1. Unit 7 Injury Management
Objective 3: Recognize abdominal injuries, bleeding, and shock
Objective 5: Describe the treatment for medical conditions
Objective 6: Recognize and provide treatment for environmental conditions

2. Soft Tissue Injury Treatment
Clean area with soap and water
Apply antibiotic cream
Apply sterile bandage
Watch for infection

3. BLEEDING Arterial Bleeding Bright red and spurts
Hard to stop and life-threatening
Venous Bleeding
Dark red and steady flow
Easier to control
Capillary Bleeding
Slow and steady
Greater chance of infection
10% loss of blood volume may be critical

4. Controlling External Bleeding
Apply direct pressure with sterile dressing
Cover with a roller
bandage
Bleeding does not stop
Additional dressing
Minimize shock
Call 911

5. Internal Bleeding What do you do? CALL 911 Immediately!!
DO not give anything to eat or drink
Life threatening - Death will be the outcome without QUICK advanced medical care!

6. Internal Bleeding Signs and Symptoms
Tender, swollen, hard areas
Rapid, weak pulse
Skin cool, pale, moist
Vomit blood
Excessive thirst
Confusion
LOC

7. SHOCK
Life-threatening condition when there is not enough blood being delivered to vital organs
SIGNALS:
Restless or altered level of consciousness
Rapid breathing or pulse
Pale, ashen, cool, moist skin
Thirsty

8. Treatment for SHOCK
Call 911 and monitor ABC’s and vital signs, treat conditions
Elevate legs 12 inches
Keep person comfortable
DO NOT give person anything to eat or drink

9. Abdominal Injuries Ruptured Spleen Located ULQ
Caused by blow to abdomen
S/S = rigid abdomen, nausea, vomiting and possible signs of shock
Khers sign
Left shoulder and arm pain
Can cause profuse hemorrhaging and death

10. Abdominal Injuries Appendicitis Located RLQ
Caused by bacterial infection from an obstruction
Mild to severe cramping, nausea, vomiting and low fever, RLQ pain
Surgery required

11. Abdominal Injuries HERNIA
Protrusion of abdominal viscera through abdominal wall
Common in groin- inguinal hernia
Superficial protrusion may be observed, pain is increased by sudden movements, coughing or sneezing
Surgery required

12. SPLINTING Only if the person must be moved In the position you find it
Joints above and below must be immobile - SNUG
Check circulation before and after (warmth, color)
Only if you can do without causing more pain

13. Head, Neck and Back Injuries
Biggest Concern?
Paralysis if moved
Signal of One?
Change in conscious
Numbness or tingling or loss of movement
Complain pain or point tenderness on cervical spine
Care for?
MINIMIZE MOVEMENT
Provide in-line stabilization

14. What if athlete is wearing a helmet?
Do not remove
IF need to gain access to airway use appropriate equipment to minimize movement of spine

15. Care for Medical Conditions
Seizure
Protect from injury
Do not put anything in mouth
Do not hold down
Faints
Lay down & elevate legs

16. Care for Medical Conditions
Diabetic (Too much or little sugar in person’s blood)
Give sugar if conscious
Asthma
Help administer inhaler

17. Heat Illnesses Normally progress in severity
Heat cramps
Heat exhaustion
Heat Stroke
Caused by combination of strenuous activity and hot/humid weather
Fluid imbalances

18. Heat Cramps Result from fluid volume problem
Can be prevented by drinking water before and throughout activity
Stretch the affected muscle slowley

19. Heat Illnesses Heat exhaustion Heat stroke Profuse sweating Pale skin
Nausea
Dizzy
Headache
Altered LOC
Heat stroke
Red, flushed dry skin, irritable, aggressive
Headache
Dizzy, weak
Sweat mechanism shut off
Most serious heat condition- call 911

20. Treatment of Heat Illnesses
Move victim to cool place
Give cool water - small amounts if conscious
Immerse in cold water or use ice towels
Fan, sponge off
Loosen clothing
Victim not improve or won’t drink= call 911

21. Cold-Related Illnesses
Frostbite
Lack of feeling
Skin appears white & waxy
Skin cold to touch
Hypothermia
Shivering
Numbness
Glassy Stare
Decrease LOC
Weakness
Impaired Judgement

22. Treatment for Cold related illnesses
Gently& SLOWLY warm victim
Warm too quickly can a cause heart arrhythmias
Check ABC’s
Remove wet clothing and cover with blankets
Handle carefully
Frostbite
Soak in warm water
Cover - DO NOT RUB