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Immediate care of Injuries/Illnesses PowerPoint PPT Presentation


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Immediate care of Injuries/Illnesses Sabino Sports Medicine Connie Rauser Injuries and illnesses Traumatic injuries Shock Heart attack/cardiac arrest Stroke Heat illness Diabetic emergency Asthma attack Allergic reaction (anaphylactic shock) When the injury happens Determine severity

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Immediate care of Injuries/Illnesses

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Immediate care of injuries illnesses l.jpg

Immediate care of Injuries/Illnesses

Sabino Sports Medicine

Connie Rauser


Injuries and illnesses l.jpg

Injuries and illnesses

  • Traumatic injuries

  • Shock

  • Heart attack/cardiac arrest

  • Stroke

  • Heat illness

  • Diabetic emergency

  • Asthma attack

  • Allergic reaction (anaphylactic shock)


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When the injury happens

  • Determine severity

    • Life threatening

    • Unconscious

      • No signs of life

        • No breathing

        • No pulse

      • Severe bleeding

    • Non life threatening

      • Injury

      • illness


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What to do next?

  • If unconscious

    • Begin life saving procedures

    • Check ABCB’s

      • CPR

      • AED

  • If conscious

    • Get consent to help

    • Ask questions about what happened

    • Determine what needs to be done


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History

  • What happened?

  • Where does it hurt?

  • Any medical conditions/illnesses

  • Any allergies

  • Any medications


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Observation

  • Perform a bilateral comparison

    • Signs of trauma

    • Deformities

    • How body part is held


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Palpation

  • Where are the areas of point tenderness

    • Soft tissue

    • Bony tissue


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Special tests

  • Used to determine

    • Ligament stability

    • Possible fractures

    • Muscle tightness

    • Body alignment


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What to do next?

  • Call 911

  • Provide care

    • Take vitals

      • LOC

      • Blood pressure

      • Pulse

      • Respirations

      • Temperature

      • Skin color

      • Weakness of movement


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  • LOC (level of consciousness)

    • Fully alert

    • Responding to verbal stimulus

    • Decreased LOC

      • Lethargic

      • Groggy

      • Dazed

      • Unconscious

      • Responding to painful stimulus


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Taking blood pressure

  • Stethoscope

  • Blood pressure cuff

  • (sphygmomanometer or sphygmometer)

    • Place cuff at upper arm w/ hoses anterior

    • Put on stethoscope (be very quiet)

    • Place stethoscope on anterior elbow

    • Pump up pressure to 180

    • Slowly release air—listening for a “dub-dub” and then no more sounds

    • Note on meter when you hear 1st sound and last sound


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Blood pressure

  • Systolic rate-upper number

    • Pressure when the heart beats

  • Diastolic rate—lower number

    • Pressure when the heart is at rest

  • Normal rate--- 120/80

  • High BP

    • systolic over 140

    • diastolic over 90


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Taking pulse rate (HR)

  • Use your index and middle finger

  • Find radial pulse

  • Count pulse for one minute

  • Normal 60-80 BPM


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Respiration rate

  • Have victim lie down

  • Watch and count rise and fall of chest for one minute

  • Normal 12-20 Respirations/minute


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Skin temperature/color

  • Normal 98.6

  • Low temp

    • Hypothermia

  • High temp

    • Heat stroke

    • fever


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Skin color

  • Red skin (rubor)

    • Heat stroke, HBP

  • Blue (cyanosis)

    • Airway obstruction, respiratory emergency

    • Will see bluish tint around lips and nail beds

  • Pale (ashen)

    • Insufficient circulation, shock, fright, hemorrhage, heat exhaustion, insulin shock


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Skin color

  • Yellow skin (jaundice)

    • Liver problems

  • Mottled--blotchy red and white


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Weakness of movement

  • Bilateral comparison

    • Grip your fingers—equal strength in hands

    • Push foot against your hand—equal strength of both legs


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