test2 Flashcards

1
Q

-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)

A

proper emergency care of the injured athlete depends on these aspects

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2
Q

-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

A

components of EAP

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3
Q

-immediate care of the athlete -retrieval of emergency equip -activation of EMS -meet and direct EMS (roles determined by level of expertise)

A

roles within the emergency team

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4
Q

-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

A

emergency equipment

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5
Q

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

A

activating/calling EMS

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6
Q

-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

A

cooperation btwn emergency care providers

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7
Q

-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

A

parent notification

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8
Q
  • determines nature of injury
  • provides info regarding direction of treatment
  • divided into primary and secondary survey
A

principles on the field injury assessment

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9
Q
  • note body position and level of consciousness
  • check and establish ABC
  • assume cervical sping injury until proven otherwise
A

dealing with unconscious athlete

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10
Q

with athlete supine and not breathing…..

A

ABCs should be established immediately

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11
Q
  • if athlete supine and breathing…
A

nothing should be done until conciousness resumes/Monitor vitals

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12
Q

if prone and not breathing…

A
  • nothing should be done until consciousness resumes– then carefully logroll and cont to monitor vitals
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13
Q

life support should be monitored and maintained until…

A

emergency personell arrive

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14
Q
  • 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
A

primary survey

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15
Q
  • 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
A

equipment considerations in primary survey

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16
Q
  • A: airway opened
  • B: breathing restored
  • C: circulation restored
  • D: defibrilator
A

reveiw of CPR

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17
Q
  • 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
A

secondary survey

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18
Q
  • head tilt, chin lift method
  • push down on the forehead and lifting the jaw mvoes the tongue from back of the throat
A

opening the airway (A of CPR)

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19
Q
  • 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
A

establishing breathing (B of CPR)

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20
Q
  • 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)
A

adminstering CPR

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21
Q
  • When obstructed individual cannot breath, speak, or cough and may become cyanotic…__ ___ can be used to clear the airway
A

heimlich maneuver

22
Q
  • Stand behind athlete with one fist against the body and other over top just below the xiphoid process
  • Provide forceful thrusts to abdomen (up and in) until obstruction is clear
A

heimlich maneuver

23
Q

___ finger should be inserted in mouth along cheek, using hook maneuver, pull across to free impediment, and attempt to ventilate after each sweep until athelete is breathing

A

index

24
Q
  • Device that evaluates heart rhythms of victims experiencing cardiac arrest
  • Electrodes are placed at the left apex and right base of chest - when turned on, machine indicates if and when defibrillation necessary
    Maintenance is minimal for unit
A

using an automatic external defibrillator (AED)

25
Q
  • Venous - dark red with continuous flow
  • Capillary - exudes from tissue and is reddish
  • Arterial - flows in spurts and is bright red
A

hemorrhage types

26
Q
  • Direct pressure
    • Firm pressure (hand and sterile gauze) placed directly over site of injury against the bone
  • Elevation
    • Reduces hydrostatic pressure and facilitates venous and lymphatic drainage - slows bleeding
A

external bleeding

27
Q

Eleven points on either side of body where direct pressure is applied to slow bleeding

A

pressure points

28
Q
  • Can occur beneath skin (bruise) or contusion, intramuscularly or in joint with little danger
  • Bleeding within body cavity could result in life and death situation
  • Difficult to detect and must be hospitalized for treatment
  • Could lead to shock if not treated accordingly
A

internal hemorrhage

29
Q
  • Generally occurs with severe bleeding, fracture, or internal injuries
  • Result of decrease in blood available in circulatory system
  • Movement of blood cells slows, decreasing oxygen transport to the body
A

shock

30
Q
  • Moist, pale, cold, clammy skin
  • Weak rapid pulse, increasing shallow respiration decreased blood pressure
  • Urinary retention and fecal incontinence
  • Irritability or excitement, and potentially thirst
A

signs and symptoms of shock

31
Q
  • Maintain core body temperature
  • Elevate feet and legs 8-12” above heart (positioning may need to be modified due to injury)
  • Keep athlete calm as psychological factors could lead to or compound reaction to life threatening condition
A

management for shock

32
Q
  • Primary goal is to limit swelling and extent of hemorrhaging
  • If controlled initially, rehabilitation time will be greatly reduced
  • Control via RICE

REST
ICE
COMPRESSION
ELEVATION

A

immediate treatment

33
Q
  • Stresses and strains must be removed following injury as healing begins immediately
  • Days of rest differ according to extent of injury
A

[rest] in immediate treatment

34
Q
  • Initial treatment of acute injuries
  • Used for strains, sprains, contusions, and inflammatory conditions
  • Ice should be applied initially for 20 minutes and then repeated every 1 - 1 1/2 hours and should continue for at least the first 48-72 hours of new injury
  • Treatment must last at least 20 minutes to provide adequate tissue cooling.
  • Ice shouldn’t be left on overnight because of THE HUNTING RESPONSE
A

[ice] in immediate treatment

35
Q
  • Decreases space allowed for swelling to accumulate
  • Important adjunct to elevation and cryotherapy and may be most important component
  • A number of means of compression can be utilized (Ace wraps, foam cut to fit specific areas for focal compression)
  • maintained daily
A

[compression] in immediate care

36
Q
  • Reduces internal bleeding due to forces of gravity
  • Prevents pooling of blood and aids in drainage
  • Greater elevation = more effective reduction in swelling
A

[elevation] of immediate treatment

37
Q
  • SAM splint
  • rapid form immobilizer
  • lower/upper limb splinting
A

emergency splints types

38
Q
  • Styrofoam chips sealed in airtight sleeve
  • Moldable with Velcro straps to secure
  • Air can be removed to make splint rigid
A

rapid form immobilizer (emergecny splint)

39
Q
  • Fractures of foot and ankle require splinting of foot and knee
  • Fractures involving knee, thigh, or hip require splinting of whole leg and one side of trunk
A

lower limb splinting

40
Q
  • Around shoulder, splinting is accomplished with a sling.
  • Upper arm and elbow should be splinted with arm straight to lessen bone override
  • Lower arm and wrist fractures should be splinted in position of forearm flexion and supported by sling
  • Hand and finger fractures/dislocations should be splinted with tongue depressors, roller gauze and/or aluminum splints
A

upper limb splinting

41
Q
  • EMS should be contacted if this will be required
  • Must maintain head and neck in alignment of long axis of the body
  • One person must be responsible for head and neck at all times
  • Primary emergency care must be provided to maintain breathing, treating for shock and maintaining position of athlete
A

placing athlete on spine board

42
Q
  1. Perform primary survey
  2. Retrieve spine board
  3. with board close, captain gives command to roll onto board
  4. head and neck cont to be stabilized once on board
A

steps for sping boarding

43
Q
  • If athlete is a football player, helmet must stay in place with face mask removed
  • Head and neck are stabilized by strapping
  • Trunk and limbs are secured
A

moving and transporting injured athletes

44
Q
  • arms of athlete are draped over shoulders of assistants, with their arms encircling his/her back
  • complete and even support provided on both sides by individs of equal height
A

ambulatory aid

45
Q
  • Used to move mildly injured athlete a greater distance than could be walked with ease
  • Carrying the athlete can be used following a complete examination
  • Convenient carry is performed by two assistants
A

manual conveyance

46
Q
  • Best and safest mode of transport
  • With all segments supported athlete is lifted and placed gently on stretcher
  • Careful examination is required is stretcher needed
  • May be necessary if athlete can’t be transported comfortably in seated position
A

stretcher carrying

47
Q
  • When lower extremity ambulation is contraindicated a crutch or cane may be required
  • Faulty mechanics or improper fitting can result in additional injury or potentially falls
A

proper fit and use of crutch or cane

48
Q
  • Athlete should stand with good posture, in flat soled shoes
  • Crutches should be placed 6” from outer margin of shoe and 2” in front
  • Crutch base should fall 1” below anterior fold of axilla
  • Hand brace should be positioned to place elbow at 30 degrees of flexion
  • Cane measurement should be taken from height of greater trochanter
A

fitting athlete for crutch

49
Q
  • Injured leg moves with the crutches
  • Step with injured leg and crutches first, followed by uninjured leg
  • Non-weight bearing (NWB) to touch down weight bearing(TDWB) partial (PWB) and full weight bearing (FWB)
  • when using cane or one crutch, support should be held on uninvolved side
A

proper use of crutch

50
Q
A