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Emergency Procedures In Sports. Most Injuries DO NOT result in life or death emergency situations. PROMPT CARE is ESSENTIAL!. Time is IMPORTANT No Room For UNC ERTAINTY, INDECISIVENESS, ERROR! The evaluation must be Prompt, Accurate so the Proper Treatment can be RENDERED.
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Most Injuries DO NOT result in life or death emergency situations. • PROMPT CARE is ESSENTIAL!
Time is IMPORTANT • No Room For UNCERTAINTY, INDECISIVENESS, ERROR! • The evaluation must be Prompt, Accurate so the Proper Treatment can be RENDERED
Primary Concern • Functioning Cardiovascular and Central Nervous Systems!
Signs that indicate how the essential life systems are functioning CNS Pain Brain Function LOC Movement Blood Flow Rate Pressure Respirations Quality Rate Temperature Vital Signs
1. Pulse
Functioning Heart • Check at the Carotid or Radial • Normal for adults is 60 to 80 bpm • Children from 80 to 150 bpm • Trained athletes lower - 44 to 50 bpm
Abnormal Signs • Rapid / Weak • Shock, Bleeding, Diabetic Coma, Heat Exhaustion • Rapid / Strong • Heatstroke, Fright • Slow / Strong (Bounding) • Skull fracture, Stroke, Cardiac Problems • No Pulse • Cardiac Arrest / Death
2. Respiration
Inhaling and Exhaling • Oxygen in the Blood • Watching chest rise / fall • Listening to the athlete • Normal adults = 12 to 20 / minute • Normal children = 20 to 28 / minute
Abnormal Signs • Shallow • Shock, Heat Exhaustion, Chest injury • Irregular/Gasping • Cardiac problems • Frothy • Chest Injury, Rib Fracture • Rapid • Hyperventilating
3. Temperature
Normal = 98.6 degrees Fahrenheit • Measures Core - Skull, Thoracic, Abdomen • Tongue, Armpit, Rectum, Ear • Rectal usually .5 degrees higher • Rectal more accurate • Skin can indicate a temperature change
Abnormal Signs • Hot and Dry • Disease, Infection, Heatstroke • Cool and Clammy • Trauma, Shock, Heat Exhaustion • Cool and Dry • Overexposure to Cold
4. Skin Color
Normal varies from person to person • Fair skinned athletes • Check Lips, Fingernails • Dark skinned athletes • Normal • Pink nail beds, lips, mouth, tongue • Shock • Mouth / Nose - Grayish & Tongue • Lips - Blue
RED • Rubor • Heatstroke, Diabetic Coma, High Blood Pressure, Fever, Hypertension • Dilated capillaries
White, Pale, Ashen • Pallor • Shock, Fright, Hemorrhage, Heat Exhaustion, Insulin Shock, Heart Attack • Vasoconstriction
Blue • Cyanotic • Blocked Airway, Cardiac Arrest, Asthma • Poor or lack of Oxygen
5. Pupils
Sensitive to Central Nervous System Trauma • Must KNOW YOUR ATHLETES • Note Presence of Contacts, Artificial Eye • Rapid constriction of pupils when the eyes are exposed to intense light is called the PUPILLARY LIGHT REFLEX • Eye Movement tests focus and vision
Abnormal Signs Pupil Size
Constricted • CNS Injured, Heat Exhaustion Depressant, Ingested a Poison
Dilated • Heatstroke, Shock, Hemorrhage, Stimulant, Coma, Cardiac Arrest
Unequal • Head Injury, Stroke
Abnormal Signs Vision Movement
Abnormal Signs • Eye movement is tested by asking the individual to focus on a single object • Diplopia= Double vision • external eye muscles fail to work together • Watch fingers through six cardinalfields • Depth perception- Grab your finger in front of their face
Six Cardinal Fields of Vision 2 5 1 4 3 6
6. State of Consciousness
Normal • Alert, Aware, Responds Quickly to Verbal Commands, Talks Coherently
Conditions that may alter consciousness • Head Injury, Respiratory Distress (Syncope = Fainting), Tumors, Hemorrhage, Edema, Brain Infections, Seizures, Heat Stroke, Hypoglycemia, Drug Overdose From Opiates, Barbituates, Aspirin, Tylenol, Alcohol, Poisoning, Liver or Kidney Failure, Heart Attack
Abnormal Signs • Various Levels of Consciousness, Confusion • Consciousness is defined on a continuum that grades levels of behavior in response to stimuli.
Alert • Highest level of consciousness • Aware of surroundings • Responds to questions
Drowsy or Lethargic • Less alert • Somewhat unaware of surroundings but can be aroused with a nudge or sound to respond to questions
STUPOR • Nearly unconscious • Unable to stay alert for any appreciable length of time • Responds to questions only when prodded then lapses back into unconsciousness
UNCONSCIOUS • Impairment of brain function • Lacks conscious awareness • Unable to respond to superficial sensory stimuli • pinching armpit, hitting sternum
COMA • Most depressed state of consciousness • Cannot be aroused with pin pricks • Eyes are closed • No recognizable speech
7. Movement
Relates to Muscle Integrity and CNS • Inability to MOVE ANY EXTREMITY may indicate a CNSInjury, Fracture • PARALYSIS
One Side Only • HEMIPLEGIA • Stroke, Head Injury • 1/2 the body neurologically impaired
Upper Limbs Down • QUADRIPLEGIA • Cervical Injury • No Movement in the upper and lower limbs
Lower Limbs Down • PARAPLEGIA • No movement in the lower extremities
Limited Use • Transient Paralysis • Pressure on the Spinal Cord • Stretched / Contused Nerves
8. Abnormal Nerve Stimulation