Emergency Response of ATC

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  1. After an incident occurs, what is involved in the Primary survey?
    ABC – airway, breathing, circulation

    Response (conscious or unconscious, slow or normal)

    Call 911 if needed
  2. What is involved in the Secondary survey?
    HOPS + F (written in SOAP note form)

    Performed on the field and off the field
  3. What situations constitute life threatening emergencies (LTE)?
    • Head or neck (spinal)
    • Asthmatic/diabetic
    • Stroke
    • Fractures with gross deformity
    • LOC (loss of consciousness)
    • Heat illness – heat stroke
  4. What are signs and symptoms (S/S) of a LTE?
    • Not breathing
    • No pulse
    • Hemorrhage
    • Shock
  5. How should an AT plan ahead for LTE?
    • Obtain
    • * Typed directions to hospital and post them
    • * Phone locations – cell phones don’t receive signal from absolutely everywhere

    • Identify personnel (and what their responsibilities will be)
    • * Who is/isn’t CPR/FA certified

    • Establish roles
    • * Who calls, meets, informs parties involved
    • * Who keeps records – if a person has lost conscious or seizing, someone needs to keep account of what’s happened thus far (“He’s been unconscious for 30 seconds”, “His seizure lasted 2 minutes”, etc.)

    • Meet with EMS to:
    • * Give directions (on how to get to your facility)
    • * Establish communication, rapport
    • * Review equipment
    • * Establish coverage dates (when they will need to be on call)
  6. What vitals should be examined after an incident occurs?
    State of Consciousness

    • Pulse
    • * Changes can be due to medications, age exertion, condition, etc.
    • * Normal 60-80 (may be lower in well conditioned athletes)

    • Respiratory Rate
    • * 10-12 breaths per minute

    • Temperature
    • * Check for flush tips of ears or cheeks
    • * Important to have a baseline temp recorded on file (not everyone has a baseline temp of 98.6, some are lower and higher)

    • Blood Pressure
    • * Normal 110/70 (new guidelines): HBP>140/80 (hypertension)

    • Skin Color
    • * Red skin may indicate heat illness
    • * Pale skin may indicate shock or hemorrhage
    • * Cyanotic skin may indicate airway obstruction

    • Pupils
    • * Constricted may indicate Central Nervous System depressant
    • * Dilation may indicate head trauma or stimulant drug
    • * Response is more important than size (Use PEARL – Pupils Equal and Reactive to Light)

    Movement (whether its normal or abnormal)

    Abnormal Nerve Response (heat/cold, soft/prick, lack of response to Babinsky test)
  7. What is "shock"?
    A life threatening condition in which the heart is unable to pump sufficient blood/oxygen to the body

    Typically, shock is preceded by a serious injury, but the shock must be attended to before the gross deformity/injury
  8. What are S/S of shock? What factors predispose an individual to shock?
    • S/S:
    • Pale, clammy skin
    • Rapid shallow breathing
    • Decreased BP
    • Rapid but weak pulse
    • Profuse sweating

    • Factors:
    • Age
    • Condition
    • Pain tolerance
    • Disease
    • Dehydration
    • Fatigue
  9. What are the different types of shock?
    Hypovolemic – Due to blood loss

    Respiratory – Lungs are unable to supply oxygen to blood

    Neurogenic shock – Dilation of blood vessels

    Psychogenic shock – Fainting (*Potential Bonus ?*: Syncope – Fainting due to lack of blood flow and therefore oxygen to the brain)

    Septic shock – Bacterial infection

    Anaphylactic shock – Severe allergic reaction
  10. What steps should an AT take if it appears an athlete has suffered a head/spinal injury?
    Check LOC (level of consciousness)

    Check vitals

    Check neurological response

    Transport as necessary - “When in doubt, ship them out”

    DO NOT REMOVE HELMETS WITHOUT REMOVING SHOULDER PADS (Usually no reason to removes the shoulder pads anyway)


Card Set:
Emergency Response of ATC
2010-09-07 11:43:31
emergency response

Includes information about emergency response in relation to Sports Medicine
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