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EMERGENCY PREPAREDNESS AND ASSESSMENT. CHAPTER 9. EMERGENCIES ARE INEVITABLE. Gathering Information: Conscious victim: talk to the patient Assess vital signs Observation: Primary and Secondary Survey. ASSESSMENT. LOOK LISTEN TOUCH SMELL. EMERGENCY ACTION PLAN (EAP).
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EMERGENCY PREPAREDNESS AND ASSESSMENT CHAPTER 9
EMERGENCIES ARE INEVITABLE • Gathering Information: • Conscious victim: talk to the patient • Assess vital signs • Observation: Primary and Secondary Survey
ASSESSMENT • LOOK • LISTEN • TOUCH • SMELL
EMERGENCY ACTION PLAN (EAP) • Duty of athletic trainer to implement EAP • Practice until procedures can be performed confidently without confusion • Page 213-214 – EAP Guidelines
EMERGENCY ACTION PLAN (EAP) • Emergency Medical Services (EMS) phone calls: • Stay calm • Severity of injury • First aid being provided • Address and location • Where you will meet EMS team
IMPLEMENTING EMERGENCY PROCEDURES • Stay in control and do not panic! • Perform first aid until someone with higher qualifications arrives • Universal precaution: Wearing gloves will be included in all prodecures • contact sports = higher chance of exposure to blood
PRIMARY SURVEY *Definition: Examining the patient to determine the presence of life-threatening situations. • Determine level of consciousness • If alert and oriented, proceed to secondary survey • If nonresponsive/unconscious begin primary survey Primary Survey: ABC! • A = Airway • B = Breathing • C = Circulation
PRIMARY SURVEY • Airway • Head-tilt/chin-lift • If airway is not clear: • Open jaw with thumb and index finger • Do a finger sweep with index finger to remove any objects • Make an airway using head-tilt/chin-lift • Breathing • Look, listen, feel • If not breathing: • Call for help • Clear the airway • Begin rescue breathing
PRIMARY SURVEY • Circulation • Check for breathing and pulse • If no signs of circulation: • Perform CPR • If Victim is face down: • Don’t turn them over if they show signs of breathing and circulation • If not, perform a log roll • See page 302-303 • Practice!
SECONDARY SURVEY *Definition: head-to-toe assessment to determine the extent of illness or injury; locating any injuries other than those found in the primary survey • Information gathered is used to determine appropriate treatment and if you should call 911 • Keep the athlete calm and warm, monitor vital signs
H.O.P.S. • History • Observation • Palpation • Stress tests Purpose: careful injury assessment that ensures that no injury is made worse by the process. • Least invasive methods of gathering information slowly progress to manipulation if necessary
H.O.P.S. • History • How did this injury happen? • Observation • Is there swelling, bleeding, etc? • Palpation • Ask the athlete where it hurts. Feel for spasms, pulses, breaks in the skin, etc. • Stress tests • Check for active range of motion and then the passive range of motion