Presentation on theme: "Stabilization and Transportation of Injured Athletes"— Presentation transcript:
1Stabilization and Transportation of Injured Athletes Chapter 22Stabilization and Transportation of Injured Athletes
2Objectives Understand why athletic equipment is removed. Explain how to remove an athlete from the field.Explain when a backboard is necessary.Explain when an athlete should walk or use an aid to get off a field or court.
3Key Terms Extrication Ambulatory Neck Roll Removing an injured athlete from a playing field, court, or a dangerous situation to get them care without causing additional harmAmbulatoryThe ability of an athlete to walk from the field without support.Neck RollPadding/equipment sometimes included as a part of a football player’s uniform
4Equipment Removal Not always necessary Always remove face mask in breathing emergencies, recommended to remove anytime prior to transportShoulder pads and face mask in cardiac emergencies
5Face Mask Must be removed to gain access to an airway Always suspect a neck or head injury, so athlete needs to be immobilized (head stabilized)
6Face Mask Removal Tools Cutting tool or screw driver, depending on helmetCut side mounting loops or remove screwsLeave chin strap and helmet in place
7Helmet Only remove helmet if… After removal of the facemask, the athlete’s airway cannot be accessed for rescue breathingThe helmet and chin strap do not keep the head secureThe helmet prevents you from properly positioning the athlete for immobilization and transportIf the face mask cannot be removed from the helmet within a reasonable amount of time
8Non-football helmets Hockey Baseball/Softball Unsnap strap on each side of the mask and it flips upBaseball/SoftballRemove screws or cut side loops
9Jerseys and Shoulder Pads Shoulder pads can remain in place in most situationsIf removal needed, jersey must be removed as well, may need to be cut offCan cut at sleeves or up the middle
10Jerseys and shoulder pads Unhook chest straps and unlace or cut laces in front (or back)One person should be holding head in alignment at all timesRemove pads by bending pads back and pulling over athlete’s head
11Jerseys and shoulder pads Removing pads from a player on his sideRemove jerseyUnhook chest strapsCut or unlace the laces (front and back)Maintain head position at all timesSecond person slides pads off
12Neck Roll Removal depends on type If attached to shoulder pads, cut stringIf attached by screws, may be best to leave attached to shoulder pads and remove with the shoulder padsNon attached should come off when jersey and pads are removed
13HelmetShould be left in place at all times unless it interferes with the ability of the ATC to give proper careIf helmet removal is mandated the proper procedures include the following:
14Helmet ATC controls the head an prevents any movement Cheek pads removed by first aiderFirst aider controls the head from inside the helmetATC unsnaps chin strapsATC pulls helmet offATC fills gap between ground and head with towel to help stabilize head/neckATC regains control of the headPerson at the head acts as the director for all others
15HelmetIf helmet is removed, shoulder pads and neck roll must also be removed
16Uniform and Pad removal Non-serious injuryCan assist athlete in removal of uniform and padsRemove from uninjured side firstRemove padding from around injured area
17Lifting and moving an Athlete Decide following assessmentMinor injuryAthlete may be able to move themselves, or may need assistance from ATCSerious injuryMay require straps, stretchers, and/or backboardsVariety of lifts/assists also useful
18Proper techniques Wide base (feet shoulder-width apart) Always look up before and during liftingMove athlete on backboard or stretcher feet first to avoid nauseating athlete.
19Backboarding Reasons to backboard Any spinal or back injury When extent of injury cannot be determinedWhen there is not enough time to splint obvious fractures, and the injury is serious
20Backboarding Requires several trained people Person in charge controls the head throughout the entire procedure
21Backboarding Control the head. Call 911 Place cervical collar on athlete to immobilize the spine.Prepare the backboard.Under direction of the person in control of the head, roll the athlete 90 degrees and position the board by sliding it behind the athlete, once it is in position, roll athlete and board back with head at the top and athlete centered on the board.
22BackboardingPlace both cross-chest straps over the collarbones and tighten.Put headblock in place.Tape head to the board (forehead and chin)Place hip strap.Place foot strap.
23Backboarding 4 people minimum to carry the backboard Lift-and-slide method an alternative if you have at least 5 people
24Short boardingUsed when athlete reports spinal pain but is in a seated positionOnly do if highly trainedSee figure 22.6 in book
25Ambulatory movement of Athlete Decide extent of injury before moving athleteAthlete should not be allowed to put pressure on the injured body part
26One-person carry/assist Place athlete with injured area nearest assistantSupport by athlete putting arm over assistant’s shoulder while assistant holds opposite hip of athlete
27Two-person carry Seated carry Lock arms Athlete sits on one set of arms, other set supports upper back
28Stretcher Made of canvas Flexible Used to transport athlete w/out spinal injury4 people to carryMove feet first or head first
29Scoop stretcher Can be separated Ability to put athlete on stretcher without rolling or lifting