1. Emergency Assessment Chapter 12

2. Emergency Action Plan (EAP) Each venue must have one Determine personnel availability and role(s) Determine what equipment is available PNP for equipment removal Phone Accessibility Everyone should be familiar with it Keys to locks on gates should be available Inform ALL individuals of EAP 1/yr Assign chaperone Contact info Managing Spectator Emergency Situations 3. Whos involved in an Emergency? EMTs Include in plan development ATC assumes assistive role Practice sessions Parents Minors Consent forms 4. On Field Assessment Primary Survey Life threatening conditions LOC, ABCs, Severe Bleeding, Shock TRANSPORT Secondary Survey Injury info, Sx, Detailed Injury Eval Vitals LOC, Pulse, Respiration, BP, Temp, Skin Color, Pupils, Movement 5. Musculoskeletal Assessment History Observation Palpation Special Tests Provocative Tests Functional Tests Sport Specific Tests 6. History Open ended questions Determine the cause Where does it hurt? Abnormal sounds/sensations Did you continue to play? Describe pain (time of day) Rate pain Previous Medical History (PMH) Previous treatment Medications 7. Observation Deformity Postural Assessment Color Guarding Ecchymosis Facial Expression Errythema Atrophy Swelling Gait/Carrying Angle Sounds 8. Palpation Begin away from injured site Compared Bilaterally Pain Swelling Deformity Crepitus Tissue Damaged (soft tissue, bone) Pulse(s) Sensations (dysesthesia, anesthesia,hyperesthesia) 9. Special Tests End Points/Feels ROM Ligamentous Accessory Motion MMT Provocative Neurovascular Testing Functional Cranial Nerve Dermatome Myotome Reflexes Sport Specific 10. Off Field Assessment Clinical Diagnosis ID pathology of injury, limitations and possibledisabilities associated with injury ATCs, other HCP Medical Diagnosis Ultimate determination of pt condition MDs 11. Documentation Subjective Info patient tells you Objective Results of visual inspection, palpation, ROM,Special Tests Assessment Impression and nature of injury Plan Initial Tx, Tx plan (short term and long term goals) 12. Infectious Disease Pathogen 4 Conditions Preventing thespread Presence of pathogen Hand washing Enough of pathogen BSI Susceptibility Bodily Fluids Entry site Bloodborne Direct ContactPathogens Indirect Contact HBV Vectors HCV HIV Universal Precautions