Emergency Defined as an unexpected serious occurrence that may cause injuries that require...
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Transcript of Emergency Defined as an unexpected serious occurrence that may cause injuries that require...
EmergencyDefined as an unexpected serious occurrence that may cause injuries that require immediate medical attention
Time becomes a critical factor in an emergency, there is no room for indecision or error
• A mistake in the initial management of an injury can prolong the time for rehab and can potentially create a life-threatening situation for the athlete
Be properly equipped and trained for any medical crisis
Athletic injuries can occur at any timeSports medicine team must be prepared
Emergency plans help ensure the best care is provided Athletic organizations must develop an emergency plan
Should be customized to fit needs of your sports programShould specify needs within four
categories: Emergency personnel Emergency communication Emergency equipment Transportation
PERSONNEL PERSONNEL
Should outline emergency personnel roles
• Generally the first responder is a member of the athletic training staff
Athletic training staff is, at a minimum, trained in CPR and first aid
All members are responsible for knowing and being able to implement the emergency action plan
PERSONNEL PERSONNEL
Each member should be assigned specific roles
Immediate care should be done by the most qualified
Others should be assigned to locate and obtain emergency equipment
One member should be assigned to activate the emergency medical service (EMS) system
CommunicationGood working relationships ensure
the best careIt may be necessary for other
athletic department personnel to assist in some emergency situations
Hold practice sessions among sports medicine staff If possible, also with EMT’s
Staff must have access to a telephone or telecommunications device A backup plan should be in place in case the primary communications system is inoperable
Procedure should be in place for communicating the situation to EMS providers
All equipment that might be necessary for an emergency must be:Readily accessibleIn good working conditionChecked before each event or competition
EMS providers and an ambulance should be on standby at any event where there is a high risk of traumatic injury CMS has EMS at each Varsity football game Lessens response time for EMS Ensures injured athlete receives timely, proper
care
DEFINED MEDICAL EMERGENCIES
DEFINED MEDICAL EMERGENCIES
An injury that causes a threat to life or limb
• Breathing cessation, severe bleeding, no pulse, concussion with loss of consciousness, neck or spinal injury, fractures, dislocations, eye injuries, severe asthma attack, heat-related illness, or any injury causing signs of shock
Non-emergencies consist of all other injuries where life or limb is not threatened Abrasions, minor cuts, strains, sprains, minor
concussions without loss of consciousness, and contusions
Each athlete must have an up-to-date emergency information profile on record Nearest relative or guardian Medical information Hospital preference Family doctor’s phone numbers Parental permission to treat and transport
Emergency preparedness is the central element of a superior sports medicine program
The emergency preparedness team consists of everyone involved in athletics
The emergency plan must be documented and agreed upon by all parties
Being properly prepared is crucial
Primary SurveyDone immediately: determines the existence of a life-threatening injury or illness
Secondary Survey Gathers specific information from the athlete
about the injury Provides for a more detailed assessment Assesses symptoms and vital signs
MUSCULOSKELETAL VITAL SIGNS
HOPS History Observation Palpation Special Tests
ABC’s Blood Pressure Pulse Temperature
SKIN COLOR PUPILS
Flushed or Red Heat illness High blood pressureBluish
Airway obstruction Pale or Ashen
Shock, Hemorrhage, Circulation problems
Yellowish Liver
dysfunction(Jaundice)Airway obstruction
PEARLPupils equal and reactive to light
UnconsciousnessState of
insensibility in which the athlete exhibits a lack of conscious awareness
Unconscious athlete is always considered to have a life-threatening injury, and/or head, neck or spine injury
Guidelines Note body position
If prone, logroll for assessment
Determine level of consciousness and responsiveness
Establish ABC’s Monitor vitals
Guidelines for Football Remove facemask
for access to airway. DO NOT REMOVE THE HELMET