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Sports Injury and Splinting Clem Marshall Stephen Rosenberg
What is the most dangerous sport? Cheerleading
What will we see in EMS? ,[object Object],[object Object],[object Object],[object Object],Also, non traumatic problems including cardiac problems, dehydration, asthma exacerbations
Mechanisms of Injuries An object: Baseball, ice skate, etc. Collision: With another player, with a goalpost, wall, etc. “ Self Inflicted” Fall, sprains/strains, etc.
Soft Tissue Injury ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment? *Wound may look bad but if not life threatening do not get distracted from life threatening injuries Open 1)  Control Bleeding 2)  Irrigate wound / Apply Dressing 3)  Penetrating objects- not removed, but stabilized Closed 1) Apply cold pack or ice 2)Elevate above the heart Can they still play? When do you transport?
Bony Injuries ,[object Object],[object Object],[object Object],[object Object]
Fractures Treatment? Open and Closed Fractures 1)  Cover an open wound with dressing, control bleeding and  do not   try to push the bone back in 2)  Elevation for if appropriate for wound control 3)  Immobilize the injury, checking for distal pulses, motor function, and sensation before and after splinting (DNVS) 4)  Fractures should not be reduced in the field, but we can apply traction to one type of fracture.
 
Dislocation Treatment? ,[object Object],[object Object],[object Object],[object Object],[object Object]
Sprains and Strains What is the difference between sprains and strains? Strains (pulled muscle): tearing of the muscle fiber from excessive stretch Sprains: a stretch of tear of a ligament Signs and Symptoms? Pain Swelling Redness Limited mobility
How bad can they be?
Treatment Sprains and Strains ,[object Object],[object Object],[object Object],[object Object],Is it broken or a sprain/strain?
Head Trauma/Concussions What is important for this patient?  What should we be assessing very carefully?
Signs and Symptoms of Head Injury/Concussions? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],So, what’s the moral of the story? Concussions are easy miss!
Head/Neck Trauma Treatment? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
C-Spine Immobilization
[object Object],[object Object],[object Object],[object Object],[object Object],General Splinting Tips
Splints Today ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Any Questions?

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Splinting and Sports Injuries CME 2007

  • 1. Sports Injury and Splinting Clem Marshall Stephen Rosenberg
  • 2. What is the most dangerous sport? Cheerleading
  • 3.
  • 4. Mechanisms of Injuries An object: Baseball, ice skate, etc. Collision: With another player, with a goalpost, wall, etc. “ Self Inflicted” Fall, sprains/strains, etc.
  • 5.
  • 6. Treatment? *Wound may look bad but if not life threatening do not get distracted from life threatening injuries Open 1) Control Bleeding 2) Irrigate wound / Apply Dressing 3) Penetrating objects- not removed, but stabilized Closed 1) Apply cold pack or ice 2)Elevate above the heart Can they still play? When do you transport?
  • 7.
  • 8. Fractures Treatment? Open and Closed Fractures 1) Cover an open wound with dressing, control bleeding and do not try to push the bone back in 2) Elevation for if appropriate for wound control 3) Immobilize the injury, checking for distal pulses, motor function, and sensation before and after splinting (DNVS) 4) Fractures should not be reduced in the field, but we can apply traction to one type of fracture.
  • 9.  
  • 10.
  • 11. Sprains and Strains What is the difference between sprains and strains? Strains (pulled muscle): tearing of the muscle fiber from excessive stretch Sprains: a stretch of tear of a ligament Signs and Symptoms? Pain Swelling Redness Limited mobility
  • 12. How bad can they be?
  • 13.
  • 14. Head Trauma/Concussions What is important for this patient? What should we be assessing very carefully?
  • 15.
  • 16.
  • 18.
  • 19.