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Immediate Care
Question | Answer |
---|---|
Drugs that are used with phonophoresis | Dexamethasone, hydrocortisone 1%, hydrocortisone 10%, Lidocaine |
One of your aths has been diagnosed with psoriasis. What are appropriate medications? | Aristocort, kenalog, topicort |
What is Betadine used for? | Topical microbicide agent used for skin and wound infections |
Which is a medication that is delivered with a metered-dose inhaler for exercise induced asthma (EIA)? | Proventil, Alupent, Atrovent, Ventolin |
What medication is often used for anxiety or panic attacks? | Xanax |
What is the primary action of penicillin? | Inhibits the metabolism of the bacteria |
What is the most appropriate treatment for a quadriceps contusion? | Ice pack with compression, knee in flexion |
What is considered a medical emergency? | Acute compartment syndrome |
Deep frostbite is a medical emergency. What would be the proper course of treatment for this problem? | Rapid rewarming of the body part in warm water 100-110 degrees. Continue until body part is deep red/bluish |
When should an ath be immediately referred to a dentist? | If a tooth has been knocked out, displaced 2mm or more, when a crown is fractured |
A male ath sustains a direct blow to the genital area. How can the AT immediately decrease the pain? | Lie supine, knees flexed toward chest to decrease pressure on scrotum. With ice pack |
When performing two person CPR, what is the correct compression to breath ratio? | 30:2 |
Shock after a severe injury can result from _ or _ | Hemorrhage or stagnation of blood |
How long should an ath remain out of contact participation from being cleared to play again after having mono? | Light activity after 3 weeks |
Signs of increasing intracerebral pressure an AT should look for | Nausea, vomiting, pupil irreg, increase systolic BP, decrease diastoblic BP, cognition changes |
Sign of sensory ataxia | Romberg - inability to balance with eye shut and feet together |
During the foreign body airway obstruction maneuver, the AT grasp one fist with the other and places the thumb side of the fist.? | On the abdomen between the xyphoid process and the umbilicus |
Appropriate steps in management of an ath experiencing a seizure? | Best to keep area around ath clear, turn on side in case of vomiting. If prolonged call ambulance |
CPR needs to be administered as soon as possible. What amount of time is brain damage likely to occur if the brain is deprived of oxygen? | 4-6 minutes |
During CPR, it is most convenient and efficient to monitor the ath's circulation by palpating the carotid artery. Where is this located? | Groove between the larynx and the sternocleidomastoid muscle |
During CPR, the adult sternum mus be compressed to what dept for compression to be effective? | 1.5 - 2 inches |
Which type of heat injury is considered a medical emergency? | Heat stroke |
What are sign and symptoms of a tension pneumothorax? | Tracheal deviation, distended neck veins, unilateral absence of breath sounds, cyanosis |
An ath has been kicked in the low back during a game. He is complaining of significant flank pain with difficulty voiding, blood in his urine. What should the AT suspect is injured? | The kidney |
When evaluating an unconscious ath, what should the AT do first? | Check for airway, and breathing |
What is the most common and devastating mechanism of injury seen in neck injuries sustained during football? | Cervical hyperflexion and axial compression |
Where would the ath complain of pain with acute appendicitis? | Lower right quad of abdomen |
What is the prudent method of transporting an ath with a suspected spinal injury? | Use of spine board with medical assistance |
When fitting an ath to crutches, the elbow should be bent to approx what degree? | 30 degrees |
Under what condition does CPR stop? | Not until the AT is exhausted, spontaneous respiration and pulse have returned, or another certified personnel continues CPR in place of AT |
After an ath has suffered a ruptured spleen, they may experience pain that radiates down the left shoulder and approx 1/3 down the upper left arm. What is this pain called? | Reflex pain, Kehr's sign |
What is the appropriate treatment for an ath who has sustained a rib fracture? | Use of a rib belt or taping. Help make ath more comfortable |
Functions of athletic taping and bandaging | Support, immobilizing an injured body part, protect wounds from further injury or infection |
Taping continuously around a limb may cause what problem? | Compromised circulation |
What is the compression to breath ratio for one person adult CPR? | 30:2 |
An ath reports to the AT with a deep laceration to his thigh. The cut is approx 1/8 in deep, 1 in long, bleeding moderately. Proper steps in treating this wound? | Apply pressure, keep area clean and sterile, apply temp steri-strips, use ice and compression. Refer to physician |
An ath comes to the AT holding his tooth that was just knocked out of his mouth. What are the proper steps for a successful re implantation? | Place in cloth soaked with saline or water and get ath to dentist in 30 mins |
During an emergency, what information should be shared over the phone? | Type of emergency, status of ath, location, treatment currently being given |
An ath has a suspected fracture involving the knee. Where should the leg be splinted? | The lower limb joints and one side of the trunk |
What releases histamine and serotonin during the cellular response phase of tissue healing? | Mast cells and platelets |
The acute phase of an injury lasts approx 3-4 days. What occurs at the time of initial trauma? | Transitory vasoconstriction, followed by dilatation and increased permeability |
Where do primitive stem cells mature into red and white blood cells and platelets? | Bone marrow |
The AT notices an ath is prone to abnormal bruising. After discussing the problem with the team doc, what vitamin is recommended? | Vitamin K |
Acronym used for immediate care of acute musculoskeletal injury | RICE - Rest Ice Compression Elevation |
A drug that is used to increase the effect of another, such as aspirin when used in combination with codeine, is known as? | Potentiating |
One of your cross country runners has an ongoing problem with tinea pedis. What should you suggest to the ath to minimize this problem? | Keep feet clean and dry daily. Use talcum powder with clean socks |
An ath comes to the at room with what appears to be a tick embedded in his lower leg. The AT should instruct the ath to... | Cover the tick with mineral oil or nail polish remover to assist in removal |
What is a major side effect of the NSAID group? | Gastrointestinal upset |
Your ath is on medication for a Staphylococcus aureus infection. What would be an adverse reaction with this antibiotic treatment | Abdominal cramping, diarrhea, nausea, and vomiting |
What is a normal dose for aspirin? | 325 mg |
Side effects of oral contraceptives include.. | Nausea, vomiting, fluid retention, amenorrhea, feeling sluggish |
What might occur to a female ath after taking anabolic steroids (testosterone)? | Hirsutism, excessive growth of hair in unusual places |
What is the best way to prevent otitis externa? | Dry the external auditory canal after swimming |
When should an athletic helmet be removed after injury? | If the face mask cannot be removed to gain access to airway |
What tool has the inter association task force recommended not be used as the primary tool for loop-strap removal on a football helmet after an injury? | Screwdriver |
A predisposing condition such as spinal stenosis may mean an ath is more likely to: | Develop paralysis after a fracture-dislocation |
Spinal immobilization is best achieved with | Full body splint - standard spine board, vacuum mattress, scoop stretcher |
After an acute injury, chemical mediators are given off by various cells. What chemicals are first to appear? | Histamine |
What means ' the abnormal development of tissue" | Dysplasia |
_ and _ are two conditions that will interfere with fracture healing. | Poor blood supply and poor immobilization |
What medication is administered to stop an anaphylasis response | Epinephrine |
_ and _ are both histamine-2 blockers. | Tagamet and Zantac |
What drug must the AT determine an ath is non allergic to prior to administering an NSAID? | Aspirin |
When transporting an ath off the field by manual conveyance, it is most convenient to do this with _ AT's | 2 |
What is the average respiratory rate for an adult (18 years and over) | 12 - 15 breaths/min |
Where should the bell of a stethoscope be placed when taking BP? | Over the brachial artery |
Orthostatic syncope is caused by what conditions? | Sudden peripheral vasodilatation - rapid change in postural positioning. |
What type of food should the AT recommend the ath to avoid if gallbladder pathology is suspected? | Fatty foods |
An ath who has a seizure should be referred to a physician under what conditions? | Seizure lasts longer than 5 mins, ath has no known history, the seizure does not fit the pattern of previous seizures |
"Whirlpool treatments TID" What does TID mean? | Three times a day |
If necessary, the removal of the helmet and shoulder pads from an ath with a suspected spinal cord injury should be coordinated to avoid ...? | Cervical hyperextension |
The Interassociation Task Force recommends that no fewer than _ persons lift ath's suspected of having a spinal cord injury. | 4 |
Which of the following instruments is used to visually examine the ear canal and tympanic membrane? | Otoscope |
What is the primary reason an AT would perform pulmonary auscultation? | Identify potential abnormal breath sounds |
One of your female ath presents with dysuria, a sense of urgency to urinate, decreased urine volume, nocturia, low back pain, and pyuria. What do you suspect this ath has? | Cystitis - bladder infection |
One of your ath presents with rhinorrhea, rhinitis, a sore throat, nonproductive cough, low grade fever, headache, chills, and malaise. What should the AT do? | Best to limit ath's activities until the fever resolves, then resume full activity as they are symptom free |
For what injury would the use of a hard-shell pad be appropriate? | Contusion |
When choosing a prophylactic knee brace, the brace should _? | Not interfere with normal knee function, not increase injury, be durable and cost effective |
When recommending a running shoe, the AT should recommend a sole with what major qualities? | Shock absorbing and durable |
What materials can be used to construct a custom protective or supportive device? | Soft materials, gauze, cotton, felt, adhesive felt, sponge rubber or foam |
An AED is used for what purpose? | To defibrillate the heart when an unconscious victim has no pulse |
One of your ath's presents with abdominal pain, described as burning. It worsens when lying supine or consumes caffeine, spicy food, or alcohol. What might be wrong? | Esophageal reflux or peptic ulcer |
One of your ath's presents with sudden onset of chest pain, dyspnea, hemoptysis, and cyanosis. What do you suspect is the problem? | Pneumothorax |
One of your ath's presents with diarrhea, vomiting, and abdominal cramping 1 - 6 hours after eating at a local restaurant. What is possibly the problem? | Food poisoning |
How long should the abdomen be auscultated before the AT decides if the bowel sounds are absent? | 2 - 3 minutes in each quadrant |
What is auscultation? | Listening to internal body sounds using a stethoscope |
One of your ath's is complaining of intense itching of the skin under the cold pack after just 5 minutes. You notice hives have developed on the area that has been cooled. What is the ath experiencing? | Cold urticaria - allergic reaction |
When treating an ath with undifferentiated somatoform disorder, the AT should _ | Develop a sound relationship to gain trust, avoid dismissing the ath(symptom magnifier), provide care for a bona fide injury |
When using iontophoresis, the AT should be aware of possible _ and _ as a result of ion flux during treatment | Skin irritation and chemical burns |
Why is it important that an ath with an abdominal injury never be given anything to eat or drink? | It increases risk of surgery if an operation become necessary |
One of your diabetic ath's appears confused, dizzy, apprehensive, and diaphoretic. How should this ath be treated? | Should be treated for insulin shock, and transported to nearest hospital if they don't respond to sugar after 2-3 minutes |
When taking a blood pressure with a sphygmomanometer, at what point is the systolic pressure noted? | At the point at which the pulse is first heard |
The ideal relationship between the AT and ath is built on _ and _ | Trust and mutual respect |
An ath receives a head injury during a soccer game. While performing the on-field eval the AT notices the ath has a hearing defect after testing for air and bone conduction using a tuning fork. What cranial nerve is injured? | VIII - vestibulocochlear |
What is the proper dose for administering Tylenol to an adult ath? | Two 325mg tablets repeat every4-6 hours PRN |
What is the proper protocol for administering Advil to an adult ath? | Two 200mg tablets repeat every 6 hours |
Which of the following is the proper protocol for administering Pepcid AC to an adult ath? | One 10 mg does with water up to twice a day |
One of your ath's is complaining of constipation related to a dietary change. What recommendation is most appropriate for the AT to give the ath? | Increase fluid intake, and increase fruit intake, Bulk veggies, and cereal |
Which category of drug has antagonistic effects to superficial and deep heat therapy? | Systemic vasoconstrictors |
What are the most common sites for avulsion fractures an apophysitis in the pelvic region? | Ischial tuberosity and hamstring attachment Anterior inferior iliac spine and the retus femoris Anterior superior iliac spine where the sartorius attaches |
What is a possible consequence of a poorly managed shin contusion? | Osteomyelitis - destruction and deterioration of the bone |
Following a dislocated elbow reduction, what structures should be evaluated before and after? | The median, radial, and ulnar nerves, as well as, neurovasular status of brachial plexus |
What is a Bennett's fracture? | Break at the base of the first metacarpal bone (thumb) |
What is the appropriate treatment of a Bennett's fracture? | RICE and immobilization of CMC joint, and referral to ortho surgeon |
One of your ath's is experiencing an anxiety attack. They are hyperventilating. You talk and calm them down, having them breath slowing into a paper bag. What does rebreathing into a paper bag reverse? | Respiratory alkalosis |
What end feel is abrupt, firm, springy resistant to motion? | Muscle spasm |
What should be done for an unconscious ath suffering from insulin shock? | Immediately transport to hospital |
When symptoms are experienced distal to the pathology | Referred symptoms |
Symptoms of post concussion syndrome | Fatigue, dizzy, behavior changes, visual disturbances |
What special test identifies ulnar nerve compression or transmission interference at the elbow? | Tinels sign |
Signs/symptoms of anaphylactic shock | Rash or hives, wheezing, rapid weak pulse, BP drops causing pooling of blood |
What condition of rapidly rising internal body temperature occurs because the bodys mechanisms for releasing heat is overwhelmed? | Heat stroke |
Which pulse should always be assessed with any injury to the lower extremity? | Dorsal pedal pulse |
What type of shock is commonly referred to as fainting | Psychogenic shock |
When a minor is injured and it is life threatening the AT must try to contact the parents. If the parents are unable to be contacted for consent, the AT has the right to give the child emergency care. What type of consent is this? | Implied |
Signs of heat stroke | Hot and dry skin |
Signs of diabetic coma | Fruity smelling breath, fast and weak pulse, deep and sighing respirations, livid, pale skin |
What are the two most common sites to apply direct pressure to control seer bleeding of the upper and lower extremities? | Brachial artery and femoral artery |
_ shock is widely disseminated infection in many areas of the body, with the infection being borne through the blood from one tissue to another. | Septic |
Signs of hypovolemic shock | Low BP, rapid and weak pulse, shallow and rapid respiration, agitation |
How long can the brain be deprived of oxygen until brain cells die? | 4-6 minutes |
Sign of inadequate breathing | Noisy respiration - wheezing or gurgling |
A football helmet should be removed only under what circumstance | Unable to adequate access to the airway |
What bony process is typically broken during adult CPR? | Xyphiod process |
Profuse sweating, dizziness, and nausea are signs and symptoms of _ | Heat exhaustion |
What would you not want to do for someone who has gone into shock? | Give food or drink |
And ath with a skull fracture will have _ | Battle's sign, raccoon eyes, and tenderness in the hard palate |
Where would you place direct pressure on a wound that is bleeding? | Direct pressure |
What is the first thing you do if you suspect a spinal injury? | Hold C-spine stabilization |
What carries impulses toward the central nervous system? | Afferent pathways |
Deep stroking during massage is know as_ | Friction massage |
_ pupils indicate possible shock, hemorrhage or cardiac arrest. | Dilated |
What occurs when an ath is in shock? | Skin is cool and pale, low BP, rapid pulse, shallow breathing |
Frostbite includes | The skin is white to yellow-gray |
The AT should do what when dealing with an ath with heat exhaustion? | Administer cool fluids, remove unnecessary clothing, moved to cool place |