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316 Cards in this Set

  • Front
  • Back
in an emergency action plan, the primary concern is maintaining __ and __ functioning
cardiovascular and CNS
the key to an emergency action plan is the __ of the injured athlete
initial evaluation
members of the sports medicine team must at all times act __ and __
reasonably and prudently
in an emergency action plan, the must be a __ plan that can be implemented on a moments notice
prearranged
separate EAP's should be developed for each __. they outline personnel and role, and identify necessary equipment
facility
in an EAP, there should be established equipment and __ removal policies and procedures
helmet
in a EAP, there must be an availibility of __
phones
in an EAP, the AT must be aware of __, __, and __ or community based emergency heath care delivery plans
commnication, transportation, and treatment policies
an individual calling medical personnel must relay the following __, __, __, __, __, and __
-type of emergency
-suspected injury
-present condition
-current assistance
-location of phone being used
-location of emergency
__ to gates must be easily accessible
keys
a __ should be assigned to accompany the injured athlete to the hospital
individual
the __ generally first to arrive on scene of emergency, has more training and experience transorting athlete than a __
AT, physician
__ has the final say in transportation, __ assumes an assistive role
EMT, AT
when an athlete is a minor, the ATC should try to __ from parent prior to emergency treatment
obtain consent
__ indicates that the parent is aware of situation, is aware of what teh ATC wants to do, and parental permission is granted to treat specific condition
consent
when unobtainable, the __ of parent (provided at the start of school year) are enacted
predetermined wishes
when there is not informed consent, __ on part of athelete to save the atletes life is inacted
implied consent
appropriate acute care cannot be provided without a __ occurring on the playing field first
systematic assessment
the on-field assessment determines the __ and provides information regarding direction of __
nature of injury, treatment
the __ is initially performed to establish presence of life-threatening condition
primary service
what are the parts of a primary assessment?
-airway
-breathing
-circulation
-shock
-severe bleeding
-used once the life-threatening condition is ruled out
-gathers specific info about the injury
-assesses vital signs and performed more detalied evaluation of conditions that do not pose life threatening consequences
secondary survey
when dealing with an unconscious athlete, note teh __ and __
body position and level of consciousness
in a primary survey, assume __ injury
neck and spine
remove helmet only after __ injury is ruled out
neck and spine
with athlete supine and not breathing, __ should be started immediatly
ABC's
if an athlete is unconscious and breathing, nothing should be done unitl __ resumes
consciousness
if an athlete is prone and breathing, __ and establish ABC's
log roll
what are trianers angels?
clip cutters to remove facemask
use of pocket mask/barrier mandated by __ during CPR to avoid exposure to bloodborne pathogens
OSHA
shoulder pads and helmet must either __
both come off or both remain in place
removal of equipment should occur if __, __, __, or __
-head is not secure
-airway can't be controlled
-facemask can't be removed in reasonable amount of time
-helmet prevents immobilizatoin
-a device that evaluates heart rhythms of victims experiencing cardiac arrest
-can deliver electrical charge to the heart
-fully automated-minimal training required
-electodes are placed at the left apex and right base of chest-when turned on, machine indicates if and when defibrillation necessary
-maintainance is minimal for unit
automatic external defibrillator (AED)
the abnormal discharge of blood
hemorrhage
bleeding that is dark red with continuous flow
venous
bleeding that exudes from tissue and is reddish
capillary
bleeding that flows in spurts and is bright red
arterial
stems form skin wounds, abrasions, incisions, lacerations, punctures, or avulsions
external bleeding
what are three ways to treat external bleeding
-direct pressure (hand over sterile gauze)
-elevation
-pressure points
reduces hydrostatic pressue and facilitates venous and lymphatic drainage (slows bleeding)
elevation
there are __ pressure points on either side of the body
11
invisible unless manifested through body opening, X-ray or other diagnostic techniques
-can occur beneath skin or contusion intramuscularly or in joint with little danger
-bleeding within body cavity could result in life or death situation
-difficult to detect and must be hospialized for treatment
-clould lead to shock if not treated accordingly
internal hemorrhage
generally occurs with sever 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
shock
vascular system loses capcity to maintain fluid portion of blood due to vessel dilation and disruption of osmotic balance
shock
what are the 4 ways heat is transfered?
-conduction
-convection
-radiation
-converison
when heat is transfered from a warmer object to another
-dependent on temp and exposure time
conduction
in conduction, temps of __ will cuase tissue damage, and temps of __ should not be in contact for more than 30 min
116.6, 113
-the transfer of heat through movment of fluids or gases
-whirlpools
convection
-heat is transfered from one object through space to another object
radiation
generation of heat from another object
conversion
-used in first treatment of trauma to the muscuoskeletal system
-when applied intermittently with compression, rest and elecation it reduces many adverse conditions related to inflammation and th reactive phase of an acute injury
cryotherapy
cryotherapy relies on __
conduction
at a temp of __ muscle temp can be reduced as deep as __ cm
38.3, 4
__ ice is a more effective coolant due to the energy required to melt ice
wet
reflex action of smooth muscle due to sympathetic nervous system and adrenal medulla
-also caused by cooled blood circulating to anterior hypothalamus
vasocontriction
causes vasoconstriction, increase blood viscosity, decreased metabolic rate, decrease muslce spasm, decrease free nerve ending, decrease in muscle fatigue
cryotherapy
__ is more penetrating then heat
cold
__ becomes critical in an emergency situation
time
all sports programs must have a __ emergency plan
separate
emergency practice sessions for AT's and EMT's should be held at least __ a year
once
assesses life threatening injuries
primary survey
performed after life-theatening injuries have been ruled out
secondary survey
all coaches and AT must have current __
CPR certification
the two most common sites for direct pressure are __ and __
brachial and femoral arteries
low BP, systolic pressure is usually below 90 mm Hg, pulse rapid and weak, drowsiness and sluggishness, breathing shallow and rapid, skin is pale, cool and clammy
signs of shock
T/F some athletes normally have irregular or unequal pupils?
true
-seriousness of injury
-type of first aid required
-whether injury warrants physical referral
-type of transportation needed
decisions that can be made from a secondary survey
__ is essential in the emergency care of a musculoskeletal injury
RICE
T/F a suspected fracture must be splinted before athlete is moved?
true
great caution must be taken when __ an injured athlete
transporting
support or assistance given to an injured athlete who is able to walk
ambulatory aid
T/F it does not matter if a crutch or cane fits an athlete as long as one is available
FALSE!!!
ATC's recognize and evaluate sports injuries, but by law they cannot make __
diagnoses
the examine sports injuries the ATC must have a thorough knowledge of __ and its function and of the __ inherent in sports
human anatomy, hazards
application of mechanical forces to living organisms
biomechanics
mechanical forces that are applied to a living organism and adversley chane the body's structure and function
pathomechanics
the cause of a disease
etiology
mechanical descripton of teh cause
mechanism
structural and functional changes that result from injury
pathology
change that indicates injury or disease
symptom
indicator of disease
sign
name of a specific condition
diagnosis
predicted outcome of an injury
prognosis
condition resullting from disease or injury that is the development of additional conditions as a complication of an existing disease or injury ie pneumonia from the flu
sequela
group of symptoms that indicate a condition or disease
syndrome
what does HOPS stand for?
History
Observation
Palpation
Special tests
what is the most critical aspect of teh off-the-field evaluation?
taing a detailed history
joint motion that occurs because of muscle contraction
active range of motion
movement that is performed completely by the examiner
passive range of motion
resisted movement requires an __ at the midpoint in the range
isometric contraction
__ determines if teh athlete has full strength, joint stability, and coordination, and if the part is pain free
functional examination
what does SOAP stand for?
subjective
objective
assessment
plan
uses a fiber-optic scope to view the inside of a joint
arthroscopy
analysis of __ and __ can be used to detect musculoskeletal infections
synovial fluid and blood
the ATC must take precautions to prevent exposure to and transmition of __
bloodborne pathogens
modes of transmission of bloodborne pathogens
-human blood
-semen
-vaginal secretions
-cerbrospinal fluid
-synovial fluid
3 major bloodborne pathogens
hepatitis B virus (HBV)
hetpatitis C virus (HCV)
human immunodeficiency virus (HIV)
a virus that enters a host cell and changes its RNA to proviral DNA replication
retrovirus
__ is most often transmitted through intimate sexual contact
HIV
the use of __ can reduce the chances of contracting HIV
latex condoms
__ should be worn whenever teh ATC handles blood or bodily fluid
nonlatex gloves
universal precautions __ the risk of exposure and transmittion
minmize
the major therapeurtic value of __ is its ability to produce anesthesia, allowing pain free exercise
cold
causes a slight temp increase during cooling
hunting response
the extent of cooling depends on the __ of teh subcutaneous fat layer
thickness
condition in which cold exposure causes vasospasm of digital arteries
raynaud's phenomenon
cold therapy can begin __ days after an injury
1-3
__ spray is used in the spray and stretch technique
fluori-methane
combines cryotherapy with exercise
cryokinetics
__ has the capacity to increase the extensibility of collagen tissue
heat
lack of blood supply to a body part
ischemia
__ is a poor thermal conductor
superficial tissue
combines heated water and massaging action
whirlpool bath
particularly effective for injuries to the more angular body areas
paraffin bath
technique that uses immersion in ice slush, followed by immersion in tepid water
contrast bath
__ units contain fine cellulose particles in which warm air is circulated
fluidotherapy
__ can be applied either to the skin or through a water medium
ultrasound
a decrease in intensity as teh sound enters deeper tissues
atenuation
electrical current produced by applying pressure to certain crystals such as quartz
piezoelectric effect
that portion of teh trasducer that produces sound energy
effective radiating area
the amount of variablity in intensity of the ultrasound beam
beam nonuniformity ratio (BNR)
__ can be pulsed or continuous
ultrasound
__ indicates the percentage of time that ultrasound is is being generated
duty cycle
__ produces effects that are thermal or nonthermal
ultrasound
__ effects of ultrasound include cavitation and microstreaming
nonthermal
used to facilitate the transmission of ultrasound into the tissues
coupling medium
a method of driving molecules through the skin with ultrasound
phonophoresis
volume or amount of electrical energy
ampre
resistance
ohm
force
voltage
power
watt
DC current
monophasic
AC current
biphasic
pulsatile current
polyphasic
measured in hertz, cycles per sound, or pulses per second
frequency
a muscle contraction from electrical stimulation can be used for __
-muscle pumping
-muslce stregthening
-retardation of atrophy
-muscle reeducation
uses electrical current to drive ions
iontophoresis
possible phsyiological responses of massage __
reflex efects
relaxation
stimulation
increased circulation
__ is commonly used in thte cervical and lumbar spine
traction
drawing tension applied to a body segment
traction
the ATC is responsible for the __, __ and __ of the rehabilitation program
design, implementation, and supervision
the long term goal rehabilitation
to return the injured athlete to practice/competition as quickly and safely as possible
__ are concerend with restoring normal body function after injury
theraputic exercises
a sudden loss of __ leads to a generalized loss of phsycial fitness
phsycial activity
__ of a part causes atrophy to slow twitch muscle fibers
immobilization
decreases normal lubrication
joint immobilization
-minimize swelling
-controlling pain
-restoring full ROM
-reestablishing neuromusclar control
-maintinign cardiovascualr fitness
-incorporating functional progessions
components of a rehab program
result from an active muscle contraction that moves an extremity through flexion, extension, abductin, adduction, and rotaion
pysiological movements
teh manner in which one articulating joint surface move relative to another
accessory motions
3 types of accessory motions
spin, roll, glide
restricted phsyiological movement=
stretching
restricted accessory motion=
joint mobilization
primariily used as a diagnostic tool to determine levels of strength
isokinetics
the ability to determine the position of a joint in space
proprioception
the ability to detect movment
kinesthesia
__ control produces coordinated movments
neuromuscular
include ruffini's endings, pacinian corpuslces, and free nerve endings
joint mechanoreceptors
include muscle spindes and golgi tendon organs
muscle mechanorecpetors
__ involves the integration of muscluar, neurological, and biomechanical information
postural stability
__ incoporate sport-specific skills into the rehabilitation program
functional progressions
exercise performed during the __ phase can often assist recovery after surgery
preoperative phase
phases of rehabilitation:
-preoperative phase
-phase 1-acute inflammatory response phase
-phase 2-fibroblastic repair phase
-phase 3-maturation-remodling phase
the __ should start 24 hours after surgery
postsurgical phase
a __ occurs when the foot or hand is on the ground
closed kinetic chain
a __ occurs when the foot or hand is off the ground
open kinetic chain
__ provides an excellent means for rehab
aquatic exercise
__ works to improve accessory motions
moblization
the study of drugs and their origin, nature, properties, and effects on living organisms
pharmacology
a chemical agent used in the prevention, treatment, or diagnosis of disease
drug
the method by which drugs are absorbed, distributed, metabolized, and eliminated
pharmacokinetics
__ can be administered internally or externall
drugs
T/F at no tme acn anyone other than a person licensed by law legally prescribe or dispense prescription drugs for an athelte
true
providing a single does of medication for immediate use by the patient
administering
providing the patient witha drug in quanitity sufficient to be used for multiple doses
dispensing
counteriritants, local anesthetics, narcotic alagesics, and nonnarcotic analgesics and antipyretics
drugs used to inhibit pain or inflamation
spray coolants, alcohol, cold, menthol, and local anesthetics
counterirritants
codeine, proxyphene, hydrochloride, morphine, and meperidine
narcotic analgesic
acetaminophen
nonnarcotic analgesics
acetylsalicylic acid, NSAIDS, corticosteroids
antiinflammatories
stimulants, beta blockers, narcotic analgesics, diuretics, anabolic steroids, HGH, blood doping
ergogenic aids
both the __ and __ conduct drug testing programs
NCAA, USOC
sports participation can cause an athlete to experience either negative or postitive __
stress
reactive phases of an athlete to injury
-reaction to injury
-reaction to rehabilitation
-reaction to return
injury might mean minor changes in teh way an athlete behaves __
socially
injury prone athletes are ofter __
risk takers
the positive and negative forces that can disrupt the body's equilibirum
stress
T/F sports participation is only a phsycal stressor and does not include emtional stress
false
a feeling of uncertainty or apprehension
anxiety
active amines, epinephrine, and norepinephrine, that affect the nervous and cardiovascualr system
catecholamine
a syndrom related to physical and emotional exhaustion that leads to a negative self-concept, negative attitude, and los of concern for the feeling of others
burnout
establishing progressive attainable __ is essential to rehab
goals
direct extension of heart function
pulse
a normal pulse is __ bpm
80-100
rapid and weak pulse could indicate __
shock
normal respiration rates for an adult is __ breaths per minute and for a child is __
12, 20-25
irregular or gasping breath means
cardiac comprimise
frothy respiration with blood means
chest injury
normal systolic bp
115-120
normal diastolic bp
75-80
you must inlfate the bp cuff above the __
antecubital fossa
core temp is best measured __
rectally
red skin color=
elevated temp, stroke, high bp
white skin color=
insufficient ciculation, shock fright, hemorrhage, heat exhaustan,
blue skin color=
airway obstruction or repiratory inefficiency
during hemorhaging, the tongue will become __
grey
__ is indicated by red flush tips of ears
fever
__ may indicate use of depressant drug
constricted pupils
__ may indicate head injuries, shock use of stimulant
dilated pupils
__ is more important than pupil size
pupil response
-msut always be assessed
-alertess and awareness relative to vocal stimulation
-head injury, heat stroke, diabetic coma, can alter level of this
consciousness
2 scales for measuring consciousness
AVPU (alertness, verbal, pain, unresponsive)
ACDU (alert, confused, drowsy, unresponsive)
parts of the musculoskeletal assessment
history
visual observation
palpation
assessment decisons
determines the point of terderness, affected structures and other deformities
palpiation
what is the primary goal of immediate treatment?
limit swelling and extent of hemorraging
rest should occur __ before rehab beigns
72 hours
initial treatment of acute injureis
ice
ice should be appllied intially for __ min and then repeated every __ hours and should continue at least the first 72 hours of a new injury
20, 1-1.5
decreases space allowed for swelling to accumulate
compression
reduces internal bleeding due to forces of gravity
prevents pooling of blood and ainds in drainage
elevation
-styrofoam chips sealed in aritight sleeve
-moldable with velcro straps to secure
-air can be removed to make splint rigid
rapid form imobilizer
-clear plastic splint inflated with air around affected part
-can be used for splingint but requires practice
-do not use if it will alter fracture deformity
-provides moderate pressure and can be xrayed through
air splint
-used for femoral fractures
-requires extensive practice
-open fractures must be dressed appropriately to avoid contamination
half-ring splint
T/F splint where the athlete lies and avoid moving them
true
splint one joint __ and one joint __ fracture
above, below
splinted with a sling and swathed to body
upper limb
if a spine board is needed for transport, an __ should be contacted
EMT
on person must be responsible for the __ at all time
head and neck
permission to trasport an athlete on a spine board is given by a __
physician
a short term injury is
<4 weeks
a long term injury is
>4 weeks
a chronic injury is
reoccuring
a terminating injury is
career ending
the __ is the first person to often notice when an athlete is emotionally stressed
coach
result of imbalances between physical load being placed on athlete and his/her coping capacity
overtraining
an ATC should respond to the __, not the injury
individual
4 kinds of off the field investigations:
-pre-participation
-on-the-field
-off-the-field
-progress
-detailed eval on sideline or in clinic setting
-may be the evaluation of an acute injury or one several days layer following an acute inury
off-the-field evaluation
HOPS is used for an __
off-the-field evaluation
you want to palpitate beginning __ form the injured site
away
in order to palpitate soft tissue it must be __
relaxed
complete and accurate __ is critical evaluation
documentation
-need to be routinely written after each progress evaluation
-SOAP format
progress notes
-used to determine presense of bone fractures, abnormalties and dislocations
-can be used to rule out disease
-occasionally used to access soft tissue
plain film radiographs (x-rays)
-visual study of oint via exray after injection of dye, air, or combinatin of both
-shows disrupton of soft tissue and loose bodies
arthography
-invasive technique using fiber-optic arthrocope used to assess joint integrity and damage
-can also be used to perform sugical procedures
arthoscopy
opaque dye injected into epidural space of spinal canal
-used to dtect tumors, nerve root compression, and disk disease and other diseases associated with the spinal cord
myelography
-penetrates body with thin, fanshaped x ray beam
-produces cross-sectional view of tissues
-allows for multiple viewing angles
Computed tomography (CAT) scan
-involves intravenous introduction of radioactive tracer
-used to image bony lessions ie stress fractures
bone scan
-use of ultrasound to view location measurement or delineation of organ or tisue by measuring reflection or transmission of high frequency utrasound wave
-computer is availiabe to generate 2D image
ultrasonography
-uses powerful electromagnet, magnetic current focuses hydrogen atoms in water and aligns them
-after current sht off, atoms continue to spine emiting different levels of energy depending on tissue type, creating different images
-expenive but clearer thatn CT scan
magnetic resonance imaging (MRI)
used to assess specific gravity, pH, prsense of ketone,s, heoglovin, proteins, nitrates, red and white blood cells, bactera, electrolytes, hormones and drug levels
urinalysis
treatment of HBV is in __ doses over __ monthes
3, 6
after teh second dose of HBV __ will be immune and after third dose __ will be immune
87%, 96%
chances of transmitting HIV and HBV among athletes is __
low
OSHA was founded in __ and stands for __
1991, occupational safety and heatlth administration
athletes with active bleeding must be __
removed from competition
labels for biohazrds are __
orange or red
disinfectants are diluted in a __ ratio
1:10
towls should be washed at __ for __
159.8, 25
needles, razorblades, and scalpels
sharps
types of cryotherapy techniques
-ice massage
-ice water immersion
-ice packs
-vasocoolant sprays
-cryokinetics
the temp of an icebath should be __
50-60
when using ice packs, u must hava a barrier for __
chemical and gell packs
progession of cold sensations
cold-->burning-->aching-->numbness
types of thermotherapy
-moist heat packs
-whrilpool
-paraffin bath
-contrast bath
-fluidotherapy
modality that stimulates repair of soft tissue and pain relief in teh form of acoustic energy used for deep tissue heating
utrasound
ultrasound technique that requires a coupling medium to prodvide airtight contact with skin and a low friction surface
direct skin application
ultrasound technique used for irregular shaped structures
should be performed in a non metal container to avoid reflection
underwater applicaiton
the bladder ultrasound technique should be used when a body part __
cannot be submerged
the traducer should be moved at a speed f __ cm/second and should not cover an area more than __x the transducer head
4, 3
phonophoresis is mainly used to drive __
hydrocotisone
most common electrical stmilulating unit in sports medcine
EMS
LIS's are called __
bone stimulators
so called "russian" currents
polyphasic
-makes use of 2 separate generators, emitting curent at slightly different frequenceies
-quad polar pad placement is used creating pattern (creates broader area of stimulation)
inferential current
can be used to apply cercvical or lumbar traactoin
mechanical traction
traction that involves plates, sand bags, or water bags for weight
wall-mounted traction
traction where weight of trunk lengthens spine
inverted traction
with intermittent compression units, u must be mindful of bp. in teh upper extremity it is __, lower is __
30-50, 30-60
a systematic approach that experienced clinicians can use to guid an athlete through rehab
RAMP
what does RAMP stand for?
-Rehabilitation goals
-managment of the Acute repsonses to injury
-resotration of Mobility
-successful completion of Performance goals
what are short term goals of a rehab programs? (5)
-control pain and inflammation
-maintain or improve ROM
-restore and increase strength
-re-establish neuromuscular control
-maintain levels of cardiovasuclar fitness
injyr to a joint will always be associated with some __
loss of motion
contracture of connective tissue or resistance to stretch of musculotendinous unit=
decreased motion
-performed in early part of rehab following period of immobilizaiton
-used when resistacne through full ROM could amke injuries worse
isometrics
can be performed using a variety of equipment
-ustilizes isotonic contractions to generate force while muslce changes length
progressive resistance exercise (PRE)
involve the deceleraction of limbs
eccentric
if the __ extends beyond the base of support, thte limits of stability have been exceeded and a corrective step or stumbe will be necessary to prevent
center of gravity
-shuttle runs
-agility runs
-figure 8's
-cariocca tests
-vertical jumps
-balance
-hopping for distnace
-co-contraction test
functional tests
the acute inflammatory response phase (phase 1) may last up to __ days
4
in the acute inflammatory response phase (phase 1), rest should be __
active
types of NSAIDS
ibuprofen, asprin
longest of 3 rehab phases
maturation/remodeling phase
the decisoin for an athlete to returen to play should be a __ decision
group
repeated performance of athletic skill for purpose of perfecting that skill
functional training
the lumbo-pelvic complex, area where center of gravity is located
core
the body's __ has to function optimally to efectively utilize the strength of prime movers
stabilization system
you must consider teh __ when purchasing rehab equipment
budget
the ATC may be allowed to administer a __ dose of nonprescription medication
single
the ATC should include __ and __ in the log for drugs
-quantity of medication given
-method of administration
drugs can change with __ and relative to how they are administered
aging
all drugs dispensed from the ATC office should be properly __
labeled
individuals w/ nasal plyps, associated bronchospasm or history of anaphylaxis should not recieve __
NSAID's
NSAID's, counterirritants and local Anesthetics should not be taken in place of __ or __ for headaches or increaesed temps
acetaminophen or asprin
overingestion of which drug can lead to reye's syndrome
asprin
__ should be avoided w/ contact sports as it prolongs clotting times
asprin
prolonged use of these could cuase rebound congestion and dependancy
nasal decongestants
impairs body's ability to dissipate heat
antihistamines
there is little evidence that expectorants are any more effective on reducing cough than just simply __
drinking water
sanctions from the NCAA for a positive drug test is a minimum __ year suspension
1
began in the olympics in 1968
drug testing
the __ is most extensive that the __ for banned substances b/c it is also subject ot IOC rules
USOC
__ requires all athletes to sign consent form agreeing to participate in drug testing throughou the year
NCAA
__ drug tests randomly throught the year and before sanctioned events
USOC
during the drug test, an athlete provides identification and __ samples(s)
2
what are the 2 samples for in a drug test
confirmation and reconfirmation