Injury Evaluation

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Injury Evaluation

• Primary Survey
• Evaluation of potential life-threatening injuries
• Secondary Survey
• Gather specific info about injuries that do not
  pose an immediate threat to life

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Primary Survey

• Initial on the field assessment
• Airway, Breathing, Circulation
• Determines the existence of limb/life-threatening
  situation
• Time is of the essence
• Provides direction of emergency care

3
Secondary Survey

• Only after r/o life-threatening injuries
• Athlete is conscious
• Includes
• Vital signs
• History
• Musculoskeletal evaluation
• Treatment plan
• Transport
• Details to follow on 10-08-04!

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Evaluation for Unconscious Athlete Step 1

• Must always assume head/neck injury until proven
  otherwise!!!
• Protect athlete from unnecessary movement
• Note body position
• Did you observe MOI??
• LOC
• Airway
• Breathing
• Circulation

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?????

• How would you establish the athletes..
• responsiveness (LOC)???
• airway???
• breathing???
• circulation???

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Youre on the clock

• If no breathing, no pulse.
• 0-4 minutesbrain damage unlikely
• 4-6 minutesbrain damage possible
• 6-10 minutesbrain damage likely

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Step 2

• Do NOT remove helmet or shoulder pads
• Strings and straps should be cut
• Remove face mask regardless of current
  respiratory status
• Battery-powered screw driver, FM Extractor,
  Trainers Angels, ect
• NATA position statement guidelines

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????

• What would you do if you did not have the correct
  equipment to remove the face mask???

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Step 3

• If supine and breathing-
• MONITOR
• If supine and not breathing-
• BEGIN RESCUE BREATHING
• If supine, not breathing and no pulse-
• BEGIN CPR

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Step 4

• If prone and breathing-
• MONITOR UNTIL ATHLETE REGAINS CONSCIOUSNESS
• Athlete should then be log-rolled onto spine
  board in order to perform CPR if necessary

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??????

• How would you determine if a prone athlete is
  breathing????

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Step 5

• If prone and not breathing-
• LOGROLLED TO SUPINE, BEGIN RESCUE BREATHING
• If prone, not breathing, and no pulse-
• LOGROLLED, BEGIN CPR

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Step 6

• Provide life support until EMS arrives
• Except if fatigued, situation becomes dangerous,
  or begin breathing on own

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?????

• How would you provide Rescue Breathing/CPR to an
  athlete with a suspected C-spine injury????

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Your Legal Protection

• Purchase liability insurance
• Good Samaritan Law
• Provides limited protection against legal action
  to a person who volunteers to provide reasonable
  care consistent with their level of training,
  should something go wrong
• Covers you outside the realm of your liability
  insurance

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Take home points

• Only move unconscious athlete if NO ABCs
• If unconscious and established ABCs, leave in
  original position and monitor
• Call EMS as soon as ABCs are compromised
• Always assume C-spine injury

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Review for Todays Lab

• CPR
• Rescue Breathing
• Heimlich Maneuver
• CPR, Rescue Breathing, and C-spine immobilization
  for a victim in the water

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Things you should know

• Define cyanotic.
• What is the recovery position?
• Define ataxia.
• Define apnea.
• Define hypoxia.