Scs: Emergency Response

Front 1

What is an EAP?

Back 1

Emergency Action Plan
Written and structured
-How to coordinate with EMS
-Equipment and transportation
-Reviwed annually

Hint 1

includes what.. what do you need in an emergency?

Front 2

Core component of the EAP?

Back 2

1. Establish efficienct communication system
2. Training of first responders in CPR and AED
3. Acquire neccessary equipment (may be different dependin gon sport)
4. Provide coordinated, written response plan
5. Access to early defibrillation

Hint 2

Arnheims added:
1. Have separate plans for diff venues
2. Determine who will be on the field and that they know what their role is
3. How to remove protective equipment
4. Someone designated to call 911
5. Keys/gates and padlocks accessible easily
6. Annual reminder and PRACTICE to coaches, parents of the EAP
7. ASsign who is going to the hospital with kid
8. Carry consent forms and medical history info from PPE

Front 3

Emergency equipment that should be centrally located

Back 3

barrier shields for berathing
gloves
AED
scissors
Towels
Razor
Paper and pen

Front 4

Key timelines that should be reviewed AT LEAST annually

Back 4

1. Injury/collapse to EMS activation
2. Initiation of CPR
3. First AED shock
4. Arrival and assessment of EMS

Front 5

3 components of assessment

Back 5

1. Primary: safety, ABCs, severe bleeding (15 to 30 seconds)
2. Secondary: Neuro and MSK assessment
3. Ongoing: change in physical/mental status

Front 6

Rescue breathign ratio

Back 6

1 breath every 5 seconds (adult)
1 every 3 (child/infant)

Front 7

Components of secondary assessment

Back 7

1. DOTS (deformity, open injury, tenderness, swelling) - assessment of trauama
2. SAMPLE (symptoms, allergeis, meds, PMHx, Last oral intake, events leading up) - assessment of medical conditiosn

Front 8

When should internal bleeding be suspected?

Back 8

Blunt trauma
Bruising
Swollen/hard abdomen, cool, pale, moist bluish skin
N/V, extreme thirst
_ice area

Hint 8

Arnheim added: incontinence, shallow respiration, decreased BP

Front 9

Concerns if athlete desribes blutterd visions, floaters, curtain-like darkness, or sa sense of wearing blinders

Back 9

Detached retina

Front 10

Quadrant organs: upper right

Back 10

Liver, pancreas, kideney, ,lungs, ribs

Front 11

Quadrant organs: upper left

Back 11

Spleen, heart, kidney, lungs, ribs

Front 12

Quadrant organs: lower left:

Back 12

Ureter, bladder, colon, gonads, pelvis

Front 13

Quadrant orangs: lower right

Back 13

appendix, ureter, bladder, colon, gonads, pelvis

Front 14

remove footwear if fracutre to ankle?

Back 14

NO

Front 15

How to splitn fractured rib?

Back 15

Soft splint, pillow or towel hugged to the side

Front 16

How does a fractured femur appear?

Splint?

Back 16

leg is short, quad spasm'd and externally rotated

Traction splint

Front 17

Classic sign of dislocated hip?

Back 17

hip flexed, IR, adn adducted in posterior dislocations

Front 18

Immobilization for suspected pelvic fracture?

Back 18

Vacuum splint or scoop stretcher

Front 19

Most common blood borne pathogens in athletics?

Back 19

Hep B - most stable than
HIV

Front 20

Type of disinfectant to use if exposed to bodily fluids?

Back 20

10:1 bleach:water
Any bottle "approve by the EPA"
OSHA regulates this

Front 21

How does the body respond to volume (blood) loss?

Back 21

Shunting of blood from periphery
Inc HR
Inc RR
Inc RBC production
Inc clotting efforts
Fluid reabsorbed into Blood stream

Hint 21

physiologically

Front 22

When should direct pressure to bleeding be avoided?

Back 22

Suspected head injury who is bleeding from ear, mouth, nose due to skull fracture risk
-OPEN bleeding fracture
-instead, apply loose bandages around head

Hint 22

what should you do instead

Front 23

When should you not elevate legs when an athlete is in shock?

Back 23

head injury
unstable fracture
only do it 8-12 inches

Hint 23

How much do you elevate?

Front 24

how do you determine level of consciousness when responding to an injury on the field?

Back 24

GCS
Respond spontaneously (eye opening), verbal stimuli, painful stimuli? Is athlete alert?

Front 25

What is a greenstick fracture?

Back 25

complete fracture of the cortex on the convex (tension) side

Front 26

How to control bleeding in an oppen fracture?

Back 26

pressure point
sterile bandages around wound

Front 27

When to use a traction splint?

Back 27

Suspected femur fracture

Front 28

Most common fractures of the hand?

Back 28

phalanges

Front 29

Proper management for mallet (jersey) finger?

Back 29

distal phalange
Splinted in extension for 8 weeks
When splint is change, ext at DIP should be maintained passively
Extension splinting during athletic participation should continue for an additional six to eight weeks

Front 30

Why are we more worried about distal fractures in the fingers?

Back 30

Moore unstable bc anatomically the flexor and extensor tendons are unopposed by the pulley system
Difficult to identify with xrays
Digits should all point to the scaphoid tubercle when making a full fista nd the nailbeds hsould line up in a hlaf first position

Front 31

Arnheims: do you need consent from a parent?

Back 31

If they are there, yes

If not, it is implied

Front 32

Arnheims: What are considered 'life-threatning' conditions?

Back 32

Airway obstruction
No breathing
No circulation
Profuse bleeding
Shock

Front 33

Arnheims: should you flip over a prone injured athlete?

Back 33

If breathing, no

If not breathing need to log roll while supporting cervical spine

Front 34

Arnheims: When should helmet be removed?

Back 34

1. Head is not secure
2) airway can’t be controlled,
3) facemask can’t be removed in reasonable amount of time,
4)helmet prevents immobilization

Front 35

Arnheims: Three types of cutting devices for facemask?

Back 35

1. Anvil Pruner
2. Trainers Angel
3. FM extractor

Front 36

Arnheims: how to do first aid for unconscious choker

Back 36

Lay on back
Attempt to ventile
5 abdominal compressions
Finger sweep

Front 37

Arnheims: 2 scales to assess consciousness other than GCS

Back 37

AVPU: alert, verbal, pain, unresponsive

ACDU: alert, confused, drowsy, unresponsive

Front 38

Arnheims: "vital signs" to assess in secondary survey

Back 38

LOV
Pusle
RR
BP
Temp
Skin color
Pupils
Movement
Abnormal nerve response

Front 39

Arnheims: What to look for when examining pupils

Back 39

Size (but not as important)

Accomodation most important

Both dilated: worry about shock, heatstroke, hemorrhage, stimulant drug

Front 40

Arnheims: fractures of the hip, knee, or thigh requires one?

Back 40

Immobilization of the whole LE, including half of the pelvis

Front 41

Arnheim: how to stabilize c-spine in water?

Back 41

head-chin support where lifeguard uses two forearms

Front 42

What should you do if you suspect a hematoma? position-wise...

Back 42

30 to 45 degree elevation

Don't raise legs

Front 43

Five core components of EAP?

Back 43

Communications
Training in CPR
Proper equipment
Written AEP
Early access to AED

Front 44

Key components of EAP?

Back 44

Coordinating EMS
Equipment, communication, transportation
Reveiwed annually

Front 45

Steps after injury for pt

Back 45

1. scene survey
2. general impression
3. mental status
4. ABCs

Front 46

Mental checklist for PT going out on field

Back 46

1. LOC
2. MOI
3. Equipment needed
4. Transportation
5. Type of additional care needed

Front 47

Common SCI spors?

Back 47

Football
gymnastics
rugby
skiing
ice hockey
diving
swimming

Front 48

How to describe breathing efforts?

Back 48

Normal, noisy, shallowed, labored

Front 49

Long QT syndrome

Back 49

inheritied rhythm disorder causing fast, chaotic heart beats

SA node issue

Front 50

s/s of respiratory distress

Back 50

Anxiety
GAstping and grunting
fast/slow breathing
shallow/deep breathing
noisy/painful breathing
dizzy
sob
blue hue