Breathing Circulation Bariatric surgery Patient packaging and movement Summary References CHAPTER 60: Intimate partner violence Introduction Scope of the problem Risks and vulnerabilities Understanding IPV IPV as a health care issue EMS clinician safety Assessment and examination [R]espond Additional considerations for EMS personnel Summary Acknowledgment Recommended Resources: References CHAPTER 61: Sexual assault Background Transgender sexual assault Psychological care of the patient Physical care of the patient Culture and sexual assault Legal aspects Mandatory reporting Sexual assault nurse examiners and sexual assault response team programs Summary Acknowledgment References CHAPTER 62: Child maltreatment Introduction Role of the prehospital clinician Child maltreatment Medical conditions that may be confused with child abuse Sexual abuse Responding to intimate partner violence calls Medicolegal duties Summary References CHAPTER 63: Human Trafficking Introduction Definitions Myths The scope of the problem The traffickers and the victims Red flags and indicators Clinical practice: EMS patient evaluation and care System oversight/medical direction considerations Conclusion Acknowledgment References CHAPTER 64: Ethical challenges Introduction Refusal of treatment and transport Triage decisions Termination of resuscitation Confidentiality Truth‐telling and error disclosure Personal risk Training and research Treatment of minors Summary References CHAPTER 65: Death, dying, and end of life issues Introduction Ethical foundations of end of life care Background Culture, customs, and racial disparity Advance directives The Physician Orders for Life‐Sustaining Treatment Program (POLST) Do not resuscitate orders End of life resources and other considerations Care of the grieving survivors Considerations during a pandemic Summary Dedication References CHAPTER 66: Family and bystanders Introduction
