KNES 315 - CH 7 - Injury Assessment

The normal respiration for an adult _____________ breaths per minute. a. 8-10 b. 10-25 c. 20-25 d. 30-40

10-25

When taking history of pain

Ask location Ask them to point with one finger Ask if there is any referred pain Ask about intensity

History

Chief complaint MOI Unusual Sensations Previous History

What factors/conditions could cause limits in AROM?

Contraindicated if possible brain/spinal cord injuries or possible fracture, rupture, or disslocation could be limited by pain****

Primary Survey

Determines the level of responsiveness and assesses ABC Initial assessment to determine the presence of a life-threatening injury.

Unusual Sensations include

Pain Sounds Feeling

Testing

Start with ROM for this class only use passive ROM

ABC

airway, breathing, circulation

In assessing an on-site acute injury, it is critical that the coach begin the assessment by asking if the individual has sustained previous injury to the body part. True False

false, although this should be asked at some point

Why is AROM assessed?

suggests that there is no harm associated with the motion

Information provided by the individual regarding their perception of the problem is call a: a. primary survey b. secondary survey c. sign d. symptom

symptom

The normal resting pulse rate range for a child is _____________ beats per minute. a. 40 - 60 b. 60 - 100 c. 100 - 120 d. 120 -140

120-140

While the background of the coach does not permit evaluation at the level of care of a healthcare professional, the coach should still be prepared a. to perform an onsite-evaluation of acute injuries b. to determine the nature and severity of a condition c. To determine the immediate management of a condition. d. All of the above

All of the above

In the history component of an assessment, information pertaining to the primary complaint focuses on the a. mechanism of injury b. characteristics of the symptoms c. injured individual's perception of the current injury d. the status of the ABC's

All of the above except the status of the ABCs

Pulse rate is usually assessed at the _____________ artery. a. coronary b. brachial c. carotid d. vertebral

Carotid

If something is a chronic injury

Coach does NOT evaluate

When performing inspection/observation

Completely visual Look for guarding or limping look for any obvious deformity

In assessing pain, the only factors that need to be determined are the location and type of pain. True False

False, intensity is also important

Palpation

For the purpose of this class-DONT

What is the focus of the observation component in the onsite assessment of a musculoskeletal injury?

General presentation (guarding/ease of movement/posture) Injury site appearance (deformity/swelling/discoloration/scars/general skin condition)

Subjective information is gained through the __________ of the HOPS process. a. history b. observation c. palpation d. special testing

History

Injury evaluation process

History Observation Palpation Testing (Special Tests)

Most informational assessment portion for the coach

History They have limited allowability to perform other aspects

Active ROM

Is movement initiated and completed by the athlete without assistance.

Passive ROM

Movements that are performed by the examiner with the athlete relaxed.

What considerations should be addressed by a coach in determining whether it is appropriate to perform palpation during the onsite assessment of a musculoskeletal injury?

Only if it is a way to confirm a potential sign noted during inspection AND Only if the coach is familiar enough with the anatomy of that part that palpation would be useful

What is the purpose of the primary and secondary survey?

Primary survey notices any life threatening conditions Secondary survey identifies the type and extent of injury as well as vital signs

Why is it advantageous for a coach to utilize an adapted version of a HOPS format in assessing an injury?

Provides a means by which the coach can follow an established step by step plan of action allows organization, effectiveness, efficiency because the background of the coach doesn't allow them to perform a full medical exam

Active movement involves joint motion performed voluntarily by the individual through muscular contraction. True False

True

The mechanism of injury is the physical cause or circumstance under which the injury occurred. True False

True

The coach should only complete components of an assessment that are within their standard of care. True False

True, always true

In the onsite assessment of a musculoskeletal injury, what questions should a coach ask to determine the nature and severity of the injury?

Whats wrong? What happened?/What were you doing? Where is the pain?//Can you point with one finger? do you have pain anywhere else? Can you describe the pain? What is the level of pain? Did you hear anything? Any unusual sensations? Previous injury to this body part? Anything else you would like to say?

Skin color can be assessed by observing a. the face b. muscuous membranes c. nail beds d. all of the above

all of the above

As a general rule, the coach should always refer an injured individual to the nearest trauma center or emergency clinic if a. any life-threatening situation is present b. the injury results in loss of normal function c. no improvement is seen in injury status after a reasonable amount of time. d. All of the above

any life-threatening situation is present

Resisted ROM

athlete attempts to move against the resistance applied by the examiner

Which of the following terms refers to a structure on both sides of the body or body part a. bilateral b. contralateral c. ipsilateral d. lateral

bilateral

Which of the following statements is true? a. The ideal blood pressure for an adult is 100/ 60. b. Blood pressure reflects the effectiveness of the circulatory system. c. Diastolic blood pressure is the pressure in the arteries when the heart is beating. d. It is critical that a coach be prepared to assess blood pressure.

blood pressure reflects the effectiveness of the circulatory system

Which of the following best illustrates a diagnostic sign? a. edema b. blurred vision c. nausea d. headache

edema

Visual analysis of overall appearance, symmetry, willingness and ability to move is called a. primary survey b. observation c. proprioceptive input d. subjective survey

observation

Movement of an affected part by another person or device without effort by the patient is ________ exercise. a. active b. assistive c. passive d. resistive

passive

Secondary survey

performed to identify the type and extent of any injury and the immediate disposition of the condition Vital signs-->Pulse//Respiration//Temperature//Skin Color//Pupils//Blood Pressure// performed after life-threatening injuries have been ruled out a head-to-toe physical assessment; an additional assessment of a patient to determine the existence of any injuries other than those found in the primary survey

Activity specific test are intended to assess each of the following EXCEPT: a. strength b. range of motion c. agility d. balance

range of motion

A measurable physical finding regarding the individual's condition is called a: a. primary status b. sign c. level of consciousness d. symptom

sign

Which of the following best illustrates a symptom? a. deformity b. ecchymosis c. crepitation d. tinnitus

tinnitus

In assessing an injury, a coach should determine if the individual experienced other unusual sensations at the time of injury by asking questions such as "did you hear anything" and "did you feel anything." True False

true