Flashcards in last 2 ppts Deck (37)
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1
most common bony injury
nasal bone fracture/ nasal septum (tx:ice, nose packing,refer to physician)
2
2nd most common bony injury
mandible fx(malocclusion of teeth, bleeding around, lower lip numbness) -ice, immobilize, dr
3
black eye is aka
orbital hematoma
4
-pain, tear, blurred vision
-patch and refer
-1-2 days to heal
corneal abrasion
5
blood in the eye, vision block, patch both eyes NO ICE
hyphema
6
hit on orbit; discoloration inferior margins inability to move eye up, diplopia, pain
blowout fx(orbit of eye is fractured)
7
direct blow, specks in vision, flashes of light, curtain
retinal detachment
8
ways to save a tooth- transport media
milk, saline, saliva, water, mouth
9
extrusion or lateral luxation tooth displacement
can try to reposition
10
intrusion tooth displacement
dont try to reposition, mouth closed
11
no return, dentist, save tooth fragment with what kind
fractured tooth [crown or root]
12
-handle tooth by crown only, replace in socket if possible
-keep tooth moist
tooth avulsion
13
less than 30 min=
greater than 2 hrs=
90%; 5% survival rates
14
external otitis
swimmers ear
15
otitis medius
ear infection
16
hardened tissue of untreated hematoma, keloid tissue is resultant
cauliflower ear
17
controls memory, emotions, learning, judgement, voluntary muscle movements.
Cerebrum-
18
controls muscle movements
cerebellum
19
controls heart rate, breathing, coughing
medulla
20
3 layers of protection in skull
dura mater
arachnoid
pia mater
21
brain is suspended in
cerebrospinal fluid
22
head/neck injuries may present as what
cervical spine injury, brain injury(concussion/traumatic brain) or skull fracture
23
___ hematoma more common than epidural hematoma
subdural
24
caused by whiplash forces that tear venous blood vessels
-signs are unconscious with dilation of pupil on 1side, headache,vertigo, nausea, sleepiness
subdural hematoma
25
-blow to the head(baseball bat)
-unconscious, 1 pupil dilation,headache, nausea, vertigo, seizures LIFE threatening
epidural hematoma
26
ALWAYS assume a neck injury.
Don’t move the athlete if unconscious
Check ABC’s
Don’t remove helmet, remove face mask.
head injury eval
27
-250,000 concussions/year for High School FB players.
-After 1st concussion, chance of 2nd is 4X greater.
-Brain cells that are not destroyed may exist in a vulnerable state
concussion factoids
28
-loss of consciousness
-Headache, vertigo, nausea, -vomiting
-AMNESIA
-Balance, Slow pupil response or dilation
-Visual accuities
concussion symptoms
29
“If you were out, you are out”
“If you sway you do not play”
Any amnesia or increase in S/S with activity
Golden rules:
30
more important to determine __ __ of the s/s and when to refer, such as if symptoms increase/worsen
time course
31
Do you know where you are?
Can you tell me what happened?
Does your head hurt?
Do you have pain in your neck?
Can you move your hands and feet?
HISTORY -head injury assessment
32
Blank stare?
Disorientation
Slurred or incoherent speech
Cognitive function
Normal emotional response
OBSERVATION -head injury assessment
33
special test for balance
rhomberg test
34
Finger-Nose, Heel-Toe Walking = Coordination
Recall three words/lunch = Memory
Months of the year backwards = concentration
Eye Function = pen/finger tracking, blurred vision, pupil response to light
special tests
35
A player sustaining a concussion is out for 1 week after symptoms subside.
New UIL rule
36
Brain swelling because a 1st injury hasn’t healed.
Second impact may not even involve a blow to the head.
Signs: May appear dazed followed by a rapid decline in consciousness, pupils, eye movement.
Care: 911
second impact syndrome
37
