ATP-214 Midterm
Nonfaesance
(Ommission) fail to preform legal duty
informed consent
(battery) injured party has been reasonable informed of needed treatment, possible alternative treatments, and advantages and disadvantages of each course of action
Melfeasance
(commission) act is not their responsability to preform
What are the five domains of being an ATC?
1. Injury and illness preventation and wellness promotion. 2. Examination, assesment and diagnosis. 3. Immediate and emergency care. 4. Therapeutic Intervention. 5. Healthcare administration and professional responsabilities.
What are the seven componets of an EAP?
1. emergency personnel 2. communication 3. emergency equipment 4. emergency care facilities 5. transportation 6. venue location 7. documentation
what are some legal liabilities?
1. failure to warn 2. foreseeability of harm 3. assumption of risk 4. informed consent 5. refusing help 6. product liability 7. confidentiality
in what year was the Bilink - AT bible publish?
1917
In what year the NATA began without dissolving?
1950
In what year an AT was recoginized as a healthcare profession by the Amerian Medical Associatio?
1990
How long does the proliferation phase lasts?
3 days to 4-6 weeks
How long does the remodeling phase lasts?
3 weeks - 2 years
Syndrome
A group of S/S that indicate a particular injury of disease
Who is involved in an emergency situation?
ATC, physician, student athletic trainer, EMT, coaches and equipment managers
Acclimatization
Adjusting to a new range of environmental temperatures. From 7 -14 days. 5th or 6th day 80% of acclimatization can be achieved
Failure to receive information consent from athlete could result in:
Battery
What organization is responsible for awarding the ATC credential?
Board of Certification (BOC)
BOC
Board of Certification - Awards the ATC credential
Convective Heat Exchange
Body heat can be either lost or gained, depending on the temperature of the circulating medium
What does the patient feels when ice comes in contact with the skin?
CBAN (Cold, Burning, Aching, and Numbness)cold sensation 0-3 minsburning 2-7 minsnumbness 5-12 mins
What state does not required any registration?
California
Etiology
Cause of disease.
In what settings would you find an ATC?
Colleges, medical offices, pro-sports, high schools, companies, and military
Radiant Heat Exchange
Comes from sunshine and will cause increase in temperature
CAATE
Commission on Accreditation of Athletic Training Education - establishes certification to programs in AT
Negligence
Failure to provide care that is normally expected, resulting in injury to the patient. Act of omission
What are the two rights of privacy, for ligal liabilities?
HIPAA (medical records) and FIRPA (academic records)
Prognosis
Is a projected outcome.
The most effective regulatory means of protecting the public is?
Licensure
What are the three state practice governance certifications?
Licensure (higest one), Certification, and Registration
Mechanism
Mechanical description of cause (MOI).
what is the organization that recognizes and re-certifies equipment safety?
NOCSAE (not a warranty) - indicates that the equipment meets the requirements
NATA
National Atheletic Trainer Association - establishes profesionalism, education, research, and practice settings
Metabolic Heat Production
Normal metabolic function results in production of heat (will increase with intensity of exercise)
In the SOAP notes, what goes into "O"?
Objective = Observation, Palpation, and Special Test
Tort Law
Omission - fails to perform a legal duty Commission - an act that is not their duty to perform
Who could be included in the Sports Medicine Team?
PT (physical therapist), Strength and Conditioning Specialist, Team Physician, Primary Care Physician, ATC (certified athletic trainer), Dentist, Opthomolist, Orthopedist, Registered Dietician, EMT, Radiologist, Exercise Physiologist, Biochemist, and Sports Psychologist
Conductive Heat Exchange
Physical contact with other objects can result in either heat loss or heat gain
Foreseeability of harm
Recognizing a potential danger and removing the danger before an injury occurs
Indications
S/S that lead to treatment
Contradictions
S/S that show that a treatment should not be use
What is the difference from a state certification from a BOC certification?
State indicates a person possess the basic knowledge and skills requires for the profession and in some cases has pass the BOC exam.
In the SOAP notes, what goes into "S"?
Subjective = History > SAMPLE > S= OPQRST
Evaporative Heat Loss
Sweat glands in the skin allow water to be transported to the surface where it then evaporates, taking large quantities of heat with it
Who are the three main members of the Sports Medicene team?
Team Physican, Athletic Trainer, and Coach
Heat Stroke
a condition marked by fever and often by unconsciousness, caused by failure of the body's temperature-regulating mechanism when exposed to excessively high temperatures.
Misfeasance
act that it is their responsability (wrong procidure/improper manner)
Indications for Cryotherapy
acute or chronic pain, muscle spasm, postsurgical pain
What are the functions of Cryotherapy after the Inflamatory stage?
anesthisia for exercise, decrease pain spasm cycle
When does the Sports Medicine team practice the EAP?
anually
How do you treat signs of inflmation?
by using RICE or POLICE
what are some conditions that result in sudden death in sports?
cardiact event, hyperthrophic myopathy, marfan's syndrome, and aortic stenosis
Heat Exhaustion
condition resulting from exposure to heat and excessive loss of fluid through sweating
Good Samaritan Law
condition way from state to state generally immunity only when emergency fist aider acts during an emergency, in good faith, acts without expecting compensation, is not guilty of misconduct or gross negligence
Contradictions fo Cryotherapy
decrease cold sensativity, hypertension, cold allergy, Raynaud's disease, uncovered wound
What are the fuctions of Cryotherapy?
decrease temperature, reduce swelling in the inflammatory stage
What anatomical layers are being affected by Cryotherapy?
depends on the area, but Dermis and Epidermis
What happens in the proliferation phase of the healing process?
development of new tissue (osteoblast, condroblast, fibroblast)
What do you need to maintain an AT certicifation?
do 50 CEUs every 2 years (continuing educational unit's) and 10 EBP (evidence based practice) (in 2022 EBP would not be necessary)
what is the criteria required to provide Negligence?
duty, breach of duty, harm result of breach of duty
When should you adjust your EAP?
every year if necessary
Heat Syncope
fainting that occurs when the body attempts to cool itself by dilating the blood vessels
soverign immunity
government or employees can not be held negligence
What would disqualify an athlete from playing?
having a lot of heart conditions or damage paired organs
HOPS
history, observation, palpation, special tests
what are some preventions for hyperthermia?
hydration: electrolytes, gatorade
Cryotherapy Methods of Appilcation
ice packs, ice massage, ice water immersion, vapocoolant, cryokinetics
Diagnosis
identification of a disease
Product Liability
impplied warranty, expressed warrantystrict liability, NOCSAE (if injured company responsable)
Who regulates professions to protect the public from harm by unqualified individuals?
individual states
Refusing Help
individuals have the right to refuse treatment exception: increased risk for further injury
What are the three phases of the healing process?
inflammatory response, fibroblastic repair (proliferation), maturation-remodeling
How long does the inflammatory phase lasts?
injury - 4 days
Why are emergency action plans (EAP) important?
it provides a guideline for an emergency and prepares individuals for a catastrophic injury situation
What is one of the ways an AT would continue education?
learn new skills
what are some concerns for safty equipment and facilities?
materials, durability, establishment of standards manufactoring, testing methods, and requirements of use
What are the five categories of heat stress?
medabolic heat production conductive heat exchange convective heat exchange radiant heat exchange evaporative heat loss
What are the components of a medical record?
medical history, allergies, immunization, family history
What is it called when an AT commints an act that they are responsible to preform, but uses the wrong procedure?
misfaesance
Heat Cramps
muscle pain and spasm resulting from exposure to heat and inadequate fluid and salt intake
Sign
objective evidence of disease
OPQRST
onset, provocation, quality, radiation, severity, time
Failure to Warn
participant must be informed that risk of injury exist and understand the nature of that risk
what are the components of an athletic medical record?
past injuries (surgery, miss season), concussion history (diagnose), medical history, physical examination, orthopedics assessment, cardiovascular examination, maturity exam, and wellness examination
POLICE
protection, optimal loading, ice, compression, elevation
What happens in the remodeling phase of the healing process?
realignment of fiber along stress
LIability
responsability
RICE
rest, ice, compression, elevation
Confidentiality
right to privacy (HIPPA and FIRPA)
SAMPLE
signs and symptoms, allergies medication, past illneses, last oral intake, events leading to injury
Pathology
structural and functional changes that result from injury.
Symptom
subjective evidence of a disease, such as pain or a headache
SOAP
subjective, objective, assessment, plan
What is a catastrophic injury or illness?
sudden death or a life-altering physical or mental impairment
What is a Modality?
techniques or methods to help the healing process
Assumption of Risk
the individual acknowledges understanding of the risks of their participation in the activity and voluntarily chooses to participate, assuming all risks of injury or even death
What are the factors that affect rate and extent of healing?
tissues type, extent of damage, hemorrage and edma, blood supply, infection and inflammation, degreee of immobilization or mobilization, age, nutrition, fitness level, steroids, and humidity
What is the purpose of an EAP?
to provide care in a timely manner, serves as a communication tool, defines standard of care, and prevents negligent lawsuits
What happens in the inflammatory phase of the healing process?
vasodilation, increase in cappillary membrane permiability, pagocytetosis, and growth of new capillary
What do you check for in a physical examination?
vital signs, musculoskeletal exam, neurologic exam, eye exam, dental exam, gastrointestinal exam, dermatology, laboratory tests, and exams for heart disorders
Would Carditis disqulify an athlete from sport participation?
yes due to the severity of the condition