Injury Management on the Field
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Questions and Answers

Which of the following is a true statement regarding the standard approach to injury on the field of play?

  • Stabilisation of the spine is more important than ensuring an open airway
  • Completing a full SABCE assessment before treating an airway problem (correct)
  • Having A ensures having B and C for long
  • Entering the field of play as soon as you see a player is injured

When should re-evaluation take place during the primary survey?

  • About every 30 minutes in an injured player
  • If there is uncertainty in the patient’s condition or care
  • Following an intervention
  • If the patient deteriorates (correct)

What does MILS stand for in the context of injury on the field of play?

  • Mobile Injury Location System
  • Manual In Line Stabilisation (correct)
  • Manual Intervention for Leg Sprains
  • Maximum Inflammation Limitation System

In the context of injury on the field of play, what is emphasized by the statement 'If you don’t have A, you will not have B and C for long'?

<p>The importance of having A for ensuring B and C for long (C)</p> Signup and view all the answers

True or false: Bag valve mask ventilation allows higher concentrations of oxygen to be delivered than a non rebreathe mask.

<p>True (A)</p> Signup and view all the answers

True or false: Bag valve mask ventilation does not inflate the stomach.

<p>False (B)</p> Signup and view all the answers

True or false: An I-Gel supraglottic airway can be attached to a bag valve mask ventilation system.

<p>True (A)</p> Signup and view all the answers

True or false: Oropharyngeal airways should ideally be inserted using the inverted technique.

<p>True (A)</p> Signup and view all the answers

True or false: A GCS of 6 in a head injured player indicates that they are most likely able to protect their own airway.

<p>False (B)</p> Signup and view all the answers

True or false: Bag valve mask ventilation allows higher concentrations of oxygen to be delivered than a non-rebreather mask.

<p>True (A)</p> Signup and view all the answers

True or false: Bag valve mask ventilation increases the potential for cross infection compared to mouth to mouth ventilation.

<p>False (B)</p> Signup and view all the answers

True or false: Bag valve mask ventilation does not inflate the stomach.

<p>False (B)</p> Signup and view all the answers

True or false: An I-Gel supraglottic airway can be attached to a bag valve mask ventilation system.

<p>True (A)</p> Signup and view all the answers

True or false: Oropharyngeal airways should ideally be inserted using the inverted technique.

<p>False (B)</p> Signup and view all the answers

True or false: Nasopharyngeal airways are relatively contraindicated in basal skull fractures.

<p>True (A)</p> Signup and view all the answers

True or false: Unsupplemented mouth to mask ventilation provides approximately 30% oxygen.

<p>True (A)</p> Signup and view all the answers

True or false: Laryngeal fractures may present as subcutaneous emphysema around the neck.

<p>True (A)</p> Signup and view all the answers

Flashcards

SABCE Assessment Priority

A full SABCE assessment, including the airway, breathing, circulation, disability and exposure, should be completed before treating an airway problem. This ensures that all aspects of the patient's condition are assessed and addressed in a systematic and prioritized manner.

Re-evaluation in Primary Survey

Re-evaluation should occur during the primary survey if the patient's condition deteriorates. This ensures prompt identification of any worsening signs or symptoms and allows for immediate intervention.

What does MILS stand for?

MILS stands for Manual In Line Stabilisation. It involves manually stabilizing the head and neck to prevent further injury to the cervical spine.

Importance of Airways (A, B, C)

This statement stresses the importance of securing a clear airway (A) in a patient with an injury. Without a clear airway, effective breathing (B) and circulation (C) will be severely compromised and potentially unsustainable.

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Bag Valve Mask Oxygen

True. Bag valve mask ventilation allows higher concentrations of oxygen to be delivered compared to a non-rebreather mask, potentially improving oxygenation.

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Bag Valve Stomach Inflation

False. Bag valve mask ventilation can lead to stomach inflation, particularly if excessive pressure is used. Careful technique is crucial.

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I-Gel with Bag Valve Mask

True. An I-Gel supraglottic airway can be attached to a bag valve mask ventilation system, providing an alternative for airway management.

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Oropharyngeal Airway Insertion

True. Oropharyngeal airways are often inserted using the inverted technique, which helps prevent occlusion of the airway by the tongue.

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GCS 6 and Airway Protection

False. A GCS of 6 indicates a severe head injury and the patient is likely to be unable to protect their own airway, requiring immediate intervention.

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Bag Value Mask Oxygen Delivery

True. Bag valve mask ventilation allows for higher concentrations of oxygen to be delivered compared to a non-rebreather mask, potentially improving oxygenation.

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Bag Valve Cross Infection

False. Bag valve mask ventilation can actually decrease the potential for cross infection compared to mouth to mouth ventilation, as it provides a barrier between the rescuer and the patient.

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Bag Valve Stomach Inflation

False. Bag valve mask ventilation can lead to stomach inflation, particularly if excessive pressure is used. Careful technique is crucial.

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I-Gel with Bag Valve Mask

True. An I-Gel supraglottic airway can be attached to a bag valve mask ventilation system, providing an alternative for airway management.

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Oropharyngeal Airway Insertion

True. Oropharyngeal airways are often inserted using the inverted technique, which helps prevent occlusion of the airway by the tongue.

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Nasopharyngeal Airway in Skull Fracture

True. Nasopharyngeal airways are relatively contraindicated in basal skull fractures, as they could potentially worsen the injury or cause bleeding.

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Mouth to Mask Oxygen

True. Unsupplemented mouth to mask ventilation provides approximately 30% oxygen. This emphasizes the importance of supplemental oxygen in this situation.

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Laryngeal Fracture Sign

True. Laryngeal fractures can cause air to leak into the surrounding tissues, resulting in subcutaneous emphysema around the neck. This is a distinctive sign.

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Study Notes

Bag Valve Mask Ventilation

  • Allows higher concentrations of oxygen to be delivered than a non-rebreathe mask
  • Increases the potential for cross infection compared to mouth-to-mouth ventilation
  • Does not inflate the stomach
  • Can be attached to an I-Gel supraglottic airway
  • Recommended to be used with a one-handed technique

Oropharyngeal Airways

  • Should ideally be inserted using the inverted technique
  • Not suitable for patients with a high GCS (e.g. 12)

Nasopharyngeal Airways

  • Relatively contraindicated in basal skull fractures

Airway Management

  • Formal assessment of the airway requires a “Look, Listen and Feel” technique
  • Patients with a low GCS (e.g. 6) are less likely to protect their own airway
  • Airway maneuvers ideally lift the tongue forward, relieving obstruction
  • With Manual In-Line Stabilization (MILS) in place, an inferior approach to the Jaw Thrust may be easier

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Description

Test your knowledge of injury management on the field with this quiz. Assess your understanding of the standard approach to handling injuries, including SABCE assessment, MILS, and prioritizing spine stabilization and airway management. Select the true statements to gauge your proficiency in field injury management.

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