On field common injuries Flashcards
What about your sport shoulder you know pregrame?
- Team prep
- Advising coaching staff
What should you know during game?
- On field Ax
- RTS testing
- Strapping and other treatments
What should you know post game?
- warm down
- Injury assessment
- Advising coachingstaff
- RTS
What is the role of an on field assessment?
Triage not diagnose
- Function ability to return to field
Consider conflicts of interest
- players health vs players wish
- Players health vs coach/team wish
Contracts, bonuses
Run through TOTAPS
Touch, observe, talk, active movement, passive movement, skills
How to manage fracture on field?
- TOTAPS
- Ottawa rules
- Xray if suspected (5th MTP, Navicular)
- Immobilise and refer to hospital (sling, brace)
- Call ambulance with open wound
How to manage a nasal fracture?
- Pinch soft tissue
- Leaning forwards and sitting
- Ice nose if possible
- Assess head injury
- Refer to hospital
How to manage a dental injury?
- Locate teeth and keep in milk
- Reinsert tooth if possible
- Gauze and bite down
- Handle by crown only
- Dentist
What are the grades of ligament?
- Grade 1: stretch
- Grade 2: fray
- Grade 3: full
What are differential diagnosis of ACL?
- Dislocated patella
- Meniscus
AC joint
- Direct blow
- Pain over A/C joint
- Often swelling present
- Step deformity
Ankle sprains
Gr1: Mild partial - no mechanical instability
Gr2: Incomplete tear, loss of ROM and function, Mild to moderate instability
Gr3: Loss of function and motion
Mechanical instability
Complications of relocation of dislocated joint?
- Nerve or vascular involvement
How to manage a dislocation?
- Immobilise
- Avoid relocation
- calm, avoid drink/food
- No pain medication
- Call ambulance or go hospital
PEACE AND LOVE
Protection elevation avoid anti inflammatories compression education
Load
optimism
Vascularisation
Exercise
