Lecture 1 Flashcards
EAP, PPE, safety, Negligence, Primary, Secondary, SAMPLE, OPQRST, HOPS,
What does SAFE stand for?
Supervision, Activity selection, Facility, Equipment
How can you reduce Liability and risk?
Consent, Assumption of risk, Recordkeeping, release of information, liability insurance
Define the two acts of Commission: Malfeasance and Misfeasance.
Malfeasance - to perform an act not responsible for
Misfeasance - wrong procedure or improper manner
Define the acts of Ommissions: Nonfeasance, Malpractice, Gross negligence
Nonfeasance - failure to perform duty of care
Malpractice - negligent act during care
Gross negligence - total disregard
What is an EAP?
A plan for action in case of emergency at a practice or game to ensure safe and efficient injury/illness management.
What is the role of the Charge Person?
- most experienced
- assesses and treats athlete
- determines need for further medical care; responsible for athlete until help arrives
What is the role of the Call person?
Know the location and access of telephones
- prepared in advance to make the call
- gets AED if needed
- assists the charge person if needed
What is the role of the control Person?
Ensures the charge person can work with no one in the way
What is the golden rule as an athletic therapist?
Therapist 1st, Fan 2nd
Primary Survey must answer two questions if EMS is not required, what are they?
Q1 - is the athlete leaving the game?
Q2 - if leaving, how do you remove safely?
What is the Primary Survey?
A check for conditions that are an immediate threat to the patient’s life
When do you perform a primary survey?
- unwitnessed injury
- unconscious athlete
- start of every assessment
What needs to be done, in order, for primary survey?
- Survey scene
- block head
- check LOC
- ABCs
- treat for shock
What is the secondary Survey?
This is when you do a more thorough assessment(SAMPLE, pain, OPQRST)
What is SAMPLE?
Signs and symptoms
Allergies
Medications
Previous pertinent medical history
Last oral intake
Events leading up
What is OPQRST?
Onset
Provokes
Quality
Region/Radiating
Severity 1-10
Timing (constant, comes and goes)
Checking Vital Signs: What should be covered here?
LOC
Pulse rate
Breathing
Skin
Pupils
When checking pupils, what does PEARRLA mean?
Pupils Equal And Round, Reactive to Light and Accomdating
When performing a head to toes exam, what order should it be performed?
head, neck, shoulder, chest, abdomen, pelvis, legs, arms, low back
What is HOPS?
History, Observations, Palpations, Special Tests
Performed when you have witnessed the injury.
What is covered in history in HOPS?
MOI, Signs and symptoms, Previous history of injury, New injury/re-injury
What is covered in Observations in HOPS?
Look for signs that would give information about the injury: swelling, bruising, bleeding, deformity.
What is covered in Palpations in HOPS?
Feel with your hands to see what tissue is damaged: bone, ligament, muscle.
Start away from injury and work towards.
Palpate bone, then surrounding muscle, then ligaments.
Look for temperature, swelling, point tenderness/deformity, crepitus, distal circulation, fracture
How do you test for a fracture?
Palpation, tap test, compression and bowing
What are the 3 functional tests?
AROM(muscle/ligament), PROM(ligament/bone), RROM(muscle)
What are special tests?
Test the integrity of the joint/muscle
Very specific
Performed last