emergency conditions Flashcards
what info should be in players medical records
medical conditions
allergies
previous injuries
emergancy contact info
level of experience/years playing
what are the key goals with emergancy mangament?
provide care to manage conditions, minimize secondary complications, determine safe removal
What are some questions to help you determine safe removal from playing surface?
are they weight bearing? can they leave the field by themselves or do they need assistance? is advanced care required?
what is the general hierarchy of emergancy conditions
- ABCs and major bleeds
- ABI/Concussion
- Spinal
- Fracture/dislocation
- Sprains/strains
- Abraisions
how do you do an emergency on-field assessment
- Primary survey (Survey scene, control C-spine, Assess LOC, Assess vitals - ABC)
- Secondary survey
- Head to toe to indentify any other injuries
what does it mean to survey the scene?
any safety concerns to the immediate environment? Is it safe to approach? Any clues indicating what happened? How many injured?
What does it mean t control cervical spine?
Block head (place on hand on forehead to minimize movement and ask athelete to remain still)
How do you assess LOC?
remove anaything in mouth and rate LOC using AVPU scale
Alertness (Eyes open? ABCs?)
Verbal (ie can they respond?)
Painful (grimace, moan, groan, extension/withdrawal of body part)
Unresponsive (no response)
when can it be good to use a nasopharyngeal airway?
during a seizure so they do not choke on tongue
what is the breathing assessment?
LLF
Look
Listen
Feel
How do we check circulation
check for carotid pulse and any obvious major bleeds
what does a secondary survey look like?
rapid body scan (major bleeds? Deformities? Anything life threatening?)
History (what happened - any pain in head or bacL/ Any tingling or numbness in arms or legs? can you wiggle fingers and toes? does anything else hurt?)
Decide next steps
When do you call EMS with regards to suspected spinal
ALWAYS WHEN YOU ARE UNSURE OF NEXT STEPS
or when 2/4 apply:
1. central pain on palpation of spinous processes
2. tingling, numbness, unable to move extremeties
3. concerning MOI
4. unwillingness to move
How do you do a head injury assessment?
check cervical spine first - clear red flags and and check ROM of head (flexion, extension, bending, rotation), if all clear move on to head injury assessment
1. pain or pressure?
2. RInging in ears?
3. Dizzy?
4. Nauseous?
5. Blurry? Double?
6. Check ears/nose for blood or fluid
7. Look/feel for deformities in head
8. Raccoon eyes
9. Bruising behind ears
10. agressive emotional behvaiour
11. not making sense
12. altered speech
13. unable to focus
14. seizues
15 PEAR (pupils equal and reacting to light)
16. Tracking
17. peripheral vision
18. ability to focus near and far
19. orientation questions (what day is it? what team are you playing? blah blah)
20. immediate memory (i will tell you 3 words and repeat them back)
21. Delayed recall (check 3 words 5 min later)
22. Concentration
what does a head injury assessment look like briefly?
Symptom check, observable signs, ocular/motor screen, cognitive screening
