312 Exam 1

Personal Fitness Trainer

designs comprehensive exercise or fitness programs for the individual

Briefly describe the mechanism of injury associated with a puncture wound

direct penetration by a pointed object can be fatal required prompt medical attention

Athlete

engages in and is proficient in sport/physical exercise

Strength and Conditioning Coach

responsible for fitness/competitive fitness

Briefly describe the mechanism of an injury associated with an abrasion

scraped against a rough surface removing the top layer of skin capillary bleeding

What are the two important considerations one must keep in mind when splinting a fracture?

1. Always splint a joint above and a joint below the fracture 2. Always splint in the position found, do not move the athlete until proper splinting has occurred.

list 4 components that a health care provider should be educated/qualified to do as it pertains to athlete

1. Determine readiness to play 2. Promote safe and appropriate environments 3. Advise on selection, fit, function and maintenance of athletic equipment 4. Develop and implement EAP 5. Establish protocols for environmental conditions 6. Develop injury/illness prevention 7. Provide on-site recognition, evaluation and immediate treatment of injury and illness with appropriate referral 8. Facilitate rehab and reconditioning 9. Provide psychosocial consultation and referral 10. Provide nutritional counseling and education- within scope 11. Participate in development and implementation of comprehensive athletic health care

Describe the components of the pre-participation health examination

1. MEDICAL HISOTRY: completed by patient to identify past and present medical conditions, to be updated annually, essential for medical release to be obtained at the same time 2. PHYSICAL EXAMINATION: assessment of height, weight, body composition, BP, pulse, vision, skin coloring.... 3. MATURITY ASSESSMENT: typically completed to protect the young athlete to monitor growth 4. ORTHOPEDIC SCREENING: various degree of evaluation, intended to look specifically at a joint/bone/muscle for inconsistency 5. SPORT DISQUALIFICIATION: in place to protect the athlete from further harm. Americans with disabilities act protects the athletes right to continue to play but the supervising physician dictates if they are clearing them to play

List 3 Keys to preventing the spread of bloodborne pathogens/infectious diseases

1. Provide a sterile environment 2. Use universal precautions 3. Educate

Bloodborne pathogen

A microorganism that causes disease

Define unconsciousness

A state of insensibility in which there is a lack of conscious awareness. Often difficult to determine exact cause.

The Emergency Action Plan should be reviewed by___________ on a _________schedule

ADMINISTRATORS, REUGLAR

Every ____________ must develop policies and procedures that carefully delineate the daily routine of the program

ATHLETIC HEALTH CARE PROGRAM

Conscious

Alert, aware, responsive

How does the athletic health care program best serve the athlete?

By establishing specific policies and regulations that govern the use of available services.

Name the three members of the sports medicine team who must work closely together and their responsibilities

Coach: hold the responsibility of understanding roles and responsibilities of those on the sports medicine team. Needs to clearly understand the limitations of of their ability to function at a healthcare provider. Directly responsible for preventing injuries by seeing that the athletes have undergone a preventive injury conditioning program. Ensures equipment is high quality, and the athlete is capable of completing sporting activity. Strength and Conditioning Coach: Hold the responsibility for making certain that an athlete is fit for competition. Can conduct team and individual training sessions. Communicates clearly with the ATC and coaches. Physician: Assumes absolute authority of in regards' to injury prevention, health care, and health status. Athletic Trainer: responsible for communicating clearly with each member of the sports medicine team in order to ensure everyone is on the same page.

What is the most important principle when using a spine board to transport an individual with a suspected neck and/or spinal injury?

DO NO FURTHER HARM Call 911 immediately and wait to move the athlete, stabilize the neck and spine. Exception: athlete not breathing and is in a position that requires CPR or athlete is in immediate danger from the surroundings.

record keeping is _____________ to all those in an athletic health care program

ESSENTIAL

Define the difference between equipment and supplies

Equipment: not expendable. Can be fixed (remain stationary, ex: ice machine) or Non-fixed (can be used repeatedly but can move for need, ex: crutches) Supplies: expendable items, cannot be reused. Examples: Band-Aids, tape...

The ___________________ regulates how any member of the sports medicine team who has health information about an athlete can share that information with others

HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT (HIPAA)

Team Physician

Has absolute authority over return to play and health status

Define HIPAA

Health Insurance Portability and Accountability Act Regulates the sharing of health information Provides one with total access and control of their medical file A blanket authorization for release is sufficient for medical providers to share information together

List 4 common modes of transmission of bloodborne pathogens

Human blood Semen Vaginal secretions Cerebrospinal fluids

Why is compression of an acute injury important?

If controlled initially the amount of time required for injury rehabilitation will be significantly reduces. The goal is to control swelling, decrease hemorrhage and hematoma formation.

List and briefly describe the roles and function of an athletic trainer.

Injury/illness prevention and wellness protection Education to the athlete, parents, coaches Manage risks by ensuring healthy and safe environment Physical, PPE Monitor environmental conditions Explain proper nutrition Use medications appropriately Clinical evaluation and diagnosis Must be skilled to recognize the nature and extent of an injury through evaluation Responsible for referring the injured to athlete to appropriate medical care Immediate and emergency care Must be proficient in implementing acute injury care Must be CPR and first aid certified Able to react in an emergency situation Treatment and rehabilitation Must be proficient in designing and supervising rehabilitation and reconditioning protocols Use of modalities to treat injury Organizational and professional health and well-being Responsible for the admin and organization of the department and facility Development of EAP Maintaining records Manage budget Educate the general public

Briefly describe the difference between a laceration and incision

Laceration: caused by a blunt force. Gives a jagged-edged cavity Incision: caused by a sharp object. Gives the appearance of smooth-edged cavity.

Athletic Trainer

Multi-disciplinary health care provider

OSHA

Organization that is responsible for safety in the workplace

Shock

Plasma is lost from the blood vessels to the tissue spaces, thus decreasing blood flow

Define primary injury assessment.

Refers to assessment of potentially life-threatening problems incusing: airway, breathing, circulation, severe bleeding or shock. Takes precedence over all other aspects of victim assessment and should be used to correct life-threatening situations.

Name 8 employment setting opportunities for the ATC

Schools School Systems College and University Professional teams Clinics/hospitals Corporations NASCAR, NASA, Military, etc. Performing arts

Briefly describe the mechanism of injury associated with an avulsion

Skin is torn form the body Associated with major bleeding Required prompt medical attention, tissue at times can be saved.

Internal hemorrhage

Symptoms may be obscure

_______________ is subject to HIPAA and FERPA regulations, it is intended to track services provided to the athlete

TREATMENT LOG

Primary Survey

Takes precedence

Secondary Survey

Taking a close look

Briefly describe the professional relationship between the athletic trainer and the team physician.

The ATC and MD work closely together to facilitate student athlete care. The ATC acts as the supervising physician under which the ATC works. The athletic trainer acts as a bridge between the athlete and the medical care provided to the physician.

A coach is supervising practice when one of his/her athletes becomes injured. He evaluates and tapes the athlete so they can return to practice. What is wrong with this situation?

The coach should know their limitations as it pertains to their states legal limitations. If an ATC or MD is nor available the duration of practice/play the coach should first and foremost be CPR and first aid certified. In most cases the coach is unable to evaluate and treat.

HIV

Virus that leads to AIDS

HBV

Virus that leads to liver inflammation