17 Questions
Which of the following is a true statement regarding the standard approach to injury on the field of play?
Completing a full SABCE assessment before treating an airway problem
When should re-evaluation take place during the primary survey?
If the patient deteriorates
What does MILS stand for in the context of injury on the field of play?
Manual In Line Stabilisation
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'?
The importance of having A for ensuring B and C for long
True or false: Bag valve mask ventilation allows higher concentrations of oxygen to be delivered than a non rebreathe mask.
True
True or false: Bag valve mask ventilation does not inflate the stomach.
False
True or false: An I-Gel supraglottic airway can be attached to a bag valve mask ventilation system.
True
True or false: Oropharyngeal airways should ideally be inserted using the inverted technique.
True
True or false: A GCS of 6 in a head injured player indicates that they are most likely able to protect their own airway.
False
True or false: Bag valve mask ventilation allows higher concentrations of oxygen to be delivered than a non-rebreather mask.
True
True or false: Bag valve mask ventilation increases the potential for cross infection compared to mouth to mouth ventilation.
False
True or false: Bag valve mask ventilation does not inflate the stomach.
False
True or false: An I-Gel supraglottic airway can be attached to a bag valve mask ventilation system.
True
True or false: Oropharyngeal airways should ideally be inserted using the inverted technique.
False
True or false: Nasopharyngeal airways are relatively contraindicated in basal skull fractures.
True
True or false: Unsupplemented mouth to mask ventilation provides approximately 30% oxygen.
True
True or false: Laryngeal fractures may present as subcutaneous emphysema around the neck.
True
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
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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