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54 Cards in this Set

  • Front
  • Back
Internal Injuries
0
3 major organ systems injured in athletics
Ruptured Spleen
 Bruised Kidneys
 Testicular Trauma
Tips
 it often takes hours for a serious internal
injury to appear.
 Athletes must be monitored to ensure
problem does not worsen
 know the signs and symptoms
Do not give food or water
with abdominal injuries, food and other fluids con
leak out into the abdominal cavity
◦ surgery
◦ increases risk of infection
◦ do not allow them to leave without proper
supervision
◦ inform of s/s before they leave
Spleen
Found in the upper
left quadrant of the
abdomen, just lateral
to the stomach
 lymphatic tissue that
functions in
phagocytosis
production of
lymphocytes and
blood storage
Ruptured Spleen
This is a life threatening contusion injury to
the spleen (RBC reservoir)
 Any direct blow to the left side f the body,
especially underneath the stomach and lower
ribs.
 The blow injures the spleen and causes
severe internal bleeding
Ruptured Spleen Signs and Symptoms
early stage
 pain in the upper abdominal area with bruising
◦ advanced stage
 pain progresses into the left shoulder and neck
 feels faint, pale skin, rapid pulse, vomiting
 dizziness, rigid abdominal muscles,
 low blood pressure, shortness of breath
Ruptured Spleen Treatment
send for EMT if s/s progress to advanced stages
◦ monitor ABCs
◦ treat for shock
◦ treat for other injuries (rib fractures)
◦ if s/s do not progress to advanced stages, but pain
and tenderness persist for over 15 min, refer to a
physician
Ruptured Spleen Treatment
Mononucleosis (MONO)
 this causes an enlarged spleen
Kidneys
 Responsible for
filtering toxins,
wastes, water, and
mineral salts out of
the bloodstream
 regulate the acidity
of the blood
Kidneys
Found on the left and right lower abdominal
cavity (posterior)
 most commonly bruised in contact sports:
◦ football
◦ soccer
◦ basketball
◦ baseball (non-contact)
Bruised Kidney
Any contusion to the area of the kidneys
 can be a direct blow to either side of the
person or midback
 Early stages S/S:
◦ pain
◦ bruising
◦ tenderness
Bruised Kindyes Advanced (life-threatening) stage
◦ pain moves to the low back, outer thighs, and/or
front pelvic area
◦ feels faint, dizziness, abdominal swelling
◦ increased heart rate, burning urination, cloudy or
bloody urine, vomiting
◦ rigid back muscles, skin cool to touch
◦ pale skin
Bruised Kidney Treatment
send for EMT if s/s progress to advanced steps
◦ monitor ABCs
◦ Treat for shock
◦ treat other injuries as needed
◦ if s/s do not progress but pain persist for more
than 15 minutes refer to a physician
Testicular Trauma
Contusion or trauma to the testicles
 In severe injuries, the testicles can rupture or
the testicular cord can be twisted
 this cuts of blood supply to the testis
 causes sterility
Testicular Trauma Cause
Caused by any direct blow to the groin area
 s/s: pain and nausea
 have the athlete perform self exam:
◦ swelling, discoloration, deformity
◦ spasm
 In advanced stages, the testicles may draw
upward in the body, bloody or cloudy urine,
vomiting
Testicular Trauma Treatment
assist to a comfortable position
◦ slow deep breaths
◦ apply ice to area if necessary
◦ refer the athlete if the pain does not stop after 20
minutes or if any advanced s/s occur.
Sudden Illness
 Diabetes
 seizures
 drug reactions and overdose
 adverse supplement reactions
 fainting
 influenza
 gastroenteritis
Diabetes
Diabetes is a condition that affects the
body’s ability to produce and regulate insulin
 insulin is produced in the pancreas and
controls the uptake of glucose
 glucose is the primary energy source for
tissues, especially the brain and kidneys
Diabetes Insulin Levels
Improper insulin levels can cause high levels
of glucose (hyperglycemia) or low levels of
glucose (hypoglycemia)
 2 types of diabetes:
◦ Type I: body does not produce insulin (childhood)
◦ Type II: prevents the body from properly using
insulin. More common, usually adult onset.
Diabetes Insulin reactions
condition in which an athlete’s glucose (sugar)
levels drop below normal (hypoglycemia)
 caused by high insulin levels
 Mild s/s: hunger, irritability, weakness
 Moderate: dilated pupils, trembling, sweating, strong
rapid pulse
 Severe: confusion, convulsions, unconsciousness
Insulin Reactions treatment
remove athlete from all activity
 give the athlete sugar, candy, soda or fruit juice
 Send for EMT if athlete does not recover within a few
minutes
 monitor ABCs
 if unconscious place on side to allow vomit or fluids to
drain from the mouth
Ketoacidosis
condition caused by a severe or prolonged insulin
deficiency that can result in a high blood glucose
(sugar) level (hyperglycemia).
◦ Body will try to eliminate excess urine through
sugar
◦ causes dehydration and electrolyte imbalance
 Ketoacidosis Common causes
◦ Common causes:
 stress
 medications
 too much food
 not enough exercise
◦ Early S/S:
 excessive thirst, dry mouth, nausea,
 sweet-fruity smelling breath, frequent urination
Ketoacidosis Advanced stages
◦ Advanced Stages:
 headaches, abdominal pain
 dry, red, warm skin
 heavy breathing
 vomiting
Ketoacidosis Treatment
 remove athlete from all activity
 recommend checking blood sugar and take insulin if
appropriate.
 Send for EMT if athlete does not recover within a few
minutes
 monitor ABCs
 if unconscious place on side to allow vomit or fluids to
drain from the mouth Episodes of abno
Seizures
Episodes of abnormal electrical activity within
the brain.
◦ Can lead to sudden changes in alertness, behavior
and muscle control.

2 types:
 petit mal seizures (minor)
 grand mal seizures (major)
 type is determined by s/s
Seizures signs and symptoms
 Epilepsy
 Head injuries
 Brain infection or
tumor
 Drug abuse
 Respiratory arrest
 High Fever
 Heatstroke
 Hypoglycemia
 Drug Reactions
 Medication
Discontinuation
Minor/ Petit Mal Seizures
Dazed or inattentive manner
◦ Confusion
◦ Loss of Coordination
◦ Possibly loss of Speech
◦ Repetitive blinking or other small movements
◦ Typically these are brief, lasting only a few seconds,
but some may have multiple bouts in a day.
Minor/ Petit Mal Seizures Treatment
monitor for progression into grand mal seizure
◦ rest from activity
◦ inform athletes parents of guardian
◦ refer if persist
Grand Mal Seizure Sequence
eyes are generally open
◦ body appears stiff and rigid
◦ Muscles contract violently in spasms or convulsions
that usually stop in one or two minutes
◦ may temporarily stop breathing
Continued
may appear not to breath and then progress to deep
breathing after the seizure
◦ bluish skin or lips
◦ Unconsciousness, f/b gradual return to
consciousness.
◦ Uncontrolled urination
◦ temporary confusion after the seizure
Grand Mal Seizure Treatment
clear all objects away from the athlete
◦ do not restrain
◦ do not try to place anything in the athletes mouth or
try to pry the teeth open
◦ After the convulsions stop, check ABCs
◦ Check for other possible injuries
◦ check for head and neck injuries
Continued
treat for shock if necessary
◦ encourage the athlete to rest
◦ Call for EMT if:
 suffering from other injury/illness
 experiencing seizure for the first time
 seizure >5 minutes
 unconscious > 10-15 minutes
 has difficulty breathing or is not an epileptic
Grand Mal seizure Do Nots
 DO NOT:
1. Restrain the athlete
2. Try to place anything in the athletes mouth
3. Try to pry the teeth apart
Substance Abuse
3 major drug categories
◦ 1. Depressants
◦ 2. Stimulants
◦ 3. Combination
 major cause of sudden illness
Depressant Overdose
 Dangerous and possibly life threatening
reaction from using a depressant or taking an
excessive amount of a depressant
◦ these include alcohol, narcotics (morphine, heroin,
codeine), GHB, rohypnol, ketamines.
◦ Depress the CNS
◦ use for relaxed, calm feeling
Depressant overdose Signs and symptoms
Relaxed feelings
 fatigue
 depression
 pale, cold, clammy
skin
 constricted pupils that
do not respond to
light
 rapid and weak pulse
 possible
unconsciousness
 Shallow breathing
 Coma (GHB)
 Seizures (GHB)
 Anterograde Amnesia
 hallucinations
 delirium
 Impaired motor
function
 over-emotional
Depressant overdose Treatment
rest from activity
◦ send for EMT if necessary
◦ Monitor ABCs
◦ Treat for shock
◦ education
◦ send to physician, parents
Stimulant Overdose or reaction
Dangerous and possibly life threatening
reaction from using a stimulant or taking
excessive amounts of the stimulant
◦ these include cocaine, crack, and amphetamines
◦ stimulate the nervous system
◦ makes athletes “feel” quicker and more alert
Stimulants Overdose Signs and Symptoms
 Lack of fatigue
 irritability
 feeling of hyperstimulation
 sense of mental
clarity
 restlessness
 anxiety
 dilated pupils
 Increased body
temp
 rapid pulse
 hallucinations
 paranoia
 cardiac arrest
 confusion
 mood changes
 similar reactions
with supplements
Stimulant Overdose Treatment
rest from activity
◦ send for EMT if necessary
◦ Monitor ABCs
◦ Treat for shock
◦ education
◦ send to physician, parents
Combination Drug Overdose
Ecstasy (MDMA)
 aka. Adam, XTC, hug, beans, and love drug
 includes both stimulant and hallucinogenic
properties
 most popular type of drug on college campus
 can be the most dangerous
Combination Overdose signs and symptoms
Depression
 anxiety
 nausea
 feeling faint
 blurred vision
 muscle tension
 involuntary teeth
clenching
 Insomnia
 paranoia
 chills
 sweating
 increased heart rate
 confusion
Combination Overdose Treatment
rest from activity
◦ send for EMT if necessary
◦ Monitor ABCs
◦ Treat for shock
◦ education
◦ send to physician, parents
Fainting
A temporary loss of consciousness not
caused by a head injury.
 Can be classified as a mild form of shock
 S/S:
◦ nausea, weakness, headache, fatigue
◦ dizziness, pale, cool clammy skin
◦ shallow, rapid breathing with a possible loss of
consciousness
Fainting Treatment
◦ if athlete is conscious
 sit down with head between knees or lie down with the
feet elevated
 monitor and treat for shock
◦ if athlete is unconsciousness
 monitor ABCs and send for EMT if athlete does not
recover within a few minutes
 place athlete on side
Gastroenteritis
Sudden infection or toxin exposure affecting
the stomach and intestines.
 Aka. Stomach flu or food poisoning
 caused by direct contact with bacteria and
viruses.
 Can be spread through inhalation, personal
contact, consumption, and/or handling of
contaminated pets
Gastroenteritis Signs/Symptoms:
nausea - diarrhea
◦ headache - stomach cramps
◦ abdominal pain - vomiting
◦ muscle aches - low grade fever (99)
◦ weakness - dehydration
◦ chills
Gastroenteritis Treatment
rest
◦ suggest athlete avoid solid foods
◦ only ice chips until vomiting stops, then clear fluids
◦ immediately send to physician, especially with:
 severe abdominal pain, forceful vomiting, fever, bloody
stool, dehydration, possibility of food poisoning .
Influenza
 Infectious viral illness affecting the
respiratory system (nose, throat, and lungs)
 caused by inhalation or direct contact of a flu
causing virus
 very common among athletic because of
constant contact and close quarters
Influenza signs and symptoms
muscle or joint achiness
◦ headache
◦ fatigue - sore throat
◦ fever - runny nose
◦ dry cough - watery eyes
◦ nasal congestion
Influenza treatment
◦ Rest from all activity
◦ stay away from other athletes
◦ encourage to drink lots of fluids
◦ ??? Flu shot. Good or bad???
Flu Shots are good!!!
 Flu Shots are good!!!
 They DO NOT give you the flu
◦ The injection received with the flu shot is a dead
virus
◦ People often get sick within 3 weeks of the flu shot
because the shot depresses the immune system as
it builds antibodies to the flu virus
◦ Especially if you wait until Flu season to get the
shot
◦ Get the shot and get it early to protect yourself and
othersm