splinting and sports injuries cme 2007
DESCRIPTION
TRANSCRIPT
![Page 1: Splinting and Sports Injuries CME 2007](https://reader036.vdocuments.site/reader036/viewer/2022081414/54c30e4e4a79598b3f8b46b2/html5/thumbnails/1.jpg)
Sports Injury and Splinting
Clem MarshallStephen Rosenberg
![Page 2: Splinting and Sports Injuries CME 2007](https://reader036.vdocuments.site/reader036/viewer/2022081414/54c30e4e4a79598b3f8b46b2/html5/thumbnails/2.jpg)
What is the most dangerous sport?
Cheerleading
![Page 3: Splinting and Sports Injuries CME 2007](https://reader036.vdocuments.site/reader036/viewer/2022081414/54c30e4e4a79598b3f8b46b2/html5/thumbnails/3.jpg)
What will we see in EMS?
1) Soft Tissue Injuries2) Bony Injuries / Dislocations3) Sprains and Strains4) Head and Spinal Trauma
Also, non traumatic problems including cardiacproblems, dehydration, asthma exacerbations
![Page 4: Splinting and Sports Injuries CME 2007](https://reader036.vdocuments.site/reader036/viewer/2022081414/54c30e4e4a79598b3f8b46b2/html5/thumbnails/4.jpg)
Mechanisms of Injuries
An object:Baseball, ice skate, etc.
Collision:With another player, with a goalpost, wall, etc.
“Self Inflicted”Fall, sprains/strains, etc.
![Page 5: Splinting and Sports Injuries CME 2007](https://reader036.vdocuments.site/reader036/viewer/2022081414/54c30e4e4a79598b3f8b46b2/html5/thumbnails/5.jpg)
Soft Tissue Injury
What are the types of Soft Tissue Injuries?
Opena) Penetratingb) Bluntc) Abrasion
Closed a) Hematomab) Contusion
![Page 6: Splinting and Sports Injuries CME 2007](https://reader036.vdocuments.site/reader036/viewer/2022081414/54c30e4e4a79598b3f8b46b2/html5/thumbnails/6.jpg)
Treatment?*Wound may look bad but if not life threatening do not get distracted from life threatening injuries
Open1) Control Bleeding2) Irrigate wound / Apply Dressing3) Penetrating objects- not removed, but stabilized
Closed1) Apply cold pack or ice2)Elevate above the heart
Can they still play? When do you transport?
![Page 7: Splinting and Sports Injuries CME 2007](https://reader036.vdocuments.site/reader036/viewer/2022081414/54c30e4e4a79598b3f8b46b2/html5/thumbnails/7.jpg)
Bony Injuries
1) Fractures/BreaksA) OpenB) Closed
2) Dislocations
![Page 8: Splinting and Sports Injuries CME 2007](https://reader036.vdocuments.site/reader036/viewer/2022081414/54c30e4e4a79598b3f8b46b2/html5/thumbnails/8.jpg)
Fractures Treatment?
Open and Closed Fractures
1) Cover an open wound with dressing, control bleeding and do not try to push the bone back in
2) Elevation for if appropriate for wound control
3) Immobilize the injury, checking for distal pulses, motor function, and sensation before and after splinting (DNVS)
4) Fractures should not be reduced in the field, but we can apply traction to one type of fracture.
![Page 9: Splinting and Sports Injuries CME 2007](https://reader036.vdocuments.site/reader036/viewer/2022081414/54c30e4e4a79598b3f8b46b2/html5/thumbnails/9.jpg)
![Page 10: Splinting and Sports Injuries CME 2007](https://reader036.vdocuments.site/reader036/viewer/2022081414/54c30e4e4a79598b3f8b46b2/html5/thumbnails/10.jpg)
Dislocation Treatment?1) Assess DNVS2) Immobilize affected in position of comfort3) Reassess DNVS4) Apply Ice5) Do not try to reduce the dislocation
![Page 11: Splinting and Sports Injuries CME 2007](https://reader036.vdocuments.site/reader036/viewer/2022081414/54c30e4e4a79598b3f8b46b2/html5/thumbnails/11.jpg)
Sprains and StrainsWhat is the difference between sprains and strains?
Strains (pulled muscle): tearing of the muscle fiber from excessive stretch
Sprains: a stretch of tear of a ligament
Signs and Symptoms?Pain
SwellingRedness
Limited mobility
![Page 12: Splinting and Sports Injuries CME 2007](https://reader036.vdocuments.site/reader036/viewer/2022081414/54c30e4e4a79598b3f8b46b2/html5/thumbnails/12.jpg)
How bad can they be?
![Page 13: Splinting and Sports Injuries CME 2007](https://reader036.vdocuments.site/reader036/viewer/2022081414/54c30e4e4a79598b3f8b46b2/html5/thumbnails/13.jpg)
Treatment Sprains and Strains1) Splinting affected area if necessary2) Assess DNVS before and after
splinting3) Ice/elevation4) Discontinue activity
Is it broken or a sprain/strain?
![Page 14: Splinting and Sports Injuries CME 2007](https://reader036.vdocuments.site/reader036/viewer/2022081414/54c30e4e4a79598b3f8b46b2/html5/thumbnails/14.jpg)
Head Trauma/Concussions
What is important for this patient? What should we be assessing very carefully?
![Page 15: Splinting and Sports Injuries CME 2007](https://reader036.vdocuments.site/reader036/viewer/2022081414/54c30e4e4a79598b3f8b46b2/html5/thumbnails/15.jpg)
Signs and Symptoms of Head Injury/Concussions?
1) Changes in personality2) Aggressiveness3) Memory Loss4) Nausea/Vomiting5) “Sick” Feeling6) Dizziness7) Faintness8) Changes in Vision
So, what’s the moral of the story?Concussions are easy miss!
![Page 16: Splinting and Sports Injuries CME 2007](https://reader036.vdocuments.site/reader036/viewer/2022081414/54c30e4e4a79598b3f8b46b2/html5/thumbnails/16.jpg)
Head/Neck Trauma Treatment?1) Careful attention to ABCs2) Full Trauma Assessment3) Careful attention to LOC, GCS4) Maintain C-Spine5) Complete Spine board immobilization 6) Watch for changes in mental status and vital signs
Look for Cushing’s Triad:1) Bradycardia2) Hypertension3) Irregular Respirations
PERRL
![Page 17: Splinting and Sports Injuries CME 2007](https://reader036.vdocuments.site/reader036/viewer/2022081414/54c30e4e4a79598b3f8b46b2/html5/thumbnails/17.jpg)
C-Spine Immobilization
![Page 18: Splinting and Sports Injuries CME 2007](https://reader036.vdocuments.site/reader036/viewer/2022081414/54c30e4e4a79598b3f8b46b2/html5/thumbnails/18.jpg)
1) Be Creative (not overly creative)
1) Immobilization in a position that is comfortable for the patient, yet maintains stabilization and is safe for transport
1) Loss of any aspect of DNVS is a bad splint
1) Immobilize proximal and distal joints if possible
1) There is never just one “right” splint
General Splinting Tips
![Page 19: Splinting and Sports Injuries CME 2007](https://reader036.vdocuments.site/reader036/viewer/2022081414/54c30e4e4a79598b3f8b46b2/html5/thumbnails/19.jpg)
Splints Today
1) Fingers2) Wrist3) Forearm4) Sling and Swathe5) Ankle6) Legs
![Page 20: Splinting and Sports Injuries CME 2007](https://reader036.vdocuments.site/reader036/viewer/2022081414/54c30e4e4a79598b3f8b46b2/html5/thumbnails/20.jpg)
Any Questions?