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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

Immediate care of Injuries/Illnesses

Sabino Sports Medicine

Connie Rauser

injuries and illnesses
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
When the injury happens
  • Determine severity
    • Life threatening
    • Unconscious
      • No signs of life
        • No breathing
        • No pulse
      • Severe bleeding
    • Non life threatening
      • Injury
      • illness
what to do next
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
history
History
  • What happened?
  • Where does it hurt?
  • Any medical conditions/illnesses
  • Any allergies
  • Any medications
observation
Observation
  • Perform a bilateral comparison
    • Signs of trauma
    • Deformities
    • How body part is held
palpation
Palpation
  • Where are the areas of point tenderness
    • Soft tissue
    • Bony tissue
special tests
Special tests
  • Used to determine
    • Ligament stability
    • Possible fractures
    • Muscle tightness
    • Body alignment
what to do next9
What to do next?
  • Call 911
  • Provide care
    • Take vitals
      • LOC
      • Blood pressure
      • Pulse
      • Respirations
      • Temperature
      • Skin color
      • Weakness of movement
slide10
LOC (level of consciousness)
    • Fully alert
    • Responding to verbal stimulus
    • Decreased LOC
      • Lethargic
      • Groggy
      • Dazed
      • Unconscious
      • Responding to painful stimulus
taking blood pressure
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
blood pressure
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
taking pulse rate hr
Taking pulse rate (HR)
  • Use your index and middle finger
  • Find radial pulse
  • Count pulse for one minute
  • Normal 60-80 BPM
respiration rate
Respiration rate
  • Have victim lie down
  • Watch and count rise and fall of chest for one minute
  • Normal 12-20 Respirations/minute
skin temperature color
Skin temperature/color
  • Normal 98.6
  • Low temp
    • Hypothermia
  • High temp
    • Heat stroke
    • fever
skin color
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
skin color17
Skin color
  • Yellow skin (jaundice)
    • Liver problems
  • Mottled--blotchy red and white
weakness of movement
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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