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Emergency Situations And Injury Assessmentsp2010 Student

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  • 1. Emergency Situations and Injury Assessment
    Time is Critical –
    There is no room for Uncertainty or Error
  • 2. Procedures to follow in an Emergency
    Be:
    C - Calm
    O - Orderly
    O - Organized
    L – Logical /Level headed
    Survey the Situation
    Good observational skills
    Looking at skin color, deformities
    Listening to heart/lung sounds
    Touching skin for temperature
    Smelling breath or skin infection
    Assess extent of the person’s injuries
    Mechanism
    History
  • 3. Here is a urine color chart to help you determine your hydration status. Your urine color should be between #1 and #3 throughout the day.                                 
  • 4. Determine Nature and Severity
    Nature of injury
    Cardiopulmonary
    Trauma
    Medical
    Severity
    Mild, Moderate, Severe, Critical
    Scale rated by athlete 1 – 10
    Symptoms and Signs
  • 5.
  • 6.
  • 7.
  • 8. Emergency Action Plan (EAP)
    Prime concern is maintain Cardiovascular, and Central Nervous System function
    Sports setting is the Initial evaluation of an injured athlete.
    Done rapidly and accurately
    Staff must act reasonably and prudently
    Cohesive team
    Develop separate EAP’s according to facilities
    Baseball/softball field
    Soccer/football field
    Emergency equipment available for each sport
    Football vs. cross country
    Policies and procedures regarding removal of equipment.
  • 9. Phones are readily accessible
    Calling 911
    Caller must provide important information
    Type of emergency/suspected injury
    Present condition of the athlete
    Current assistance being given
    Location of telephone being used
    Exact location of emergency/how to enter location
    Know policies and procedures of institution
    Contact:
    Campus police – direct paramedics/fire engine
    Health services – If P.E. student
    Administrators – Director of Athletics
    Assign someone to accompany athlete to hospital
    Carry contact information for ALL athletes
    Be aware of coaches/spectators/family members health
    TEAMWORK
    Individuals providing emergency care MUST cooperate and act professionally
  • 10. Emergency Action Plan Procedures
    Organization _________________________________
    Sport _____________ Team____________ Year ______
    In the event of a medical emergency the on-duty physician, certified athletic trainer, or paramedic will administer immediately emergency aid to the injured person. If none of the above are present, then the head coach or designated first aider will assumer responsibility.
    The designated person will immediately initiate the Emergency Medical System (EMS)
    The designated care provider will remain with the injured athlete at all times
    Designated person use cell phone/land line and dial 911 or other predetermined number
    Identify self and exact location
    State the nature of the injury
    Instruct emergency vehicle exactly where and how to reach area
    Street access
    Entry gate
    Building location
    Building entry
    Stay on the line until operate disconnects
    Return to injury scene to be available for additional assistance
    Designated person meet the vehicle at the gate entrance. This person will have all necessary gate/door keys
    Designated person meet the vehicle at the gate entrance. This person will have all necessary gat/door keys/combinations.
    Designated person contact security for crowd control and other needs
    Designated person immediately call parents/guardian and advise them of circumstances, then call the designated administrator and advise circumstances
    Designated person document all information relating to injury and emergency response.
    Designated person accompanies the injured athlete to the hospital and remains until parents/guardian or designated administrator arrives
  • 11. EAP Designated Roles
    NAME:
    _______________ Attends injured athlete, controls scene
    _______________ Calls 911 or other predetermined number
    _______________ Supervises team
    _______________ Call security and initiates crowd control
    _______________ Meets paramedics at gate and guides to injured athlete
    _______________ Gives emergency card to paramedics
    _______________ Accompanies injured athlete to hospital
    Procedures for Calling 911
    • Remain COOL
    • 12. Dial 911
    • 13. My name is:______________
    • 14. I need paramedics at:_____________________
    • 15. My exact address is:______________________.
    The major cross streets are: _______________ and ___________________
    Best entrance route is: _____________________
    • There is an athlete with a ____________________ injury.
    The athletes name is: __________________
    • I am calling from:____________________ (phone #)
    • 16. _________________ will meet the ambulance/paramedics at: _______________
    • 17. The athlete is located at: _____________________, which is on the _______________ side of the facility
    • 18. Do Not end the call until the operator hangs up first.
  • Primary Survey
    Systematic assessment /evaluation
    Check your watch
    Level of consciousness (LOC)
    Conscious
    Introduce yourself
    Ask their name, Know what happened
    Helps assess state of mine/orientation
    Unconscious
    Airway
    Breathing
    Circulation
    Provides direction the decision making process
  • 19. The Secondary Survey
    Head to Toe physical assessment to determine extent of illness or injury.
    Approximately 2 min.
    DO NOT RUSH
    Determines if injured athlete can/cannot leave field, with assistance or if EMS is required.
    Keep anyone who doesn’t need to be there away
    Ask questions about the injury/illness
    Helps alleviate anxiety
    Checks orientation of athlete
  • 20. INJURY
    Unconscious Athlete
    Conscious Athlete
  • 21. HOPSMethodical Injury Assessments
    History:
    Based on subjective findings
    How did the injury happen?
    When did it happen?
    Has this ever happened?
    Observation:
    Based on objective findings
    Compare uninvolved side (uninvolved checked 1st)
    Look for swelling, deformities, discoloration
    Watch how athletes moves
    Palpation:
    Athlete points to area that hurts
    Feel for deformities, spasms, pulse, breaks in skin/tissue, skin temp.
    Special Tests:
    Check
    Active Range of Motion (AROM_
    Passive Range of Motion (PROM)
    Test muscular strength (resistive testing)
    If assessment or treatment is beyond your abilities
    Activate EMS or refer to physician
  • 22. Body Planes and Directional Terms:
    Important to keep in the terminology used in health care to describe different areas of the body.
    Imaginary lines are used to separate the body into sections.
    Must be communicated to other emergency personnel