Acute Injury Care and Management As a team physician you have the potential to be first on the scene for an injury As a family practice physician you may see the injury in the acute stages This is why it is important to understand the basics of acute injury care and injury management

On the Scene First use your primary survey. First Aid. Make sure the scene is safe Secondary Survey: Look over the athlete are they bleeding, are there any obvious deformities, is the athlete conscious or unconscious If the athlete is unconscious are ABC’s intact

On the Scene For an unconscious athlete always assume C-spine until it can be ruled out Conscious athlete: What is the injury If the athlete can weight bear, bring them to sidelines for evaluation. If not, quick on field assessment and then move.

On the Scene

Evaluation HOPS History- Mechanism of injury, Where it hurts, previous injury etc Observation- Edema, Ecchymosis, Deformity Palpation- Heat, tender spots, pain Special Tests- ROM, MMT, special tests for joint injured

So Now What RICE Rest- rest injured area Ice- Ice for 20 min on 20 min off. Especially in the first 72 hours Compression- With Ace wrap if possible. Start distally and wrap medially, and proximally Elevation- above 45 degrees. 90 is optimal.

So Now What When to see a Doctor or go to the ER Unconscious Obvious Broken Bone Unable to bear weight Abdominal, facial, head, or chest injury

Rehabilitation For injuries that are fairly minor. Rehab can be done easily. First, achieve full range of motion Second,Full strength Third, return to function

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