Transition Guide- Mosby Third Edition to Jones & Bartlett Ninth Edition

 

This guide is designed to assist instructors in transitioning from Mosby’s Third Edition (2004) to Jones and Bartlett’s Emergency Care of the Sick and Injured, Ninth Edition (2005). It is assumed that all EMT-B textbooks on the market cover the material established for the DOT EMT-Basic curriculum.

 

The superior illustrations, photos, tables, and charts of Emergency Care of the Sick and Injured, Ninth Edition is a notable difference between these textbooks. The art program not only makes the book more aesthetically pleasing, but it also provides a better visualization on the complex topics presented.

 

The summaries that follow identify analogous chapters by chapter numbers and highlight some of the many unique qualities of Emergency Care of the Sick and Injured, Ninth Edition.

 

Chapter 1: Introduction to Emergency Care, pp2-21 (Mosby 1, pp1-19)

A clear overview of the EMT-Basic program, including a description of training goals and certification requirements, is provided.

 

Chapter 2: The Well-Being of the EMT, pp22-69 (Mosby 2, pp20-49)

A comprehensive section on  death and dying describes the grieving process and how EMT-Bs can work with critically ill patients while sensitively interacting with caregivers and family members. Workplace issues, including cultural diversity and sexual harassment, are explored.

 

Chapter 3: Medical, Legal and Ethical Issues, pp70-89 (Mosby 3, pp50-65)

Special Reporting Requirements are examined in greater detail, highlighting seven specific situations. Presumptive and definitive signs of death are described.

 

Chapter 4: The Human Body, pp90-143 (Mosby 4, pp66-113)

This chapter includes greater detail and superior illustrations to help students develop a strong sense of human anatomy. Special attention is paid to differences in pediatric patients and their needs.

 

Chapter 5: Baseline Vitals and SAMPLE History, pp144-167 (Mosby 9, pp114-131)

Pulse oximetry is introduced as an added method of evaluating oxygenation. Guidelines are given for interviewing patients and establishing their chief complaint. Establishing a patient’s LOC is described using the AVPU scale.

 

Chapter 6: Lifting and Moving Patients pp168-207 (Mosby 5, pp132-165)

This chapter includes: giving directions and commands during patient moves, a strong focus on rescuer safety, and an illustrated montage of rapid extrication from a vehicle.. A special section on moving geriatric patients is included.

 

Chapter 7: Airway pp212-255 (Mosby 6, pp166-211)

An excellent introduction to pulmonary anatomy and physiology starts the chapter. The Special Consideration section highlights gastric distension, stomas, and tracheostomy tubes. Foreign body airway obstruction is examined with a focus on dental appliances and facial bleeding.

 

Chapter 8: Patient Assessment pp260-311 (Mosby 8-13, pp212-303)

This single chapter integrates the scene size-up and the initial, trauma, medical and ongoing assessments into a logical, progressive response.

 

Chapter 9: Communication and Documentation pp314-339 (Mosby 14,15, pp304-333)

This chapter includes guidelines for improving communication skills with other healthcare professionals as well as pediatric, geriatric, hearing-impaired, and visually impaired patients. The role of and contacting Medical Control is discussed.

 

Chapter 10: General Pharmacology, pp342-363 (Mosby 16, pp334-343)

This chapter begins with an excellent introduction to pharmacology that identifies the pharmacologic terms that EMT-Bs need to know, a discussion of modes of administration, and abbreviations that the EMT-B must be familiar with. Pediatric and geriatric needs are highlighted and polypharmacy is introduced.

 

Chapter 11: Respiratory Emergencies, pp364-397 (Mosby 17, pp344-367)

This chapter includes an excellent chart listing and describing infectious diseases associated with dyspnea. There is an extensive description of the causes of dyspnea, including anaphylaxis, pulmonary edema, asthma, spontaneous pneumothorax, and more. Specific methods of interviewing and assessing respiratory patients during a focused history are discussed.

 

Chapter 12: Cardiovascular Emergencies, pp402-437 (Mosby 18, pp368-401)

The chapter starts with an excellent cardiac anatomy and physiology overview. Heart surgeries and implanted pacemakers/defibrillators are discussed. An excellent contrast of angina and AMI is provided.

 

Chapter 13: Neurologic Emergencies, pp438-463 (Mosby 19, 402-431)

This chapter is dedicated to stroke, seizures, and other causes of AMS.

 

Chapter 14: The Acute Abdomen, pp464-479 (No Mosby equivalent)

The medical causes of abdominal pain are examined, including aneurysms, appendicitis, hernias, ulcers, pancreatitis, cystitis, and diverticulitis. Referred pain is explained. Gynecologic emergencies are also discussed..

 

Chapter 15: Diabetic Emergencies, pp480-497 (Mosby- included in chapter 13)

This chapter is dedicated to covering physiology and treatment of diabetic emergencies.

 

Chapter 16: Allergic Reactions and Envenomations, pp498-515 (Mosby 20, pp432-445)

This chapter includes a visual guide for using an AnaKit.

 

Chapter 17: Substance Abuse and Poisoning, pp516-541 (Mosby 21, pp446-471)

This chapter includes detailed sections covering illicit drugs by categories, including opioids, abused inhalants, etc. This chapter containsmore detail and easier to read tables and charts than Mosby.

 

Chapter 18: Environmental Emergencies, pp542-581 (Mosby 22, pp472-495)

This chapter covers the rescue response to drowning, diving emergencies including decompression sickness and air embolism, andlightning injuries.

 

Chapter 19: Behavioral Emergencies, pp582-597 (Mosby 23, pp496-509)

This chapter contrasts organic brain syndromes from functional disorders and discusses medicolegal considerations in behavioral emergencies.

 

Chapter 20: Obstetric and Gynecological Emergencies, pp598-625 (Mosby 24, 510-539)

This chapter provides more information explaining pre-birth and delivery emergencies/complications. It also includes information on fetal demise.

 

Chapter 21: Kinematics of Trauma, pp630-647 (No Mosby equivalent)

This chapter presents the EMT-B with an understanding of the physics involved in trauma, including deceleration, blunt and penetrating trauma, and comprehending MOIs by assessing crashes.  It also contrasts suspected injuries resulting from different types of car crashes (frontal, rollover, lateral, and rear-end).

 

Chapter 22: Bleeding, pp648-675 (Mosby 25, pp540-550)

Unlike the Mosby textbook, Emergency Care of the Sick and Injured, Ninth Edition separates bleeding and shock into two separate chapters. The bleeding chapter also contains superb illustrations that illustrate cellular perfusion.

 

Chapter 23: Shock, pp676-695 (Mosby 25, pp550-561)

This chapter, dedicated solely to shock, begins with an in-depth look at the body’s compensatory mechanisms to maintain homeostasis. A clear explanation of perfusion and the compensatory mechanisms to maintain perfusion in a challenged state leads to an all-inclusive description of the types of shock and the progression of shock. The discussion on the treatment for shock is differentiated by type of shock.

 

Chapter 24: Soft-Tissue Injuries, pp696-733 (Mosby 26, 562-603)

 This chapter discusses the pediatric and geriatric issues in respect to burns. Small animal bites, rabies, and human bites are also covered.

 

Chapter 25: Eye Injuries, pp734-755 (No Mosby equivalent)

This chapter is dedicated solely to eye injuries. It begins with an overview ofthe anatomy of the eye and discusses physiology, burns, blunt trauma, foreign objects in the eye, and the issues surrounding contact lenses.

 

Chapter 26: Face and Throat Injuries, pp756-775 (No Mosby equivalent)

This chapter gives special consideration for the face and throat after a traumatic injury.

 

Chapter 27: Chest Injuries, pp776-795 (Mosby 27, pp604-613))

This chapter covers the mechanics of ventilation and the implications of chest injury.

 

Chapter 28: Abdomen and Genitalia Injuries, pp796-817 (Mosby 27, pp613-623)

This chapter covers injuries from seat belts and airbags, genital trauma, and rectal bleeding.

 

Chapter 29: Musculoskeletal Care, pp818-869 (Mosby 28, 624-657)_

This chapter discusses point tenderness, grading muculoskeletal injuries, and vacuum splints.

 

Chapter 30: Head and Spine Injuries, pp870-911 (Mosby 29, pp658-707)

This chapter covers head and spinal injuries.

 

Chapter 31: Pediatric Emergencies, pp914-939 (Mosby 31, pp736-787)

Unlike the Mosby book, Emergency Care of the Sick and Injured, Ninth Edition separates the discussion of pediatric emergencies and the assessment/management of pediatric patients into two chapters.

 

Chapter 32: Pediatric Assessment and Management, pp940-983

This chapter utilizes the American Academy of Pediatrics’ Pediatric Assessment Triangle. It also provides a BLS review of pediatric CPR and information on using AEDs on children.

 

Chapter 33: Geriatric Emergencies, pp984-1001 (Mosby 36, pp878-887)

This chapter introduces the use of GEMS Diamond for thorough assessment of geriatric patient. It also discusses physiologic changes that occur in aging and their relevance in prehospital care.

 

Chapter 34: Geriatric Assessment and Management, pp1004-1019 (Mosby 36, pp878-887)

Geriatric assessment and care is in a separate chapter for clearer understanding.

 

Chapter 35: Ambulance Operations, pp1024-1055 (Mosby 31, pp8746-767)

This chapter describes defensive ambulance driving techniques.

 

Chapter 36: Gaining Access, pp1058-1071 (Mosby 32, 768-777)

This chapter discusses how to safely access patients.

 

Chapter 37: Special Operations, pp1072-1097 (Mosby 33, pp778-807)

This chapter discusses the Incident Command System, Mass Casualty Incidents, Triage and triage tags, disaster management, and hazardous materials incidents.

 

Chapter 38: Response to Terrorism and WMD, pp1098-1127 (Mosby 35, pp838-877)

This chapter provides a discussion of weapons of mass destruction.

 

Chapter 39: Advanced Airway Management, pp1130-1163 (Mosby 34, pp808-837)

This chapter describes advanced airway management techniques.

 

Chapter 40: Assisting with IV Therapy, pp1164-1179 (No Mosby Equivalent)

This chapter provides greater detail describing IV therapy, terminology relating to IV insertion, tools, and techniques. This chapter also covers complications of IV therapy, troubleshooting IV problems, and special populations considerations.

 

Chapter 41: Assisting with Cardiac Monitoring, pp1180-1195 (No Mosby Equivalent)

This chapter provides an introduction to cardiac monitoring, ECG formation, and arrhythmias.

 

Appendix A: BLS Review, ppA1-A31 (Mosby Appendix B, pp893-913)

A comprehensive review of BLS procedures.