Emergency Care

AT Camp 2013

Components of an EAP• EAPs are written documents that define actions of __________________in

_______________________ situations.

• ATs should consult all medical and athletic administration personnel who are involved in the care and administration of athletic events.

• EAPs should be regularly _________________ to acquaint individuals with their specific tasks and responsibilities.

Types of EAPs• Standard injury protocol

• Weather-related emergency

• Trauma/medical emergency

Developing an EAP• Base actions on sport-specific _________________.

• Can be duplicated for multiple venues if facilities/locations are similar.

• After development, EAPs should be reviewed by the organization’s _____________________ and/or administrators before posting and implementing.

EAP Practice and Education• Practice to determine feasibility.

• Revisions can be made to ensure EAP is ______________________.

• Education

– ________________________________

– ________________________________

– ________________________________

• Review and practice periodically will all event and medical personnel.

• Spinal injury - Signs and Symptoms:

– MOI

– Tenderness anywhere on spinal column

– Pain with extremity movement

– Pain when moving an extremity with no apparent injury

– Obvious deformity

– Loss of sensation

– Loss of extremity strength

– Unresponsive reflexes

– Injury to head or neck

– ___________________

– Breathing difficulties

– Unconsciousness

– ___________________

– ___________________ rigidity

Common Neurological Spinal Cord/Nerve Root Injuries

Assessment of Spinal Injury• Assess LOC and life-threatening conditions

• Secondary assessment

– Unusual sensations

– Observation

– Palpation

– __________________

– Strength

• Immobilization and referral

Spinal Care Stabilization, Logrolls, and Lifts

• Activate EMS

• Stabilize neck, and check vital signs

• _____________________________

– Kneel behind supine athlete

– Place fingers and thumb along sides of head to stabilize

– Move head gently to neutral position

– Maintain stabilization throughout spine boarding process

• Prone logroll

– AT #1 stabilizes head and neck with cross-arm technique

– Place spine board adjacent to athlete

– Place athlete’s arms at their sides for protective equipment, or place one arm over head and one at side

– Additional ATs at shoulders, waist, and lower legs

• Grab opposite side of athlete

– Another AT places spine board into position

– AT at head gives command to roll and secure

Spinal Care Stabilization, Logrolls, and Lifts (Cont.)

Spinal Care Stabilization, Logrolls, and Lifts (Cont.)

• ______________________ (Cont.)

– Roll athlete _________________ ATs, uniformly

– Slide spine board into position when athlete is on side at 45-degree angle

– Slowly return athlete to supine position on spine board

– If not centered, readjust by sliding on command of AT at head

Spinal Care Stabilization, Logrolls, and Lifts (Cont.)

Spinal Care Stabilization, Logrolls, and Lifts (Cont.)

• _____________________

– AT at head provides cervical stabilization

– Additional ATs along side at shoulders, waist, and lower legs

– Another AT on opposite side ready with spine board

– On command of AT at head, roll athlete toward ATs while lone AT places board at 45-degree angle underneath athlete

– On command, lower athlete onto spine board

Spinal Care Stabilization, Logrolls, and Lifts (Cont.)

Spinal Care Stabilization, Logrolls, and Lifts (Cont.)

• Person lift

– AT #1 stabilizes head.

– Additional ATs on either side of athlete at shoulder, waist, and lower legs

• Slide hands underneath athlete

– AT #1 commands to lift athlete

– Lift approximately 6 inches in smooth motion

– Additional AT slides spine board from feet to head

– Lower athlete on command of AT #1

Spinal Care Stabilization, Logrolls, and Lifts (Cont.)

Spinal Care Stabilization, Logrolls, and Lifts (Cont.)

• Once on spine board

– Apply cervical collar

• Use cervical vacuum splint with protective equipment

– Secure athlete to spine board

– Fill gaps

– Reassess vital signs

Spinal Care Stabilization, Logrolls, and Lifts (Cont.)