Injury Evaluation

Front 1

Purpose is to determine (3 thrings):

Back 1

Cause - mechanism of injury
Type - Tissue injured (muscle, tendon, bone)
Severity - Treatable or needs referral

Front 2

Two types of injury evaluation procedures are?

Back 2

On-site Evaluation (5-10 minutes) & Clincial Evaluation (15-30 minutes)

Front 3

Parts of On-site Evaluations consist of?

Back 3

First responder: quick assessment of severity
Primary survey: quick ABC's, bleeding
Secondary survey: more detailed assessment

Front 4

Clinical evaluation consists of?

Back 4

a) detailed assessment of the cause, type and severity of the complaint without time constraints
b) generally conducted in the "clinic"
c) procedure is systematic and follows the S.O.A.P format

Front 5

S.O.A.P. stands for?

Back 5

Subjective, Objective, Assessment and Plan

Front 6

Primary survey consists of?

Back 6

a) ABC's: airway open, breathing, circulation
b) Bleeding: obvious needing attention immediately

Front 7

Secondary survey consists of?

Back 7

a) check head
b) perform a Cranial Nerve Assessment
c) palpate head and neck
d) check clavicle and arms
e) palpate
f) check sensation in foot
g) check capillary refill in toes
h) asking questions to the victim to check for head trauma

Front 8

Which cranial nerve has the task of smile, frown, wrinkle forehead, puff cheeks, open & close mouth?

Back 8

V & VII

Front 9

Which cranial nerve has the task of following the finger with the eyes: "H" pattern?

Back 9

II, III, IV & VI

Front 10

Which cranial nerve has the task of sticking out the tongue and moving it from side to side?

Back 10

XII

Front 11

Which cranial nerve has the task of swallowing and saying "ahh"?

Back 11

IX & X

Front 12

Which cranial nerve has the task of having the ATC touching the face from forehead to chin on both sides?

Back 12

V

Front 13

Which cranial nerve has the task of sensing when the ATC chines a pen light to examine pupil response to light?

Back 13

III

Front 14

Pearl?

Back 14

Pupils equal and reative to light

Front 15

Which cranial nerve has the task of closing the eyes while the ATC test hearing?

Back 15

VII

Front 16

What are you looking for when you check the clavicle and arms?

Back 16

fractures, deformities, discoloration, grip strength, biceps strength, sensation, capillary response in finger tips, asking victim to touch thumb to finger

Front 17

What do you palpate?

Back 17

chest (rib injuires), sternum, upper back, mid back, hips & pelvis, low back, thighs & knee, legs & ankle, feet & toes

Front 18

What signs are you going to look for when palpating the four quadrants of the abdominal region?

Back 18

Rigidity and bloatedness

Front 19

If victim is taken tot he sidelines for observation, the ______ test should be given and vitals such as ________ and _________ should be taken to further determine status

Back 19

Romberg, heart rate, blood pressure

Front 20

What is the football return to play rule?

Back 20

Victim is re-evaluated on sidelines. If no signs or symptoms are present for 20 minutes, player can return to play.

Front 21

What is the purpose of the S.O.A.P. notes?

Back 21

To answer three questions: cause, type of tissue injured, severity

Front 22

What is included in the subjective exam?

Back 22

Medical history (patien'ts perception of their problem)

Front 23

What is included in the objective exam?

Back 23

a) observations: general and structural observation
b) clearing
c) neurological exam
d) functional assessment
e) special tests
f) special measurements
g) palpation

Front 24

What is included in the observation category?

Back 24

general demeanor, facial expression, response to questions, how patient entered room, attitude, gait analysis, lumps, bumps, deformities, swelling, color, postural inspection

Front 25

What is clearing?

Back 25

Clearing is when the clinician checks above and below the site of complaint to rule out involvement of other conditions

Front 26

Neurological exam tests what?

Back 26

a) sensory - dermatomes (sensations on R & L sides)
b) motor - myotmomes (muscle function)
c) reflexes - deep tendon (patellar tendon, biceps...)

Front 27

What is the functional assessment?

Back 27

Determines the type of tissue injured through AROM, PROM, resistive movements, ADL's, etc.

Front 28

What are contractile tissues?

Back 28

Muscle and tendon

Front 29

What are inert tissue?

Back 29

ligament, joint capsule, bursa, fascia, bone

Front 30

What are special tests?

Back 30

purpose: to identify the "type" of tissue injured and "severity" of the injury

Front 31

Example of a special test?

Back 31

varus & valgus stress tests for the medial and lateral collateral ligaments of the knee

Front 32

What are some examples of special measurements?

Back 32

girth, goniometry, grip strength

Front 33

When doing palpation in the objective exam, how do you palpate?

Back 33

superficial to deep

Front 34

What goes in the assessment portion of the S.O.A.P. note?

Back 34

A summary of the subjective and objective findings

Front 35

What is the plan?

Back 35

It is the treatment that will be used to treat the type of tissue that was injured.