last 2 ppts

Question 1

most common bony injury

Answer 1

nasal bone fracture/ nasal septum (tx:ice, nose packing,refer to physician)

Question 2

2nd most common bony injury

Answer 2

mandible fx(malocclusion of teeth, bleeding around, lower lip numbness) -ice, immobilize, dr

Question 3

black eye is aka

Answer 3

orbital hematoma

Question 4

• pain, tear, blurred vision
• patch and refer
• 1-2 days to heal

Answer 4

corneal abrasion

Question 5

blood in the eye, vision block, patch both eyes NO ICE

Answer 5

hyphema

Question 6

hit on orbit; discoloration inferior margins inability to move eye up, diplopia, pain

Answer 6

blowout fx(orbit of eye is fractured)

Question 7

direct blow, specks in vision, flashes of light, curtain

Answer 7

retinal detachment

Question 8

ways to save a tooth- transport media

Answer 8

milk, saline, saliva, water, mouth

Question 9

extrusion or lateral luxation tooth displacement

Answer 9

can try to reposition

Question 10

intrusion tooth displacement

Answer 10

dont try to reposition, mouth closed

Question 11

no return, dentist, save tooth fragment with what kind

Answer 11

fractured tooth [crown or root]

Question 12

• handle tooth by crown only, replace in socket if possible

- keep tooth moist

Answer 12

tooth avulsion

Question 13

less than 30 min=

greater than 2 hrs=

Answer 13

90%; 5% survival rates

Question 14

external otitis

Answer 14

swimmers ear

Question 15

otitis medius

Answer 15

ear infection

Question 16

hardened tissue of untreated hematoma, keloid tissue is resultant

Answer 16

cauliflower ear

Question 17

controls memory, emotions, learning, judgement, voluntary muscle movements.

Answer 17

Cerebrum-

Question 18

controls muscle movements

Answer 18

cerebellum

Question 19

controls heart rate, breathing, coughing

Answer 19

medulla

Question 20

3 layers of protection in skull

Answer 20

dura mater
arachnoid
pia mater

Question 21

brain is suspended in

Answer 21

cerebrospinal fluid

Question 22

head/neck injuries may present as what

Answer 22

cervical spine injury, brain injury(concussion/traumatic brain) or skull fracture

Question 23

___ hematoma more common than epidural hematoma

Answer 23

subdural

Question 24

caused by whiplash forces that tear venous blood vessels

-signs are unconscious with dilation of pupil on 1side, headache,vertigo, nausea, sleepiness

Answer 24

subdural hematoma

Question 25

• blow to the head(baseball bat)

- unconscious, 1 pupil dilation,headache, nausea, vertigo, seizures LIFE threatening

Answer 25

epidural hematoma

Question 26

ALWAYS assume a neck injury.
Don’t move the athlete if unconscious
Check ABC’s
Don’t remove helmet, remove face mask.

Answer 26

head injury eval

Question 27

• 250,000 concussions/year for High School FB players.
• After 1st concussion, chance of 2nd is 4X greater.
• Brain cells that are not destroyed may exist in a vulnerable state

Answer 27

concussion factoids

Question 28

• loss of consciousness
• Headache, vertigo, nausea, -vomiting
• AMNESIA
• Balance, Slow pupil response or dilation
• Visual accuities

Answer 28

concussion symptoms

Question 29

“If you were out, you are out”
“If you sway you do not play”
Any amnesia or increase in S/S with activity

Answer 29

Golden rules:

Question 30

more important to determine __ __ of the s/s and when to refer, such as if symptoms increase/worsen

Answer 30

time course

Question 31

Do you know where you are?
Can you tell me what happened?
Does your head hurt?
Do you have pain in your neck?
Can you move your hands and feet?

Answer 31

HISTORY -head injury assessment

Question 32

Blank stare?
Disorientation
Slurred or incoherent speech
Cognitive function
Normal emotional response

Answer 32

OBSERVATION -head injury assessment

Question 33

special test for balance

Answer 33

rhomberg test

Question 34

Finger-Nose, Heel-Toe Walking = Coordination
Recall three words/lunch = Memory
Months of the year backwards = concentration
Eye Function = pen/finger tracking, blurred vision, pupil response to light

Answer 34

special tests

Question 35

A player sustaining a concussion is out for 1 week after symptoms subside.

Answer 35

New UIL rule

Question 36

Brain swelling because a 1st injury hasn’t healed.
Second impact may not even involve a blow to the head.
Signs: May appear dazed followed by a rapid decline in consciousness, pupils, eye movement.
Care: 911

Answer 36

second impact syndrome

Question 37

Understand mechanisms of injury
Monitor equipment and technique
Recognize injury severity
Collaborate with physician on return to play decisions
Understand the potential negative consequences

Answer 37

what coach can do to prevent/treat concussions