care.
Chapter 47 (Chapter 27 in first edition).
Chapter 48: Expanded content on incident management, including coverage of NIMS components of command and management, preparedness, resource management, communications and information management, supporting technologies, and ongoing management and maintenance.
Chapter 49 (section of Chapter 29 in first edition): Expanded coverage of multiple-casualty incidents, including algorithms for START and JumpSTART triage systems (Figures 49-2 and 49-4).
Chapter 50: Expanded coverage of air medical transport (section of Chapter 27 in first edition), including schematic of a helicopter landing zone (Figure 50-3).
Chapter 51 (Chapter 28 in first edition): Updated coverage, including new content on hazard control and safety considerations, such as information on alternative fuels and renewable fuels.
Chapter 52 (section of Chapter 29 in first edition).
Chapter 53 (Appendix D in first edition).