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SPM 210 PP ch. 2

Principles of Assessment

On-Field Primary Survey Establish LOC, Check ABC's, Assume Spinal Injury if you did not witness MOI, Check for and control Severe Bleeding
On-Field Secondary Survey History-MOI, Location, Severity, Shock Assessment, Musculoskeletal Screen
Musculoskeletal Screen Bilateral Comparison for Deformities, Neurological Assessment if Spinal Injury Suspected. Palpate for Fractures and Dislocations. Test for Neurovascular Compromise. Assess ROM.
Subjetive Assessment Used to form Hypothesis about nature and extent of injury. History(meds, allergies, familial)Observation
Objective Assessment Special Test to establish severity and nature of injury. Comparable sign: Reproduction of the athlete's symptoms. Bilateral Comparison
History Current and previous Injuries. Onset, type, and location of Pain. Unusual Sounds or Sensations
Observation Clues from facial expressions. General posture. Guarding. Visual inspection(swelling, deformity, bilateral comparison)
Palpation Reveals info regarding: tension, thickness, texture of soft tissue. Deformity, swelling, temp, moiosture, pulse, muscle fasciculations, crepitus and pt. tenderness. General contours of bony and soft tissue. Use a systematic approach.
Basic Assessment History, observation, palpation, ROM, strength, special tests, neurovascular test, functional tests.
SINS Severity-Indicates need for referral. Irritablility-Relates to the stage and extent of injury, injured structures, and pain tolerance. Nature-Type of injury and type of structures involved. Stage-Acute(7-10 days), subacute(4-6 wks), chronic(6-8 wks)
SOAP Subjective-Chief complaint, MOI, reported S&S. Objective-Reproducable measurements and observations. Assessment-Impression of the Injury. Plan-Immediate treatment and referral plans
Created by: 506267729