Managing Injuries Flashcards
(37 cards)
What is the ‘Primary Response’ Acronym?
Dr ABCDE
What does Dr ABCDE stand for?
- Dr: Danger of environment/Response of person
- A: Airway
- B: Breathing
- C: Circulation
- D: Deformity
- E: Exposure (cold/wet/etc)
What is the recovery position?
- Sidelying, lift chin, hand under cheek
- hip flexed to prevent forward and backward rolling
What are the features of spinal cord injury?
- Pain in neck or back
- Sensory disturbance (numbness, tingling)
- Weakness
What are the NEXUS criteria for screening out spinal cord injury?
- No posterior midline C spine tenderness
- No evidence of intoxication
- A normal level of alertness
- No focal neurological deficit
- No painful distracting injuries
What if it is not possible to perform the NEXUS criteria to screen out spinal cord injury?
Assume spinal cord injury just to be safe
What should you do in the event of a dislocation/fracture?
- DR. ABCDE
- Keep the limb still
- Move from pitch if SAFE to do so
What shouldnt you do in the event of a dislocation/fracture?
Reduce the deformity (attempting to relocate the bone/joint)
What are the 3 types of bleeding?
Arterial, Venous and Capillary
What is arterial bleeding?
Bright red blood spurting in time with heart beat
What is venous bleeding?
Dark red blood, slower steady flow
What is capillary bleeding?
Oozing blood from superficial skin loss
What should you do in the event of bleeding?
Apply pressure ALWAYS.
Arterial requires suturing.
What is a Soft tissue injury?
Not bony, not dislocated and not bleeding externally
What’s an acronym for assessing soft tissue injury?
SALTAPS
what does SALTAPS, the acronym for assessing soft tissue injury stand for?
- S: See what happened
- A: Ask the player about the injury
- L: Look at the injury
- T: Touch the area (if the player lets you)
- A: Active movement (can they move it?)
- P: Passive movement (can you move it?)
- S: Strength (resisted and functional)
When should you refer to A&E?
- Unable to weight bear
- Deformed limb or joint
- Cannot move a joint
- If pain is uncontrollable
- If in doubt
What is the traditional approach to treating acute phase injuries?
PRICE: Protect Ice Compress Elevate
What happens in an acute soft tissue injury?
- Chemical mediated cascade (inflammation)
- Increase in blood flow and permeability of capillaries
- Various cells and biochemicals diverted to injury site
- Pain, but not always immediate
Is inflammation bad?
NO: -Inflammation initiates the healing process -Protects the area from further damage YES: -Can be excessive -Non-selective -Effects muscle function and mobility
What reasoning is there to use PRICE?
- Protect and rest to prevent further damage and allow recovery
- Reduced inflammation means reduced scar tissue formation
Why not rest an injury?
Stress is an important stimulus to tissue regeneration (but important not to overstress)
Why use ice?
Reduces pain
Why not use compressin?
May reduce lymphatic drainage
Risk of neural compression
