Stations Flashcards
General approach - hx
Hx
Age
Profession
Sports - change of equipment, shoewear, training environment, level of training
Prev injuries
PMHx
Surgical hx
Lifestyle: smoking, alcohol, substance use, sexually active
Meds, OTC, supplements, performance enhancing drugs
Allergies
Cycle, LMP, menarche
Sx - MOI, SOCRATES, associated symptoms
Constitutional sx - fevers, night sweats, weight loss, night pain
Hx of sx (SOCRATES)
Environmental factors (temperature, humidity, altitude)
Sport factors (experience, level of play)
Patient factors (prev injury/ illness, experience, sleep, hydration, training, clothing, nutrition, occupation)
General approach - physical
Vitals (HR, BP, RR, postural vitals, rectal temp, sats, glucose, GCS)
Inspection (swelling, erythema, atrophy, deformity, symmetry)
Palpation (crepitus, effusion, warmth, tenderness)
ROM (active + passive)
Resisted ROM for strength
Special tests
Examine opposite side to compare
Examine joint above + below
Check neurovascular status
General approach - investigations
Labs
Imaging
Diagnostic injection
General approach - management
Address cause
Rx - oral, topical, IV
Injections
Protection - brace, orthoses, tape, splint
Activity modification recommendations + home exercises, withdrawal from comp, non wt bearing
Time frame for recovery + RTP
Referrals - PT, AT, chiro, sport psych, ortho
FU
Complications
Prevention in future
Emergency station - general approach
Assess
Make environment safe
Stop game
Remove dangers (horse, cars, turn off electricity)
Talk out situation
Communicate
Take charge
Ask bystanders if comfortable helping
Send runners
State “I would notify control + call persons to activate EAP”
Prioritize
ABCs
Exposure - look for medic alert bracelet
Primary survey
Secondary survey
Full physical, all bones, all joints
PMH, meds, last meal
Collateral hx
Reassess + keep checking vitals
Treatment
ABC
Get equipment
Plan transport/ evac
Call ahead to hospital
Notify family
