KIN 2236 Neck Injuries and On-Field Assessment || All Answers Are Correct 100%.
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KIN 2236 Neck Injuries and On-
Institution
KIN 2236 Neck Injuries And On-
What should you be thinking while you are sprinting onto the field? correct answers Is the athlete at risk?
- Life/limb
Is the area stable?
- Can they continue
- Without significant risk
- Safely
- Effectively
How do I get athlete off the field?
- Walk
- Assist
- Non-weight ...
KIN 2236 Neck Injuries and On-Field Assessment || All
Answers Are Correct 100%.
What should you be thinking while you are sprinting onto the field? correct answers Is the athlete
at risk?
- Life/limb
Is the area stable?
- Can they continue
- Without significant risk
- Safely
- Effectively
How do I get athlete off the field?
- Walk
- Assist
- Non-weight bearing
- Immobilized/boarded
Primary Survey correct answers Determine the existence of potentially life-threatening situations
- U Responsiveness (alert, verbal, pain or unresponsive)
- Airway (look, listen, feel)
- Breathing
- Circulation
- Spinal injury (suspected by mechanism or appearance)
- Supine: Ensure ABCs and stabilize
- Prone: May need to reposition to ensure ABCs
YES: Activate EAP "Load and Go"
NO: Secondary Ax
The Athlete with a Suspected Neck Injury correct answers 1. Stabilize the c-spine
2. Assure athlete and tell them not to move (be firm and assertive)
3. Get brief history and subjective report
4. Begin your palpation and assessment
- Looking for pain, sensation, weakness or deformation
- Dermatomes, myotomes
Subjective Spinal correct answers Can use 8 questions to help decide course of action
1. Can you tell me what happened (MOI)?
2. Do you have pain in your head?
3. Do you have pain in your neck?
, 4. Do you have pain in your back?
- Looking for pain right along spinous process (middle of the vertebrae)
5. Do you have tingling or numbness in any of your arms or legs?
- Get specifics: Single arm or leg, both arms, both legs
6. Do you have pain anywhere else?
7. Can you wiggle your toes?
- Check both sides
8. Can you wiggle your fingers?
- Check both sides
Stinger/Burner: Mechanism correct answers - Nerve traction or compression particularly
involving C5 or C6
1. Shoulder distracted down from head and neck
2. Blow to supraclavicular
3. Forced neck extension and rotation to injured side
Stinger/Burner: Signs and Symptoms correct answers - Rarely neck pain
- Unilateral symptoms
- Sensory changes C5-C6 distribution
- Motor changes C5-C6 (shoulder abduction/ external rotation, elbow flexion)
- Heals quickly, often by the time they reach the sideline
Return to Play Following Stinger/Burner correct answers Following primary injury, same game
return to play if:
- Quick resolution of all symptoms (seconds to minutes)
- Full ROM
- Full strength
- Ability to complete sport specific skills (without symptoms)
- Mentally ready
C-Spine: MOI correct answers Usually one of two mechanisms:
1. Axial load-vertical compression
- Burst fracture
2. Compression: Flexion injury
- Anterior portion compresses and posterior portion elongates
C-Spine: On-Field Findings correct answers - Neck pain
- Pain on central palpation (spinous process)
- Bilateral neural findings (myotomes and dermatomes)
- Upper and lower extremity findings
Neck Injuries: To Board or not to Board correct answers - Recently the emergency medicine
community has started critically examining the rationale for routine immobilization of trauma
patients
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