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This legendary paramedic textbook was first developed by Dr. Nancy Caroline in the early 1970s and transformed paramedic education. Some are essential to make our site work; others help us improve the user experience or allow us to effectively communicate with you. The distributed force exerted on part of a building foundation by the soil is represented by five forces. What is one type of intermodal tank designation? Which of the following is the best example of secondary contamination? Jones & Bartlett Software. Which of the following is not routinely regarded as a hazardous substance unless a large quantity of it is spilled into a creek or waterway? The textbook was first developed by Dr. Nancy Caroline in the 1970s and has transformed paramedic education with its world-class medical content, accessible language, and clear approach to patient assessment. 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