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The neck is not designed to be a weight-bearing part of the body.
The neck is not designed to be a weight-bearing part of the body.
Posture of the arm after a burner. Pain is burning and it radiates down to the arm. Tenderness on Brachial Plexus
NEUROLOGICAL SIGNS
Disruption of nerve functionWeakness
Reduced Sensation
Reduced Reflexes
Muscle Atrophy
Athlete unconscious.
Athlete conscious with loss of movement or sensation. Complains of central neck pain.
FIELD MONITORING
Re-check vitals.
Reassure athlete.
Observe for Shock.
Be prepared to treat for shock.
SHOCK
Collapse of the c.v. system, or failure of the system to provide an adequate blood supply to all body tissues.
CAUSES OF SHOCK
Blood vessels dilated so widely that there is a
poor venous return.
There is loss of blood.
Heart fails to circulate the blood properly.
TYPES AND CAUSE OF SHOCK
Hemorrhagic – Internal and/or External Bleeding
Respiratory – reduce O2 in blood. (sucking wound, airway obstruction, spinal cord injury).
Neurogenic – loss of control by the nervous
system.
Psychogenic – reaction of nervous system to fear, bad news etc.
Cardiogenic – inadequate function of
the heart
Septic – severe infection resulting in vasodilation.
Metabolic – loss of fluids through diarrhea, or urination.Anaphylactic – caused by allergic reactions. Extreme emergency.
SIGNS AND SYMPTOMS
Eyes dull, lackluster
Pupils dilated
Face pale
Shallow, irregular respirations
Pulse rapid and weak 2
TREATMENT FOR SHOCK
Control bleeding.
Elevate lower extremities if no chest or head injury.
Prevent loss of body heat.
Lie athlete down. N.P.O.
Primary Survey
Initial scan done by the ‘at head’ person. Feeling for deformity etc.Secondary Survey
Someone else holds head and you check lower ext.
Initial Questions
What happen?
Pain? Present or after accident.
Feelings: burning/tingling
Head pain/ache?
Orientation to time and place.
Observations of pupils.
Observe for any CSF or blood coming from nose or ears.
Look for bruising.
Test motor and sensory of upper extremity.
Do gross motor of feet.
Test grip strength of the upper extremity.
Continue to ask about headache and nausea.
Removal from FieldSupine lying. Sitting.
Four Point Kneeling. Three Point Kneeling. Standing (with support). Slowly walk to sideling.
Sideline Testing.
SIDE LINE TESTING
Subjective
Question about their feelings (headache, tingling, nausea)
ObjectiveMotor skills, verbal skills
Grade II should be sent to the hospital.
Grade I monitored at home. We give instructions.
No A.S.A. One drink!
Minor Neck Trauma is an injury that has no arm pain, no loss of neck motion and no central pain during movement. The following should be tested……
General test of the myotomes (specific
nerves that innervate specific muscles) to determine if there is gross weakness. If
weakness; no return.
SIDE LIGHT… ‘Motion Talk’
..ors – muscles doing the movement.
..ion – direction of mov’t.
..ed – end position.
If the neck motion is good, there is no neck/arm pain and the strength in the extremities is good, it is decision time!