Domain 3 Task 1

To comply with American Heart Association guidelines, which state that early defibrillation is considered a critical component of basic life support, what emergency equipment must be on hand for all athletic practices and events? a.) Advanced airway aids b.) Supplemental oxygen c.) AED d.) Immobilization splints

AED

You have recently been hired as the first athletic trainer for a brand new high school. Currently the school has no medical emergency equipment. Your athletic director has approved the purchase of only one piece of emergency equipment. Which piece of equipment is the most appropriate purchase? a.) Spine board (with straps and padding) b.) Rapid form vacuum splints c.) Vital signs monitor d.) AED

AED

When creating your EAP, what information should be included for each specific venue? a.) Emergency vehicle transportation, emergency equipment, location of lightning safety shelters. b.) Accessibility to emergency personnel, communication systems, emergency equipment. c.) Name and location of nearest emergency care facility, number of stairs between floors, availability of emergency transportation. d.) Location of lightning safe shelters, policy for activating emergency transportation, communication systems.

Accessibility to emergency personnel, communication systems, emergency equipment.

A nebulizer, also known as an atomizer, is effective in treating a severe asthma attack because it can deliver a higher medication dose compared with a metered dose inhaler. When treating a serious respiratory rescue situation, what medication is typically administered with a nebulizer? a.) Montelukast b.) Salmeterol c.) Formoterol d.) Albuterol

Albuterol

What is the legal basis for institutions needn't to have EAPs established for athletic venues? a.) An EAP protects institutions against legal actions b.) An EAP guarantees injured athletes will have positive outcomes. c.) An EAP is an accepted standard of care. d.) An EAP prevents first responders from making decisions or taking actions that may result in legal actions.

An EAP is an accepted standard of care.

Early one Saturday morning you receive a phone call from another certified athletic trainer on your university's sports medicine staff asking you to serve as the athletic trainer for the men's lacrosse match scheduled for 2 pm. He tells you he has a family emergency and must immediately leave town. You have no experience providing athletic training services for a men's lacrosse match. On what should you base your decision regarding the emergency equipment available on the sidelines during the match? a.) Age range of the participants b.) Type of protective equipment worn by players c.) Presence of a physician on the sidelines d.) Anticipated possible emergency scenarios

Anticipated possible emergency scenarios

After the running back on your football team completes a first down, you notice that he is still lying face down on the field as the other players return to the huddle. As you watch from the sideline, a teammate jogs over to the down player before you can get to him. What is the most helpful action this teammate could take to assist in the care of this injured athlete? a.) Help the player to get up by grabbing his shoulder pads and lifting superiorly so he can get his feet under him. b.) Take the player by one shoulder and arm and gently roll him over onto his back to maximize airflow. c.) Ask the down player if he is injured and instruct him to lie still until the athletic trainer comes out. d.) Tell the player that because he cannot move his legs he is probably paralyzed and should not move until the athletic training comes out. e.) Tell his teammates in the huddle to stay where they are because the down player is seriously hurt.

Ask the down player if he is injured and instruct him to lie still until the athletic trainer comes out.

A gymnast dismounting into a pit misses the pit and sustains a severe head injury. The athletic trainer activates the EAP and calls EMS, but the arrival of the ambulance is delayed because the driveway closest to the facility entrance is blocked. Once inside the athletics complex the EMS responders are delayed further due to difficulty finding the gymnastics practice facility. Which component of the EAP was poorly executed? a.) Identifying qualified personnel b.) Ensuring presence of emergency care equipment c.) Assignment of duties and responsibilities d.) Activation of EMS

Assignment of duties and responsibilities

When hosting an athletic event, what information should be communicated to the visiting athletic team staff by the host athletic trainer? a.) Location of the posted EAP b.) Copy of department's policy and procedure manual c.) Available medical personnel, methods of communication, and available equipment d.) Transportation policy detailing which types of injuries merit transport

Available medical personnel, methods of communication, and available equipment

The EAP for a high school identifies head and assistant coaches as targeted first responders to assist the athletic trainer in providing care in an emergency situation. What is the minimum level of training that should be provided to these first responders? a.) Handout on the EAP that clearly defines roles and responsibilites b.) Basic first aid training c.) Advanced life support training d.) Certified training in CPR and automated external defibrillator use

Certified training in CPR and automated external defibrillator use

An EAP should direct the emergency team to follow CHECK-CALL-CARE system when responding to an emergency. Which of the following is an action taken during the initial CHECK? a.) Check ambulance route to make sure all gates, doors, and other entrances are accessible. b.) Check the scene to make sure it is safe for you to aid the athlete. c.) Check the athlete's medical records, noting preexisting conditions and medication allergies. d.) Check stability provided by the immobilization devices you have applied.

Check the scene to make sure it is safe for you to aid the athlete.

During a boys' soccer college recruiting summer tournament a player collapses and is unresponsive. The athlete's parent is not in attendance, and no written consent-to-treat form exists. Which of the following statements best reflects the athletic trainer's ability to treat this athlete? a.) Actual consent can be obtained from the parent via phone before the athletic trainer administers any treatment. b.) The coach can act as the parent and provide consent for treatment. c.) The athletic trainer can activate EMS and communicate the findings but may not provide direct treatment to the athlete. d.) Consent to treat is implied on the part of the athlete and the parents because this is a potentially life-threatening injury.

Consent to treat is implied on the part of the athlete and the parents because this is a potentially life-threatening injury.

Based on current research investigating the best method of removing football helmet facemasks to access the airway, the combined tool technique has been recommended. What emergency equipment should be accessible for applying this technique? a.) Cordless power screwdriver and Trainer's Angel b.) Trainer's Angel and FM Extractor c.) Cordless power screwdriver and manual screwdriver d.) EMT scissors and FM Extractor

Cordless power screwdriver and Trainer's Angel

As trained medical personnel are often not present at youth sporting events, which education is considered to be critical for youth athletes with potentially life-threatening conditons such as asthma or severe allergies? a.) Education on self-administration of medications b.) Education on past medical history c.) Education on current EAP d.) Education on how to contact emergency personnel

Education on self-administration of medications

Which of the following are components of an EAP? a.) Roles of first responders, venue directions, and emergency contact information for each athlete. b.) Names and contact information for staff and administering personnel, date of most recent EAP practice session, list of available emergency equipment. c.) Emergency personnel, modes of communication, and venue directions of site map. d.) Location of personal protective equipment, roles of first responders, method of activating emergency medical services (EMS.)

Emergency personnel, modes of communication, and venue directions of site map.

In 2012 the NATA released the official statement entitled "Time Outs Before Athletic Events Recommended for Health Care Providers." What is the purpose of the recommended "time out"? a.) Ensure all the athletic health-care professionals who comprise the emergency response team go through a pre-athletic event checklist reviewing the venues EAP. b.) Ensure all athletic health-care professionals providing emergency care for a specific sport event have appropriate and current first responder certifications and are willing to provide care in case of an emergency. c.) Make certain all emergency equipment and first aid supplies are complete, in excellent working order, and easily accessible to all persons involved in any aspect of athletic healthcare for a specific sporting event. d.) Ensure all athletic health-care professionals for a specific sport have reviewed the medical records of all participants, have access to participant emergency contact information (cards), and have adequate knowledge for using ant potentially necessary emergency equipment and first aid supplies.

Ensure all the athletic health-care professionals who comprise the emergency response team go through a pre-athletic event checklist reviewing the venues EAP.

To effectively manage athletes with a history of anaphylactic reactions, what medical equipment should health-care professionals stock and be trained to use at the first sign of anaphylaxis? a.) Nebulizer b.) Supplement oxygen c.) EpiPen d.) Metered dose inhaler

EpiPen

In order to ease respiratory distress and restore cardiac output, what drug does the World Health Organization recommend be available for immediate treatment of acute anaphylaxis? a.) Epinephrine b.) Albuterol c.) Benadryl d.) Prednisone

Epinephrine

One component of an EAP is the formation of an emergency team. There are four basic roles within this emergency team. What is the first and most important role? a.) Activating EMS and providing information to 911 dispatcher. b.) Retrieving emergency equipment. c.) Directing EMS personnel to the scene. d.) Establishing safety at the scene and providing immediate patient care.

Establishing safety at the scene and providing immediate patient care.

In order to avoid potentially fatal delays in providing CPR, what should be communicated to athlete health-care professionals regarding a collapsed and unresponsive athlete? a.) If patient is gasping, even occasionally, a cardiac arrest can be ruled out. b.) Every collapsed and unresponsive athlete should be treated as having a cardiac arrest until a non cardiac cause is determined or the athlete becomes responsive. c.) Seizure-like activity is rarely associated with cardiac arrest: therefore, the collapsed and unresponsive athlete should be treated as having a neurological condition. d.) A rescuer trained in CPR detecting a pulse in a collapsed and unresponsive athlete is a strong indicator the athlete is not experiencing a cardiac arrest.

Every collapsed and unresponsive athlete should be treated as having a cardiac arrest until a non cardiac cause is determined or the athlete becomes responsive.

An EAP may include protocols for football helmet and shoulder pad removal. Which shoulder pad removal technique can be used only when the shoulder pads have previously been cut or separated both anteriorly and posteriorly? a.) Elevated torso technique b.) Flat torso technique c.) 8-person lift technique d.) 8-person lateral slide technique

Flat torso technique

As the athletic trainer for a high school football team, you hold a team meeting before the start of each season to discuss emergency management protocols with the players. What is the most important information the athletes should receive? a.) If an injury occurs, players should not touch or move the injured athlete until instructed to so do by the athletic trainer. b.) If an injury occurs, the players should assist the injured athlete in removing his helmet if the player is unable to remove it himself. c.) If an injury occurs, every effort should be made by the teammates to get the injured player to the sideline, where he can be seen by the athletic trainer. d.) If an injury occurs, only the team captain should signal the ambulance staff to com onto the field to transport the athlete.

If an injury occurs, players should not touch or move the injured athlete until instructed to so do by the athletic trainer.

What is the purpose of writing a chronology events following a catastrophic injury? a.) It assists the injured party's legal team in developing legal action against the medical staff and the institution. b.) It allows the management team to critique the process while providing basis for reviewing the efficacy of the procedures. c.) It assists the counseling team by providing a comprehensive background of events from which they can formulate a care plan. d.) It aids the administration in making decisions regarding the employment status of involved personnel.

It allows the management team to critique the process while providing basis for reviewing the efficacy of the procedures.

Trauma centers are designed levels by states and municipalities and are verified by the American College of Surgeons. Additionally, a facility may have different designations for adults and pediatrics. Which trauma center level designation is defined as a "comprehensive regional resource that is a tertiary care facility central to the trauma system" and is the highest level? a.) Level V b.) Level IV c.) Level III d.) Level II e.) Level I

Level I

When developing a venue-specific EAP, which of the following should be consistent with the type of available emergency equipment? a.) Institution's medical equipment budget b.) Level of training of the emergency care personnel c.) Athlete exposure rate and injury rate for sports at venue d.) Number of emergency care personnel

Level of training of the emergency care personnel

What outside entities should be consulted when an educational institution sets out to develop an effective EAP? a.) Campus health services staff b.) Local EMS c.) Medical staff from other schools within the conference d.) Local police department personnel

Local EMS

A venue-specific EAP should include information for the following subjects: emergency personnel, emergency communication, emergency equipment, medical emergency transportation, venue directions with map. To aid in providing effective emergency communication, where in the athletic training facility should a copy of the EAP be posted? a.) Near the landline telephone b.) Near the facility entrance c.) Near the treatment tables d.) Near the entrance to the storage facility

Near the landline telephone

Which of the following actions would assist youth sports league coaches and personnel in effectively implementing an EAP? a.) Policy statement from the national governing board distributed to all team personnel b.) Required meeting for all coaches and parents at the beginning of the season to explain safety rules c.) Overview of legal cases involving youth sports coaches to motivate compliance d.) One-page handout with clearly presented EAP that outlines step-by-step directions for team staff in conjunction with EMS

One-page handout with clearly presented EAP that outlines step-by-step directions for team staff in conjunction with EMS

The emergency medical equipment available on-site should be based on the type of event being covered and the possible emergency scenarios associated with that event. If an emergency scenario requiring advanced airway management is anticipated, what emergency medical equipment needs to be readily available at the event venue? a.) AED with extra pads b.) Pulse oximeter c.) Oral pharyngeal airway (OPA) d.) EpiPen

Oral pharyngeal airway (OPA)

In order to comply with the Occupational Safety and Health Administration (OSHA) standards that govern occupational exposure to bloodborne pathogens, what emergency equipment should be included in a venue-specific EAP? a.) AED b.) Pneumatic splint kit c.) PPE d.) Spine board with padding and straps

PPE

What information should an athletic trainer be prepared to communicate to a 911 dispatcher? a.) Caller's name, title and position, condition of the patient, and medical history of patient. b.) Location of the telephone being used, date of caller's most recent CPR training, and type of suspected emergency. c.) Present condition of patent, current assistance being given, exact location of emergency, and how to enter facility. d.) Type of emergency situation, patient's medical history, and name of the person meeting the ambulance. e.) Current assistance being given to patient, number of person on scene who are certified in CPR, and location of telephone being used.

Present condition of patent, current assistance being given, exact location of emergency, and how to enter facility.

To improve patient outcomes, an athletic trainer in a rural count ma need to educate facility administrators and medical staff at local emergency care facilities in which of the following areas, as the information may not be part of their standard education program? a.) Management of heat-related illness b.) Proper removal of athletic equipment c.) Management of concussion d.) Splinting and immobilization techniques

Proper removal of athletic equipment

While rebounding a shot, a basketball player lands awkwardly on another player's foot before falling to the floor. When the athletic trainer reaches the injured player it is obvious the ankle is deformed with one or more possible fractures. What emergency medical equipment is most appropriate to immobilize this athlete's injury? a.) SAM Splint b.) Rapid form vacuum immobilizer c.) Half-ring splint d.) Stack splint

Rapid form vacuum immobilizer

What emergency medical equipment should be included in an athletic trainer's EAP to diagnose an athlete with exertion heatstroke? a.) Pen light b.) Rectal thermometer c.) Reflex hammer d.) Urinalysis dipstick

Rectal thermometer

Although once considered the standard of care, the use of high-dose methylprednisolone for the treatment of acute spinal cord injury is currently controversial. What led to this change? a.) Research suggests that patients given methylprednisolone for treatment of acute spinal cord injury did not demonstrate significantly better functional outcome measures than patients given a placebo medication. b.) Several research studies have demonstrated a higher incidence of respiratory and infectious complications with methylprednisolone. c.) Recent research has demonstrated support for the use of methylprednisolone only in patients with thoracic spinal cord injury. d.) Research suggests that the use of methylprednisolone may lead to dangerous drops in blood pressure.

Several research studies have demonstrated a higher incidence of respiratory and infectious complications with methylprednisolone.

While practicing, an ice hockey player collides with a teammate and sustains a potential cervical spine injury. The player is supine on the ice and you are providing cervical spine stabilization when two other athletic trainers arrive to provide assistance. EMS has been contacted and dispatched to your location. Based on recent practice recommendations, you and your colleagues begin the process of removing the player's helmet. To avoid potential compromise of the cervical spine, what other personal protective equipment should be removed from this patient before transporting him to an emergency facility? a.) Ice skates b.) Jersey c.) Elbow pads d.) Shoulder pads

Shoulder pads

According to the NATA position statement on acute management of the cervical spine-injured athlete, which of the following dictates the development of separate EAP? a.) Injury risk level of sports b.) Gender of athlete c.) Sport or activity locations d.) Sport seasons

Sport or activity locations

Which of the following groups of field kit supplies is most helpful in managing an athlete with a displaced contact lens? a.) Penlight, mirror, and sterile gauze pads b.) Blue light, fluorescein strips, and eye patch c.) Sterile eyewash, tweezers, and cotton-tipped applicators d.) Contact lens case, eye patch, and sterile saline solution e.) Sterile saline solution, mirror, and contact lens case

Sterile saline solution, mirror, and contact lens case

An athlete sustains a blow to the head in the first few minutes of a contest and is diagnosed with a concussion. According to the Sport Concussion Assessment Tool, 5th Edition (SCAT5), what recommendation is made regarding returning this athlete to the contest? a.) The athlete can be returned to the contest before half-timed if his SCAT5 scores indicate a "normal" rating. b.) The athlete can be returned to the contest after half-time if his scores indicate a "normal" rating. c.) The athlete can return to the contest immediately, as long as he is not demonstrating any of the SCAT5 "red flags," such as neck pain or tenderness, double vision, severe or increasing headache, and vomiting. d.) The athlete should not be returned to participation on that day.

The athlete should not be returned to participation on that day.

According to the Inter-Association Task Force Document on Emergency Health and Safety for youth sports leagues, who is responible for development, communication, and implementation of EAPs in youth sports? a.) The local member leader (commissioner, director, or league safety officer) b.) The national governing body leadership c.) Local EMS d.) Head coaches of each team

The local member leader (commissioner, director, or league safety officer)

After a big win, the members of your soccer team throw a party where alcohol is served. In the early morning hours, a player calls you because he is unable to awake his teammate. You ask the player what the teammate actually did. What is the role of the player in the immediate care of the ill teammate? a.) The player should relate information only about the teammate's current condition. b.) The player should be completely honest about the evening's activities. c.) The player should avoid providing details without the teammate's permission. d.) The player should request that the athletic trainer keep all provided information strictly between them. e.) The player should convene a team meeting to make sure all players provider the same story.

The player should be completely honest about the evening's activities.

The length of an EMS response time may factor into an EAP in regard to necessary emergency equipment and whether on-site ambulance coverage is warranted. When determining an EMS response time, both horizontal and vertical response times should be considered. What is vertical response time? a.) The time from when the EMS call goes out until a driven dispatched unit arrives on the scene b.) The time from when the EMS call goes out until a medical helicopter arrives on the scene. c.) The time from when the dispatched unit arrives on the scene until patient treatment begins. d.) The time form when the dispatched unit arrives on the scene until the patient is completely loaded into the emergency transportation vehicle.

The time from when the dispatched unit arrives on the scene until patient treatment begins.

What is the advantage of conducting unannounced EAP drills? a.) They give a good indication how the EAP team will respond during an actual emergency. b.) They are required to meet catastrophic insurance coverage requirements. c.) They are important to educate all EAP team members on their individual roles and responsibilities. d.) They serve as an acceptable defense to avoid potential litigation.

They give a good indication how the EAP team will respond during an actual emergency.

What is indicated when a first responder carries an AEMT classification? a.) Trained to provide only basic emergency care b.) Trained to provide care to patients at scene of accident and transport patients by ambulance to the hospital under medical direction. c.) Trained to provide care to patients that includes the administration of intravenous fluids, use of manual defibrillators, and application of advanced airway techniques. d.) Trained to provide the most advanced prehospital care by administering drugs orally and intravenously, interpreting electrocardiograms, performing endotracheal intubations, and using monitors and other complex equipment.

Trained to provide care to patients that includes the administration of intravenous fluids, use of manual defibrillators, and application of advanced airway techniques.

A standard procedure for helmet and shoulder pad removal of an athlete with a cervical spine injury can be part of venue-specific EAP. Based on current guidelines, there are two recommended techniques for stabilizing the cervical spine. Which of the following is one of those techniques? a.) Trap-squeeze method b.) Inverted-hands method c.) Diagonal-squeeze method d.) Chin- forehead method

Trap-squeeze method

What is the purpose of preincident survey by local emergency medical personnel? a.) Identify current levels of satisfaction from local citizens regarding emergency response. b.) Identify amount of time it takes to reach individual venues. c.) Visit specific venues identified in an EAP to identify potential problems or poorly accessible areas. d.) Survey local sports medicine personnel to determine role of emergency medical services staff when responding to sports-related emergencies.

Visit specific venues identified in an EAP to identify potential problems or poorly accessible areas.

Which of the following descriptions best defines an emergency action plan (EAP)? a.) Written document that defines the standard of care required in every conceivable event during an emergency situation. b.) Step-by-step procedures that are specific to the needs of each institution and athletic facility during an emergency situation. c.) A statement that will drive the institution's functional goals, which in turn formulate all medical operating procedures. d.) Detailed plan that describes the roles of involved personnel during an emergency situation. e.) Written, site-specific plan for transporting injured athletes in an emergency situation.

Written document that defines the standard of care required in every conceivable event during an emergency situation.

Your collegiate lacrosse team is practicing at a nearby school because it has a synthetic turf field. How should you obtain a copy of the EAP for the school where you will be practicing? a.) You should request the EAP from the school before your first practice session. b.) The host school is required by law to provide all facility users a copy of the EAP. c.) The coach should request a copy of the EAP from the host school's coach. d.) As the EAP will be posted at the practice site, you do not beed to obtain a copy.

You should request the EAP from the school before your first practice session.