[ppt]athletic injuries atc 222 - missouri state...
TRANSCRIPT
![Page 1: [PPT]Athletic Injuries ATC 222 - Missouri State Universitycourses.missouristate.edu/AllanLiggett/documents/222ch 22... · Web viewAthletic Injuries ATC 222 Head, Face, Eyes, Ears,](https://reader031.vdocument.in/reader031/viewer/2022030423/5aab48e97f8b9a2e088ba049/html5/thumbnails/1.jpg)
Athletic Injuries ATC 222
Head, Face, Eyes, Ears, Nose, and Throat
Chapter 22
![Page 2: [PPT]Athletic Injuries ATC 222 - Missouri State Universitycourses.missouristate.edu/AllanLiggett/documents/222ch 22... · Web viewAthletic Injuries ATC 222 Head, Face, Eyes, Ears,](https://reader031.vdocument.in/reader031/viewer/2022030423/5aab48e97f8b9a2e088ba049/html5/thumbnails/2.jpg)
Nervous System
• Central Nervous System– brain– spinal cord
• Peripheral Nervous System
![Page 3: [PPT]Athletic Injuries ATC 222 - Missouri State Universitycourses.missouristate.edu/AllanLiggett/documents/222ch 22... · Web viewAthletic Injuries ATC 222 Head, Face, Eyes, Ears,](https://reader031.vdocument.in/reader031/viewer/2022030423/5aab48e97f8b9a2e088ba049/html5/thumbnails/3.jpg)
Brain Anatomy• Cerebrum• Cerebellum• Brain Stem
Meninges• Dura Mater• Arachnoid Mater• Pia Mater
![Page 4: [PPT]Athletic Injuries ATC 222 - Missouri State Universitycourses.missouristate.edu/AllanLiggett/documents/222ch 22... · Web viewAthletic Injuries ATC 222 Head, Face, Eyes, Ears,](https://reader031.vdocument.in/reader031/viewer/2022030423/5aab48e97f8b9a2e088ba049/html5/thumbnails/4.jpg)
![Page 5: [PPT]Athletic Injuries ATC 222 - Missouri State Universitycourses.missouristate.edu/AllanLiggett/documents/222ch 22... · Web viewAthletic Injuries ATC 222 Head, Face, Eyes, Ears,](https://reader031.vdocument.in/reader031/viewer/2022030423/5aab48e97f8b9a2e088ba049/html5/thumbnails/5.jpg)
Head Injuries
• Incidence of serious injury has decreased– neck injuries?– protective gear
• Appr. 250,000 concussions/year
• Focal vs. Diffuse Injuries
![Page 6: [PPT]Athletic Injuries ATC 222 - Missouri State Universitycourses.missouristate.edu/AllanLiggett/documents/222ch 22... · Web viewAthletic Injuries ATC 222 Head, Face, Eyes, Ears,](https://reader031.vdocument.in/reader031/viewer/2022030423/5aab48e97f8b9a2e088ba049/html5/thumbnails/6.jpg)
Concussion
• Definition– clinical syndrome characterized
by immediate and transient impairment of normal neurological function
• Grades• Return to Play Criteria• Post-concussion Syndrome• Second Impact Syndrome
![Page 7: [PPT]Athletic Injuries ATC 222 - Missouri State Universitycourses.missouristate.edu/AllanLiggett/documents/222ch 22... · Web viewAthletic Injuries ATC 222 Head, Face, Eyes, Ears,](https://reader031.vdocument.in/reader031/viewer/2022030423/5aab48e97f8b9a2e088ba049/html5/thumbnails/7.jpg)
Evaluation Process
• Primary Assessment?– ABC’s
• Secondary Assessment– Mental Status– Cranial Nerve Exam– Motor System Exam– Proprioception, balance, and
coordination
![Page 8: [PPT]Athletic Injuries ATC 222 - Missouri State Universitycourses.missouristate.edu/AllanLiggett/documents/222ch 22... · Web viewAthletic Injuries ATC 222 Head, Face, Eyes, Ears,](https://reader031.vdocument.in/reader031/viewer/2022030423/5aab48e97f8b9a2e088ba049/html5/thumbnails/8.jpg)
Cranial Nerve Exam• Test for:
– Vision– Tracking– Visual Fields– Pupil Reflex– Hearing– Swallowing– Shoulder Shrug– Facial Sensation– Facial Expression– Tongue Protrusion– Mastication
![Page 9: [PPT]Athletic Injuries ATC 222 - Missouri State Universitycourses.missouristate.edu/AllanLiggett/documents/222ch 22... · Web viewAthletic Injuries ATC 222 Head, Face, Eyes, Ears,](https://reader031.vdocument.in/reader031/viewer/2022030423/5aab48e97f8b9a2e088ba049/html5/thumbnails/9.jpg)
Other Signs and Symptoms
• headache• nausea, vomiting• seizures• unequal pupils• tinnitus• unusual drowsiness
![Page 10: [PPT]Athletic Injuries ATC 222 - Missouri State Universitycourses.missouristate.edu/AllanLiggett/documents/222ch 22... · Web viewAthletic Injuries ATC 222 Head, Face, Eyes, Ears,](https://reader031.vdocument.in/reader031/viewer/2022030423/5aab48e97f8b9a2e088ba049/html5/thumbnails/10.jpg)
Treatment• Should be mostly symptomatic in
nature• Recheck athlete on regular basis• Refer if in doubt or in more severe
cases• Monitor throughout the night• No alcohol, aspirin, ibuprofen• No activity until asymptomatic• Refer if current s/s worsen or if new
s/s appear over time
![Page 11: [PPT]Athletic Injuries ATC 222 - Missouri State Universitycourses.missouristate.edu/AllanLiggett/documents/222ch 22... · Web viewAthletic Injuries ATC 222 Head, Face, Eyes, Ears,](https://reader031.vdocument.in/reader031/viewer/2022030423/5aab48e97f8b9a2e088ba049/html5/thumbnails/11.jpg)
Facial Injuries
• Mandible Fracture– deformity– malocclusion– malalignment– bleeding around teeth/gums– lower lip anesthesia– pain with biting
• Treatment
![Page 12: [PPT]Athletic Injuries ATC 222 - Missouri State Universitycourses.missouristate.edu/AllanLiggett/documents/222ch 22... · Web viewAthletic Injuries ATC 222 Head, Face, Eyes, Ears,](https://reader031.vdocument.in/reader031/viewer/2022030423/5aab48e97f8b9a2e088ba049/html5/thumbnails/12.jpg)
Facial Injuries
• Mandible Dislocation/Subluxation– commonly from lateral force– malalignment– malocclusion– open, locked jaw
![Page 13: [PPT]Athletic Injuries ATC 222 - Missouri State Universitycourses.missouristate.edu/AllanLiggett/documents/222ch 22... · Web viewAthletic Injuries ATC 222 Head, Face, Eyes, Ears,](https://reader031.vdocument.in/reader031/viewer/2022030423/5aab48e97f8b9a2e088ba049/html5/thumbnails/13.jpg)
Dental Injuries• Types
– fracture– dislocation/subluxation
• Treatment– realign subluxation– replace/preserve dislocation or
fracture– 30 minute survival rate
![Page 14: [PPT]Athletic Injuries ATC 222 - Missouri State Universitycourses.missouristate.edu/AllanLiggett/documents/222ch 22... · Web viewAthletic Injuries ATC 222 Head, Face, Eyes, Ears,](https://reader031.vdocument.in/reader031/viewer/2022030423/5aab48e97f8b9a2e088ba049/html5/thumbnails/14.jpg)
Nasal Injuries
• Fracture or Cartilage Separation– S/S
• deformity• profuse bleeding• immediate swelling• crepitus
– treatment• control hemorrhaging• referral• most return to activity in 3-4 days
![Page 15: [PPT]Athletic Injuries ATC 222 - Missouri State Universitycourses.missouristate.edu/AllanLiggett/documents/222ch 22... · Web viewAthletic Injuries ATC 222 Head, Face, Eyes, Ears,](https://reader031.vdocument.in/reader031/viewer/2022030423/5aab48e97f8b9a2e088ba049/html5/thumbnails/15.jpg)
Nasal Injuries• Epistaxis (nosebleed)
– sit upright– ice (nose and ipsilateral carotid)– direct pressure on nostril– cotton/gauze plug– refrain from nose blowing for 2 hours
![Page 16: [PPT]Athletic Injuries ATC 222 - Missouri State Universitycourses.missouristate.edu/AllanLiggett/documents/222ch 22... · Web viewAthletic Injuries ATC 222 Head, Face, Eyes, Ears,](https://reader031.vdocument.in/reader031/viewer/2022030423/5aab48e97f8b9a2e088ba049/html5/thumbnails/16.jpg)
Ear Injuries• Hematoma Auris (cauliflower ear)
– causes– S/S
• swelling• redness, warmth• pain
– treatment• ice• protection• aspirate
![Page 17: [PPT]Athletic Injuries ATC 222 - Missouri State Universitycourses.missouristate.edu/AllanLiggett/documents/222ch 22... · Web viewAthletic Injuries ATC 222 Head, Face, Eyes, Ears,](https://reader031.vdocument.in/reader031/viewer/2022030423/5aab48e97f8b9a2e088ba049/html5/thumbnails/17.jpg)
Eye Injuries• Causes and Prevention• S/S or Serious Eye Injury
– prolonged blurred vision– loss of part/all of visual field (detached
retina?)– sharp, stabbing, throbbing pain– double vision– embedded object– blood in anterior chamber
![Page 18: [PPT]Athletic Injuries ATC 222 - Missouri State Universitycourses.missouristate.edu/AllanLiggett/documents/222ch 22... · Web viewAthletic Injuries ATC 222 Head, Face, Eyes, Ears,](https://reader031.vdocument.in/reader031/viewer/2022030423/5aab48e97f8b9a2e088ba049/html5/thumbnails/18.jpg)
Treatment of Serious Eye Injury
• immediate referral• cover both eyes with embedded
object• ice only to surrounding tissue• no pressure applied to eyes
![Page 19: [PPT]Athletic Injuries ATC 222 - Missouri State Universitycourses.missouristate.edu/AllanLiggett/documents/222ch 22... · Web viewAthletic Injuries ATC 222 Head, Face, Eyes, Ears,](https://reader031.vdocument.in/reader031/viewer/2022030423/5aab48e97f8b9a2e088ba049/html5/thumbnails/19.jpg)
![Page 20: [PPT]Athletic Injuries ATC 222 - Missouri State Universitycourses.missouristate.edu/AllanLiggett/documents/222ch 22... · Web viewAthletic Injuries ATC 222 Head, Face, Eyes, Ears,](https://reader031.vdocument.in/reader031/viewer/2022030423/5aab48e97f8b9a2e088ba049/html5/thumbnails/20.jpg)
Orbital Hematoma
• “Black Eye”• Bleeding in
orbit area and poss. Sclera
• Rule out serious eye injury
![Page 21: [PPT]Athletic Injuries ATC 222 - Missouri State Universitycourses.missouristate.edu/AllanLiggett/documents/222ch 22... · Web viewAthletic Injuries ATC 222 Head, Face, Eyes, Ears,](https://reader031.vdocument.in/reader031/viewer/2022030423/5aab48e97f8b9a2e088ba049/html5/thumbnails/21.jpg)
Foreign Body in Eye
• Embedded?• Removal
– Close eye– eye rinse– removal with gauze pad