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48 Cards in this Set

  • Front
  • Back
failure to have an emergency plan is grounds for what?
negligence
The emergency plan does what four things?
identifies personnel directly involved in carrying out the plan, specifies necessary equip, establishes a mech for communication, and is derived from overall emergency planning policies
What are some of the components of the emergency plan?
incorporates local emergency care facilities
specifies doc needed to support plan
reviewed and rehearsed at least annually
reviewed by the administration and legal counsel of the sponsoring organizstion or institution
Who are the members of the emergency team?
coaches, administrators, team physician, athletic trainer, local EMS staff
What are members of the emergency care team responsible for?
immediate care of the athlete, emergency equip retrieval, activation of eMS, directing EMS to injury scene
What should an emergency plan include?
emergency evaluation/care role of each individual, locations of phones, emergency phone #'s, supplies and location and procedure for use, EMS access points to stie, directions to the site for EMS, who will guide emergency vehicles to site, location of gates/passageways to site, which one is to be used, who has the keys?
who should conduct CPR training?
nationally recognized organization (the American Heart Association)
How often should personnel renew traininig?
every 3 years
Who is responsible for the immediate care of acute injury?
The coach
What should the coach be responible for if an acute injury takes place?
efective first responder, focus on providing care to the individual, must distinguish minor from major injuries, and give proper care when no physiciian or athletic trainer is present.
What type of training should coaches have? What does this include?
BLS (basic life saving skills)
airway assessment and opening techniques, rescue breathing, CPR, AED protocol
What should the initial check include?
assessments of responsiveness, airway, breathing, severe bleeding
AVPU?
alert and aware
verbal stimulus
painful stimulus
unresponsive to any stimulus
What should be done if spinal or head injury is suspected?
immobilize head and neck immediately
You only proceed to use the head-tilt/chin lift method only after checking what?
if athlete is unresponsive and has no apparent serious head or spinal injuries.
What is involved in the initial check?
Airway assessment, ask a simple question if unresponsive AND no apparent serious head or spinal injuries-->head-tilt/chin lift method
What should you do if the person is not breathing and spinal or head injury is suspected?
use jaw-thrust technique to open airway, use finger sweep if object is lodged in mouth
What does the breathing portion of the initial assessment include?
look, listen, and feel for air flow
In the initial survey, what does the circulation assessment include?
2 major concerns: presence or absence of the signs of circulation (breathing, coughing, movement, pulse, and normal skin color)
(presence or absence of loss of blood (hemorrhage) either internally or externally
If there are no signs of circulation, what should you do?
begin CPR
if the patient is hemorrhaging externally, what should you do?
control w/ direct pressure, elevation, pressure points, and or pressure bandage, take precautions against bloodborne pathogens wear personal protective gear.
How might internal hemorrhaging be detected? What are some early signs of hypovolemic shock?
brusing or the progression of shock, rapid weak pulse, rapid shallow breathing, moist clammy-feeling skin, blue skin inside lips and under nail beds
What is a true medical emergency?
shock
If you come up to an athlete whose pulse is rapid and weak, breathing is shallow, skin is moist and clammy-feeling, and their skin inside lips and under nail beds is blue, what might they have?
hypvolemic shock
How is shock treated?
if spinal injury is suspecte, do not move the athlete. Stabilize in position found!
have athlete lie down, elevate legs about 8-12" if no head injury, "if the face is pale, raise the tail"
elevate head if potential for cranial bleediing "if the face is red, raise the head"
cover athlete with blanket
monitor vitals
what is a good way to do an athlete's physical exam?
HOPPS
H history
O observation
P palpation
S sign
S symptoms
In taking the history in the physical exam of athlete, what is important?
keep questions simple and brief "yes" or "no," avoid questions leading to a preferred answer.
What are good questions to ask about athlete's history, and what is this part of ?
what happened, any strange sounds when injury occurred, ask if in pain, ask where it hurts. Previous injuries to involved area, present history to medical personell
what should be included in the observation part?
continual monitoring of vitals
athlete's position and behavior
swelling, hemorrhaging, bruising, or deformity (bilateral comparisoN)
signs and symptoms relating to the injry
Palpation
useful to find deformity, spasm, swelling, carefully perform to avoid aggravating existing injuries, begin w/ uninjured limb, if the injury to an extremity, begin by palpating away from areas of injury
What is the rule of palpation?
begin by palpating away from areas of injury
What evacuation method should you use if the athlete is conscious, has no inuries that preclude walkin?
under own power but with assistance
If the athlete's lower extremity is injured, how should they be removed from the field?
passive transport system--carry, stretcher, sports chair.
If the athlete is unconscious or may have neck injury, how should they be removed?
DON't MOVE prior to EMS arial unless athlete is likely to be injured further. Stay with athlete and monitor vital sings, treat for shock, summon EMS.
Who has authority for returning an athlete to the field?
trained medical professional/physician or BOC certified athletic trainer....if none present, the coach!
What are some examples of when you should remove and athlete from play and arrange for evaluation from medical professional?
neurologic injury
suspected concussion
heat-related problems
When would an athlete not be able to return to play?
neurological injury, concussion, heat-related problems, muscoloskeltal system injuries, if the injury results in any degree of functional loss,
How can you check for an athlete's functional loss in the extremities?
have athlete perform simple drills (hopping, run, cutting, blocking, throwing etc.)
What is the primary concern in an emergency situation?
maintaining cv and CNS functioning
What is the key to emergency aid?
initial eval of the injured patient
The individual calling medical personnel must relay what?
1type of emergency
2suspected injury
3present condiiton
4current assistance
5location of phone being used
6location of emergency
If the patient is a minor, what has to take place?
Parent notification and consent
What is ruled out if doing a secondary survey?
life-threatening condition
When can the helmet be removed?
only after neck and spine injury is ruled out (facemask removal required in the event of CPR
What should be done if the patient is unconscious and breathing?
nothing until consciousness resumes
If patient is upine and not breathing, what should be established immediatelY?
ABC's
if the patient is prone and not breathing, what should be done?
log roll and establish ABC's
Once the patient is stabilized after checking ABC's, what should be done?
A secondary survey