Medical emergencies Flashcards
Your players are eating seafood paella in the club bar after a match. You become concerned by a player who is coughing repeatedly, wheezing and becoming agitated. Other players are trying to get him to drink water, shouting at him and smacking him lightly between the shoulders. On approach, you see his skin is blotchy and flushed, his eyes and lips are puffy and swollen, his cough is unproductive, and you can hear stridor. There is no known history of allergy.
Which of the following best describes your next immediate course of action?
Give high-flow oxygen and IM adrenaline 0.5ml 1 in 1000 (500mcg)
How do you adujust subuimol dosage to an u12
Halve the dose
You are asked to review a trialist who is behaving strangely during a morning training session. Your club intern states that he provided evidence of being recently diagnosed with diabetes and prescribed insulin. The intern hands you the player’s own insulin pen.
As you do not know the player, it is difficult to quantify his behavioural changes. However, taking into consideration the above, you send the intern to get your second medical bag. Whilst awaiting your blood glucose monitor, you check your first bag for a treatment that might help. Nearby, the catering staff have set up a coffee station with hot water, sugar, milk and a variety of soft drinks for post-training.
When treating a conscious player (who is known to have diabetes) with suspected hypoglycaemia, which of the following are appropriate actions to take?
You may select multiple answers.
Ask him to drink at least 200ml of full fat milk
Give him at least three sugar lumps
Give him Lucozade sport (after checking the label for sugar content and advising dosage to drink)
Ask him to swallow one tube of Hypostop gel
Type 1 and type 2 diabetes mellitus are the most common forms of diabetes. The causes of each are different, but they both result in too much glucose in the blood.
True or false?
True
Type 1 diabetes mellitus is caused by the body’s failure to produce insulin. Insulin is the hormone released by the pancreas to help control blood glucose levels.
True or false?
True
Type 2 diabetes mellitus is caused by the body not producing enough insulin or not using what it produces effectively.
True or false?
True
Type 1 diabetes mellitus is the most common form and accounts for around 90% of all diabetes.
True or false?
False
Some of the earlier symptoms of hypoglycaemia can be mistaken for those that occur following a head injury.
True or false?
True
Hypoglycaemia is uncommon in sport. It is caused by an imbalance between training and nutrition but is also influenced by external factors (such as heat and altitude).
True or false?
False
Risk of hypoglycaemia can be reduced by appropriate training and ingesting an appropriate carbohydrate meal but can be stimulated by eating carbohydrate of a high glycaemic index (GI) close to the start of exercise.
True or false?
True
Hypoglycaemia will usually present as fatigue, but it can impair thermoregulation and predispose to muscle and tendon injury.
True or false?
True
Hypoglycaemia is easily remedied by the administration of carbohydrate, preferably in the form of fructose.
True or false?
False
Regarding a young adult footballer with stable and controlled epilepsy, which one of the following statements is correct?
Evidence demonstrates sporting participation reduces seizure frequency, so contact sport is allowed
Which of the following signs/symptoms would indicate she is experiencing a hypoglycaemic attack?
Confusion
Aggression
Tachyardia
Poor decision-making
Sweating
Pale
Which of the following signs/symptoms would indicate she was having an anaphylactic reaction?
Sudden swelling (oedema) of the face, lips and tongue
Hoarse sounding voice
Wheezing
Itchy
Nausea/vomiting and peripheral vasodilation
