Flashcards in last 2 ppts Deck (37)
most common bony injury
nasal bone fracture/ nasal septum (tx:ice, nose packing,refer to physician)
2nd most common bony injury
mandible fx(malocclusion of teeth, bleeding around, lower lip numbness) -ice, immobilize, dr
black eye is aka
-pain, tear, blurred vision
-patch and refer
-1-2 days to heal
blood in the eye, vision block, patch both eyes NO ICE
hit on orbit; discoloration inferior margins inability to move eye up, diplopia, pain
blowout fx(orbit of eye is fractured)
direct blow, specks in vision, flashes of light, curtain
ways to save a tooth- transport media
milk, saline, saliva, water, mouth
extrusion or lateral luxation tooth displacement
can try to reposition
intrusion tooth displacement
dont try to reposition, mouth closed
no return, dentist, save tooth fragment with what kind
fractured tooth [crown or root]
-handle tooth by crown only, replace in socket if possible
-keep tooth moist
less than 30 min=
greater than 2 hrs=
90%; 5% survival rates
hardened tissue of untreated hematoma, keloid tissue is resultant
controls memory, emotions, learning, judgement, voluntary muscle movements.
controls muscle movements
controls heart rate, breathing, coughing
3 layers of protection in skull
brain is suspended in
head/neck injuries may present as what
cervical spine injury, brain injury(concussion/traumatic brain) or skull fracture
___ hematoma more common than epidural hematoma
caused by whiplash forces that tear venous blood vessels
-signs are unconscious with dilation of pupil on 1side, headache,vertigo, nausea, sleepiness
-blow to the head(baseball bat)
-unconscious, 1 pupil dilation,headache, nausea, vertigo, seizures LIFE threatening
ALWAYS assume a neck injury.
Don’t move the athlete if unconscious
Don’t remove helmet, remove face mask.
head injury eval
-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
-loss of consciousness
-Headache, vertigo, nausea, -vomiting
-Balance, Slow pupil response or dilation
“If you were out, you are out”
“If you sway you do not play”
Any amnesia or increase in S/S with activity
more important to determine __ __ of the s/s and when to refer, such as if symptoms increase/worsen
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
Slurred or incoherent speech
Normal emotional response
OBSERVATION -head injury assessment
special test for balance
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
A player sustaining a concussion is out for 1 week after symptoms subside.
New UIL rule
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.
second impact syndrome