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Medical: 5 Pulmonary: 1

DECLARATIVE

I.

Introduction

  • A.

    Epidemiology

    • 1.

      Incidence

      • a)

        Respiratory complaints are a major aspect of EMS, resulting in 28% of all EMS chief complaints according to a US study of over 2.5 million EMS calls

    • 2.

      Mortality/ morbidity

      • a)

        Over 200,000 persons die from respiratory emergencies each year

    • 3.

      Risk factors

a)

Intrinsic factors which increase

the risk of

developing respiratory disease

(1)

Genetic

predisposition

  • (a)

    Influences development

  • (i)

    Asthma

of

    • (ii)

      COPD

    • (iii)

      Carcinomas

  • (2)

    Associated cardiac or circul

(a)

Influences development

atory pathologies of

(i)

Pulmonary

edema

(3)

(ii) Stress

Pulmonary emb

oli

b)

  • (a)

    Increases the severity complaints

  • (b)

    May be associated with exacerbations of asthma

Extrinsic factors which increase

of respiratory

the frequency of and COPD the risk of

developing respiratory

disease

(1)

Smoking

    • (a)

      Increases the prevalenc carcinomas

    • (b)

      Increases the severity respiratory disorders

  • (2)

    Environmental pollutants

    • (a)

      Increases the prevalenc

    • (b)

      Increases the severity obstructive disorders

e of COPD and

of virtually all

e of COPD of all

  • B.

    Anatomy and physiology review

    • 1.

      Global physiology of the pulmonary system

      • a)

        Function

───────────

────────────────────────────────────────────────────────────────────────────

───────────────────────── United States Department of Transportation National Highway Traffic Safety Administration Paramedic: National Standard Curriculum

3

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