Transcript unit 7- injury management

HIPS
UNIT 7- INJURY MANAGEMENT
Learning Log
 What would you do if you were watching a game and
someone got injured?
 How would you help?
 What would you ask the person?
HIPS
 Specific injury assessment to evaluate the
extent of musculoskeletal injuries
 Performed in an ordered sequence to assess the
nature, site and severity of an injury
 By following a consistent pattern, you are less
likely to forget a procedure
 HIPS
History
 Inspection
 Palpation
 Special Test
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PPE /BSI
 Before you start the injury assessment you must take
precautions to prevent disease transmission
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Avoid contact with body fluids
Wear Gloves
Cover cuts
Wear protective coverings
Use breathing devices
Wash hands after treatment
Remove athlete from activity if bleeding and blood on uniform
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Use a solution of bleach and water or hydogen peroxide to get
blood off uniform
History
 One of most important
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steps
Collecting as much
information as possible
Ask athlete questions
Ask bystanders questions
Provide clues in
determining structures
that are injured
 Where does it hurt?
 What happened?
 How did it happen?
 How long has it hurt?
 Does the joint give away?
 Does the joint lock?
 Did you hear or feel a
pop, crack, snap…?
Inspection
 This step is purely
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observational
Always compare
bilaterally
Note if holding body part
Note where holding body
part
Note functional abilities
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Limping?
Grimacing?
 Look for
Deformity
 Open Wound
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Bleeding
 Tenderness
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Discoloration
 Swelling
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Any sign of injury
Palpation
 Palpation means to feel
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or touch
Increase palpation
pressure as tolerated
Begin away from injury
site
Visualize structures as
examine
Compare bilaterally
 Palpate
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Bones
Muscles
Soft tissue
Ligaments
 Tendons
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Special Tests
 There are five areas of special tests
 Range of Motion
 Stress Tests
 Neurological
 Circulatory
 Functional
Special Tests
 Range of Motion
 Assess in proper sequence Active-Passive-Resistive
 Compare bilaterally
 Active
 Movement is performed
completely by the examiner
 Passive
 Movement is performed
solely by athlete
 Note any restriction or
limitation
 Used to determine status of
muscle/muscle group
 Findings:
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Possible 3rd degree strain
Weak and Painful
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Possible fracture at joint site
Strong and Painful
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 Resistive
 Athlete is asked to perform
movement while the
examiner provides resistant
Weak and Painless
Possible tear of
muscle/tendon
Strong and Pain free
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No muscle injury
Special Tests
 Stress Tests
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Designed for almost every
body region
Used to determine:
Ligament stability
 Muscle imbalance
 Muscle tightness
 Joint function
 Integrity of structures
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 Neurological Exam
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Determine sensory
function
Run fingers over area of
skin on affected and
unaffected area
 Apply sharp and dull
points to affected and
unaffected area
 Does it feel the same on
both sides?
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Special Tests
 Circulatory
 Check pulse distal to
injury
 When appropriate take
pulse, blood pressure and
nail bed perfusion
 Functional Tests
 Determine if athlete can
return to sport
participation
 Done only if no findings
were found during special
tests
 Evaluate motor control
and proprioception
Walk, jog, run in straight
line, figure 8 and zig-zag
 Squat
 Throw
 Stand on one leg
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Make a Decision
 After completing a HIPS evaluation, a decision of
action can be made dependent on:
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Extent of injury
Type of care needed
 Plan of action
 Return to play, re-valuate for follow-through treatment
 Can not return to play, ice and re-evaluate
 Call 911
 Physical referral