Dr. Martin's notes

Thursday March 9, 2017

Secondary Injury Evaluation

To be able to evaluate an injury you need to know what to look for. 95% of all athletic injuries consist of injury to the joints, muscles or ligaments.

Injury to ligaments is known as a sprain and is more serious because it takes longer to heal due to lack of blood supply to the area. (Ligaments get their repair tissue and nutrients by the process of inbibition)

Injury to the muscles is known as a strain. It is cause by stretching the muscle fibers past their normal elasticity, tearing some of the muscle fibers. If this tear is just slight, it is known as microtrauma. It can also be mild, moderate or severe. A complete tear is known as a rupture.

Injury to the joint may result in bursitis or tendonitis or joint dysfunction (hyper or hypomobility). Cartilage injury may also occur in joint injury.

The unconscious athlete

In California, the CIF rules dictate that a person who is unconscious must be transported to a hospital or emergency facility. There are no exceptions to this rule. Other states may have variations in this ruling.
Before transporting an unconscious athlete the following should be noted:
1. Note the body position and the level of consciousness
2. ABC's it should be routinely established
3. Always suspect head or neck injury
4. If the athlete is wearing a helmet, do not remove it
5. If the athlete is supine and not breathing establish their ABC's first.
6. If the athlete is supine and breathing do nothing until consciousness returns
7. If the athlete is prone do a logroll to the supine position
8. If the athlete is prone and breathing, do nothing until the rescue squad arrives
9. Monitor and maintain life support for the unconscious athlete until the emergency personnel arrive.