ATC Notecards 1

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Author:
sferguson11
ID:
33120
Filename:
ATC Notecards 1
Updated:
2010-09-06 23:44:25
Tags:
sports medicine common terms HOPS SOAP Note etc
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Description:
Includes introductory information about sports medicine and athletic training
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  1. Sports Medicine deals with...
    • Prevention
    • Recognition/Assessment
    • Management
    • Rehabilitation

    ** ATs and PTs CANNOT DIAGNOSE; ONLY TREAT**
  2. What elements are involved with the "Prevention" aspect of Sports Medicine?
    • § Flexibility
    • § Proper warm up/cool down
    • § Nutrition/rest
    • § Equipment
    • § Environment
    • § Taping/wrapping
    • § Proper Technique/Agility/Endurance
    • § Balance between muscle groups
    • § Conditioning (be in shape)
    • § Length of practices (should be 1½ to 2 hours)
    • § Hydration
    • § Educate on risk of participation (athlete, parents, coaches, etc.)
  3. What is involved in the "Recognition" aspect of Sports Medicine?
    • § Should be able to assess without touching but by observing and listening
    • § Evaluation on field or in training room
    • § HOPS + F
  4. What is HOPS+F?
    History, Observation, Palpation, Special Tests, Functional Tests


    • Observation
    • - Ambulating (walking) off field/into training room
    • - Swelling
    • - Deformity
    • - Discoloration (Ecchymosis) – superficial bruising



    ·
  5. What is involved in the "H" of HOPS+F?
    • History
    • - What happened?
    • - When did it happen?
    • - Why/How did it happen?
    • - Any history of injury to that area?
  6. What is involved in the "O" of HOPS+F?
    • Observation
    • - Ambulating (walking) off field/into training room
    • - Swelling
    • - Deformity
    • - Discoloration (Ecchymosis) = superficial bruising
  7. What is involved in the "P" of HOPS+F?
    • Palpations
    • - BLT with M = Bones, Ligaments,Tendons with Muscles
    • - Looking for pain,swelling, warmth or deformity
  8. What is involved in the "S+F" of HOPS+F?
    • Special Tests
    • - Anterior drawer for ACL tear, etc. (lock-man test)
    • - Used to rule out or confirm

    and

    • Functional Tests
    • - APART = Active ROM, Passive ROM, Active Resisted ROM Testing
  9. What is involved in the "Management and Treatment" aspect of Sports Medicine?
    • § Reduce Pain
    • § Reduce Swelling
    • § Restore normal ROM, strength, and function
    • § Return to ADLs (Activities of Daily Living)
    • § Treat everyone individually
  10. Who makes up the "Sports Medicine Team"? What is each members' role?
    • Ø Team Physician (clears athletes to play)
    • § Conducts “PPE” – Pre Participation Exam; any organized sport requires a physical before participation can be allotted
    • § Determines playing status
    • § Has final words on return to play

    • Ø Athletic Trainer
    • § Prevention – educate athlete on proper equipment, nutrition, stretching, during the preseason
    • § Recognition, evaluation and assessment of injuries if they do occur
    • § Immediate care – refer to physician
    • § Treatment, rehab and reconditioning; the worst thing that an AT can do is put an athlete back into play without reconditioning (predisposes to further/worse injury)
    • § Organization and Administration – Record keeping and emergency plan
    • § Professional development and responsibility – Educate public; it’s ATs’ responsibility to educate the
    • public

    • Ø Coach
    • § Responsible if no AT on site

    • Ø Sport Participant – Responsible for reporting injuries in a timely manor, the compliance of AT
    • instructions, wearing proper equipment and wearing it correctly. Also required
    • to come into the season in shape and in proper nutrition

    • Ø Student Athletic Trainer
    • – Interns/students; relied on to do some of the “grunt” work, but get to witness taping and other valuable firsthand experience

    Ø Facilities, Food Services, etc.

    • Ø Primary Care Physician – Managed healthcare; important to avoid the ER at all costs because they will
    • treat all conditions extremely conservatively
    • § Can not override team physician
    • § Has final word in team physician is out of town
  11. What is a sprain?
    Injury to a ligament
  12. What is a strain?
    • Injury to a muscle or a tendon
    • - Mild - 1st degree = less than 1/3 injured
    • - Moderate - 2nd degree = 1/3 to 3/4 injured
    • - Severe - 3rd degree = 3/4 to complete tear/rupture
  13. What is a dislocation?
    Complete separation that usually occurs at a ball-and-socket joint (and stays out)
  14. What is a subluxation?
    Usually occurs at ball-and-socket joints, though it can occur in carpal and tarsal bones as well; the bone slips to rim of socket and slides back in
  15. What is fracture?
    • A disruption in continuity of bone
    • - i.e. Complete stress
    • - Can be an emergency, but a lot of the time it can simply be immobilized and seen the following day (again, avoiding the ER)
  16. What is a contusion?
    A bruise or forceful blow to body part resulting in swelling and ecchymosis (i.e. discoloration)
  17. What is a hematoma?
    An isolated contusion, more localized; contains fluid and lymph in addition to the swelling
  18. What is the SOAP Note?
    • Every profession has a set standardized secondary survey, but each profession is different
    • In AT it is the SOAP Note = Subjective, Objective, Assessment, Plan
    • It gathers subjective and objective information to make an assessment and devise a plan for rehabilitation
  19. What is the "S" of the SOAP Note?
    • Subjective information
    • (The "History" Portion of HOPS+F)
    • - What they said
    • - Pain level
    • - What/where/when/why/how did it happen
    • - Previous injury and treatment,
    • - Medications
    • - Allergies
    • - Equipment
  20. What is the "O" of SOAP Note?
    • Objective information - Anything Observed
    • - Ambulation, swelling, ecchymosis, deformity, palpations, special/functional tests
    • - Active ROM
    • *ROM gained on their own
    • - Passive ROM
    • *ROM gained by the examiner
    • - Active and Resistive ROM
    • *ROM while resisting against the examiner
  21. What is the "A" of SOAP Note?
    • Assessment - Side, structure, joint, injury, and degree
    • - Left/right, tendon/ligament/bone/capsule, joint, strain/sprain, degree
    • - Example: Right, ACL, knee, sprain, 2nd degree
  22. What is the "P" of SOAP Note?
    • Plan - What is done:
    • - Including frequency and duration
    • - Patient education (write down and send home)
    • - Exercises (specific)
    • - Short-term goals (2-3 weeks)
    • * Increase ROM
    • * Decrease ROM
    • - Long-term goals (+3 weeks)
    • * Bilateral equality in strength and ROM
    • * Activities of daily living (ADLs)
    • - Modalities (reduce pain and swelling)
    • * Cryotherapy (ice), E-stim, ultrasound, etc.
    • - Home education program (HEP) – recovery takes effort
  23. What is involved in Evaluation Review?
    Both a Primary and Secondary survey

    • Primary survey:
    • - ABC and neurological if needed

    • Secondary survey:
    • - Subjective – History
    • - Objective – Observation, Palpation, Special/Functional Tests
    • - Assessment
    • - Plan
  24. What things are included in a typical PPE?
    • Medical history
    • Physical exam
    • Fitness Profile
    • Medical Date Information Cards
  25. What is in the "Medical history" portion of the PPE?
    • § Family, pre-existing
    • § Establish rapport
    • § 60 – 75% of problems
  26. What is in the "Physical Exam" part of the PPE?
    • § Vitals
    • § Cardiovascular shape
    • § Pulmonary
    • § Musculoskeletal
    • § Neurological
    • § Eyes, teeth
    • § Heat illnesses
    • § Possible lab work
  27. What is in the "Fitness profile" of the PPE
    • § Body composition (especially wrestlers)
    • § Flexibility
    • § Strength, Power, Speed
    • § Agility
    • § Cardiovascular
  28. What information is included on a Medical Data Information Card?
    • § Full name of athlete
    • § Address and phone #’s
    • § SS# and DOB
    • § Both parents names and phone #’s
    • § Insurance information
    • * Name (BCBS)
    • * Policy holder (parent, spouse, self)
    • * Member ID #
    • * Group #
    • § Allergies and current medications
    • § Other: diabetes, epilepsy, surgeries, etc.
  29. Explain the importance of record keeping.
    • You must keep paper work for 7 years in GA!
    • Write down dates, times, names and actions for everything!

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