test2 Flashcards
-the initial evaluation -members of sports med team acting reasonably/prudently at all times -a prearranged plan that can be implemented on a moments notice(EAP)
proper emergency care of the injured athlete depends on these aspects
-outline personel and role (emergency team) -identify necessary equipment -availability of phones and access to 911/procedure for activating EMS -maps&directions for access to facility -procedure for documenting a medical emergency
components of EAP
-immediate care of the athlete -retrieval of emergency equip -activation of EMS -meet and direct EMS (roles determined by level of expertise)
roles within the emergency team
-spineboard -rigid cervical collars -face mask removal tools -CPR masks/ barriers -vacuum splints -crutches -blood borne pathogen kit -automated external defibrillator (AED) -emergency oxygen w/ mask
emergency equipment
1.name of caller 2.type of emergency; suspected injury 3.present condition 4.current care being provided 5.location of phone being used 6.location of emergency
activating/calling EMS
-athletic trainer generally first to arrive on scene of emergency -athletic trainer has more training and experience transporting athlete than physician -EMT has final say in transportation
cooperation btwn emergency care providers
-when unobtainable predetermined wishes of parent (provided at start of school yr) are enacted -with no informed consent, consent is implied on part of athlete to save their life
parent notification
- determines nature of injury
- provides info regarding direction of treatment
- divided into primary and secondary survey
principles on the field injury assessment
- note body position and level of consciousness
- check and establish ABC
- assume cervical sping injury until proven otherwise
dealing with unconscious athlete
with athlete supine and not breathing…..
ABCs should be established immediately
- if athlete supine and breathing…
nothing should be done until conciousness resumes/Monitor vitals
if prone and not breathing…
- nothing should be done until consciousness resumes– then carefully logroll and cont to monitor vitals
life support should be monitored and maintained until…
emergency personell arrive
- caregiver must be able to triage injuries
- life threatning injuries take precedents(CPR,profuse bleeding and shock)
- est responsiveness: gently shake and ask “are you ok” but if no response, EMS needs to be activated and postioning of body should be noted and adjusted in event CPR is necessary
primary survey
- equip may compromise lifesaving efforts but removal may compromise situation further
- facemask should be removed appropriate clip cutters (anvil pruner, trainers angel, fm extractor)
- use of pocket mask/barrier mandated by OSHA during CPR to avoid exposure to bloodborne pathogens
equipment considerations in primary survey
- A: airway opened
- B: breathing restored
- C: circulation restored
- D: defibrilator
reveiw of CPR
- performed once life threatening condition ruled out
- gathers specific information about injury
- assess vital signs and perform more detailed evaluation of conditions that don’t post life threatning consequences
secondary survey
- head tilt, chin lift method
- push down on the forehead and lifting the jaw mvoes the tongue from back of the throat
opening the airway (A of CPR)
- look, listen, and feel
- take deep breath, administer 2 slow breaths (raise chest 1.5-2 in)
- if breath doesnt go in, retilt and ventilate
- if breath still doesnt,30 chest compressions and lookf or object in airway
- OSHA requires the use of proteective barrier when adminstering CPR
establishing breathing (B of CPR)
- locate margin of ribs and xiphnoid process of sternum
- 2 fingers wdth above xiphoid process, place heel of hand on lower portion of sternum
- place other hand on top with fingers parallel of interlocked
- keep elbows locked with shoulders directly above patient
- compress chest 1.5-2” (30x per 2 breaths)
- after 4 cycles reassess the pulse(if not present continue cycle)
adminstering CPR