Prentice Ch. 12 - On field acute care and emergency procedures Flashcards
Life-Threatening Conditions
airway obstruction no breathing no circulation profuse bleeding shock
Football helmet/pad removal recommendation
current recommendation is to leave the helmet and shoulder pads in place
football helmet and chip strap removal only if…
- helmet and chin strap do not hold the head securely and immobilizing the helmet does not immobilize the head
- the design of the helmet and chinstrap is such that , even after removal of the face mask, airway cannot be controlled or ventilation provided
- facemark cannot be removed after a reasonable period of time
- helmet prevents the athlete from being immobilized appropriately for transportation.
remove neither or both
helmet and shoulder pads
measurement of OPA
distance from the corner of the mouth to the earlobe
measurement of NPA
distance from the nostril to the same side earlobe
don’t use an NPA if they have
a head trauma
normal O2 intake
21 percent o2
during rescue breathing person inhales
16% o2 but valve/bag mask provides 21%
hypovolemic shock
- trauma where there is blood loss
- decreased blood volume causes a decrease in blood pressure
respiratory shock
- occurs when lungs are unable to supply enough o2 to the circulating blood
neurogenic shock
caused by general dilation of blood vessels within the CV system
psychogenic shock
fainting (syncope) caused by a temporary dilation of blood vessels that reduces the normal amount of blood in the brain
cardiogenic shock
inability of the hart to pump enough blood to the body
septic shock
occurs from a severe, usually bacterial infetion
anaphylactic shock
results of a severe allergic reaction caused by foods, insect stings, or drugs
metabolic shock
happens when a severe illness such as diabetes, goes untreated
sings of shock
blood pressure is low
systolic pressure is usually below 90mmHg
pulse is rapid and weak
patient may be drowsy and appear sluggish
respiration is shallow and extremely rapid
skin is pale cool and clammy
Management of shock
- maintain body temperature
- elevate feet and legs 8 to 12 inches (unless neck injury)
for head injury the head and shoulders elevated; for leg fracture the legs should be kept level and should be raised after splinting
AVPU
alert
verbal
pain
unresponsive
ACDU
alert
confused
drowsy
unresponsive