Lecture 1 - Emergency Procedures Flashcards
what is an emergency
a serious, unexpected, and often dangerous situation requiring immediate action
- > it is hard to actually define but you just know it when you see it
responsibility of a student therapist
- > risk management
- > pre-practice or comp warm up, taping and bracing
- > injury management
- > post-practice/game cooldown
- > recovery recommendations
- > administration
- > education
Expressed vs implied consent
Expressed (consent is expressly and distinctly given)
- > introduce yourself
- > state level of training
- > explain what you think may be wrong
- > explain what you plan to do
Implied
- > someone is unconscious and in an emergency situation and can’t verbally give consent
define an EAP
Emergency Action Plan
- > an organized plan established to manage emergency situations efficiently and quickly
roles during an EAP
THREE C’s
charge person
- > in charge, doing the assessment, telling everyone what they and the patient need
call person
- > calling 911 and figuring out how to get emergency responders to the client
control person
- > controlling the crown and the surrounding environment
Steps to develop and EAP
- > where is the nearest telephone
- > EMS (emergency medical services) access door
- > medical forms
- > identify charge, control and call person
- > AED (automated external defibrilator) location
- > hospital location
- > practice
- > documentation (accident report)
key to a well executed EAP
PREPARATION
Major elements you must consider before you assess the scene
- > fire
- > wires
- > gas
- > glass
steps to a primary assessment
- Assess the scene
- Student therapist prepares (gloves, med kit, ect)
- Tell athlete you are there to help (consent)
- Control athlete
- Determine level of consciousness/vitals (ABCs; circulation, airway, breathing, look/listen/feel)
- Activate EAP (if needed, otherwise proceed further)
- Body scan (deformities, blood, discolouration, athletes position)
- What, where, how (injury details)
steps of a primary survey
- > care for life threatening conditions
- > check levels of consciousness
- > check to see if the person: (ABCs)
- has an open airway
- is breathing
- has signs of circulation
- is not bleeding severely
how to check level of consciousness (LOC)
- > gently tap the person and ask if they’re ok
*be careful not to jostle or move the person - > manually stabilize the head and neck if required
- > ask the client spacial temporal questions
- Person: what is your name
- Place: where are we
- Time: what time of day is it (approx; morning, afternoon, night)
- Event: what happened
glasgow coma scale (GCS)
- > used to measure the extend of level of impaired consciousness
Motor Response - 1 - > no motor response
- 3 - > flexes to pain/ some response
- 6 - > obeys commands
Verbal Response - 1 - > No response
- 3 - > inappropriate words
- 5 - > orient and converses
Eye Opening - 4 - > Spontaneous
- 3 - > to voice
- 2 - > to pain
- 1 - > no response
MAX GCS IS 15; GCS<8 REQUIRES AGGRESSIVE RESUSCITATION
how to check if an airway is open/compromized
- > check for open airway
- > is the person responding to you
if no - > head-tilt/chin-lift
if yes - > gather further information
- > determine the chief complaint
how to check for breathing
check for normal breathing
look - chest movement does not mean air is reaching the lungs; look for distressed breathing, increased effort in resp. cyanosis
listen
feel
cyanosis
when skin turns blue i.e. face, finger nails
