1. Emergency Procedures Topic 2

2. Name all possible emergencies
Heart Attack
Stroke
Internal Injury
Breathing Problem
Allergic Reaction
Unconscious
Head/Neck/Back
Shock

3. Primary Survey Athlete Down… 1) Survey Scene 2) ABC’s 3) Call 911
**How quick is Primary Survey?

4. If not breathing…
1) Activate EMS (911) ASAP
2) Start CPR
3) Get AED

5. If breathing, but serious injury
Monitor ABCs
Keep Comfortable (cool, warm, bandage, splint, etc.
Transport if needed (backboard)
Note face mask- removed!

6. Secondary Survey 1) Vital Signs- check and monitor
2) Assessment of injury (ideally done in training room)
Head to toe evaluation including medical history
Wear Gloves for any blood/body fluids
Treat Injury (bandage, ice, etc.)
Still might need to go to ER, Doc, etc.

7. Vital Signs

8. Pulse Extension of heartbeat Determined at Carotid artery or Radial
Normal Pulse beats (some athletes lower)
Signs of problems:
Rapid/weak
Rapid/Strong
Strong/Slow

9. Blood Pressure
Blood Pressure- instrument sphygmomanometer measures amount of force against arterial walls
Systolic- when heart pumps normal
Diastolic-residual pressure in between beats
(female 8-10 lower)
Sign of problem BP

10. Respiration
Normal breathing rate 12/1 minute Signs of Problems: Shallow Irregular Cough that produces Frothy Sputum (Blood)

11. Temperature
Thermometer~ 98.6 Can also be detected by skin Signs of problems: Cool /clammy Hot /dry

12. Red Pale/ashen Blue~ Cyanosis (circulatory problem)
Skin Color
Red Pale/ashen Blue~ Cyanosis (circulatory problem)

13. Pupils~ Windows to Body (nervous system)
Signs of Problems: Constricted Dilated Diplopia Uneven Response to light

14. Treating External Hemorrhage1) 2) 3) 4) 5) 6)

15. Practice Vital Signs Read article and Demo AED Demo BP cuff
Demo pen light
Demo External hemorrhage (already done)

16. Referred Pain
Pain in a different location then where the pain is originating
Examples-
(not a great example) but pain down left arm from Heart attack
Kehr sign- pain in left shoulder from ruptured spleen
Pain across lower back from kidney injury

17. Heat Illnesses- Prevention
Acclimatization Clothing Fluid Hydration Weight Charts Sling Psychromoter Split Practice

18. Sling Psychrometer used to measure temp and relative humidity.
Relative humidity effects the athletes ability to sweat

19. 1) Heat Exhaustion vs Heat Stroke
Dizzy disoriented
Headache Unconscious
Profuse Sweating Not Sweating
Cool Clammy Skin Shallow Breathing
Ashen or Pale skin Hot, Dry, Red Skin
Regular Body temperature Body Temp increase
Rapid, Weak Pulse Rapid Strong Pulse
Uncoordinated Gait

20. Heat Illnesses TX Remove excess clothing 911!! Emergency
Heat Exhaustion Heat Stroke
Remove excess clothing 911!! Emergency
Remove equipment Cool immediately-
Give cold fluids (if possible) Ice bath/towels
Get into cool place Cool location
Cool with towels if drink- OK
Seek medical attention TX for shock

21. Shock (can be fatal)
Can come from any injury involving : pain, bleeding, internal trauma, fracture, or spinal injury
During Shock- blood vessels vasodilate which leads to blood pooling – which deprived the brain and vital organs of oxygen
Sign- rapid weak pulse
Breathing rapid and shallow

22. Treat Shock Activate EMS Comfort person
Control bleeding, splint, etc (ease pain)
If possible elevate legs (blood flow to head), or elevate head if dizzy- whatever makes more comfortable
Keep warm or cool

24. Athlete down prone- not moving
(First Primary Survey, so EMS is on way and AED)
Assume Spine injury unless ruled out
If not breathing and unconscious- Log Roll (clip face mask in FB), start CPR/AED
If breathing and unconscious- wait for EMS, but maintain ABCs
Log Roll- How to Spine Board and Athlete and Emergency Care Spine Injured Athlete 1:Log Roll