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Body Systems
- Integumentary
- Skeletal
- Muscular
- Nervous
- Endocrine
- Cardiovascular
- Lymphatic
- Respiratory
- Digestive
- Urinary
- Reproductive
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Integumentary system
- The skin
- Has lots of nerves, cooling and warming system
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Nervous system
Brain and spinal cord, everything to control you
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Endocrine
Hormone system (testosterone, estrogen, etc)
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Lymphatic
Cerebral spinal fluid (white blood cells)
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Lacerations
Cuts in/on skin
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Abrasions
Road burn and such
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Joints
- Fibrous
- Cartilaginous
- Synovial
- Bursa
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Fibrous
Rigidly joined (no movement)
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Cartilaginous
Limited motion, plate of hyline cartilage or fibrocartilaginous
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Synovial
- Covered with hyline carilage
- Lubricated with synovial fluid
- Enclosed in a capsule
- i.e. knee and shoulder
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Bursa
Pockets that soften joints
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Axial Skeleton
Head, ribs and hip--everything in the middle
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Appenicular skeleton
Arms and legs--all appendages
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Vertebral column
- Cervical (7)
- Thoracic (12)
- Lumbar (5)
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Kyphosis
Hunched back, pronounced curve at the top of spine
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Sclerosis
An S curve along the sagital plane
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Lordosis
Curve at the bottom of spine, makes the butt pronounced
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Forward Head
Slouching, head pushed forward
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Swayback
Superior spine juts backwards
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Cervical conditions
- Axial load
- Flexion
- Hyperextension
- Rotation and flexion
- Rotation and hyperextension
- Lateral flexion
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Transverse Ligament
Ligament that holds the Atlas and Axis together
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Transverse Process
Bone that pokes out of the spinal vertebrae along the transverse plane
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Spinous Process
Bone that pokes out of the spinal vertebrae dorsally
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Sacrum
- Located in the lumbar region within the pelvic bone. Multiple vertebrae fused together. Coccyx at the tip
- Example of SI (sacroiliac) joint
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Cervical curve
Similar to lordosis, occurs in lower spine naturally
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Thoracic curve
Similar to kyphosis, occurs naturally in upper spine
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Cervical Spine and Injury Prevention
- Must have full range of motion
- Strengthen neck with isometric contractions
- Athletes should learn the correct technique of tackle
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Cervical Fractures
- Cause: axial load with some cervical flexion, rotation can dislocate
- Signs: neck point tenderness, cervical muscle spasm, restricted motion
- Care: treat like an unconscious athlete
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Cervical Dislocation
- Cause: result of violent flexion and rotation of the head
- Signs: pain, numbness, weakness or paralysis
- Care: extreme care to be use�can cause spinal cord injury
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Acute Strains of Neck and Upper Back
- Cause: sudden turn of the head, forced flexion, extension or rotation
- Signs: localized pain and point tenderness
- Care: RICE and application of cervical collar
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Cervical Sprain
- Whiplash
- Cause: snapping of the head and neck
- Care: rest and ice
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Isometric
Strengthening without motion
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Isotonic
Strengthening with motion
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Acute Torticollis
- Cause: sleeping on stomach, pain on one side of neck
- Signs: restricted ROM and tenderness
- Care: gradual strengthening, heat and cold treatments
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Brachial Plexus Injury
- Pinched Nerve
- Cause: result of stretching or compression of brachial plexus
- Signs: burning sensation, numbness, and tingling
- Care: strengthening and stretching program, padding to reduce ROM during impact
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Spodylolisis vs. Spodylolisthesis
- 1. degeneration of the vertebrae due to congenital weakness, stress fracture
- 2. slipping of a vertebrae above or below another, associated with spodylolisis.
- Signs:pain and persistent aching, low back stiffness with increased pain after activity, need to change position or pop back
- Care: bracing and reduced motion for 2-3 days, strengthening for control and stabilization, core strengthening
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Primary Survey
- Performed to determine presence of life threatening condition: airway, breathing, circulation, shock and severe bleeding
- Used to correct life threatening condition
- 911 called
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Secondary Survey
- Life threatening condition ruled out, gather specific information about injury
- Assess vital signs and perform more detailed evaluation of conditions
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Venous Bleeding
Dark red with continuous flow
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Capillary
Exudes from tissue and is reddish
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Arterial
Flows in spurts and is bright red
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Controlling bleeding
Direct pressure, elevation, and pressure points
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Managing shock
- Signs: moist, pale, cold skin; weak rapid pulse, decreased blood pressure, shallow breathing, irritability or excitement, thirst
- Care: maintain core temp, elevate feet, keep athlete calm, limit onlookers, reassure athlete
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On-field assessment
- Determine injury severity and transportation from field
- Use logical process to evaluate trauma extent
- Know mechanism of injury and major signs and symptoms are critical
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Off-field assessment
- Performed by athletic trainer or physician once removed from site of injury
- 4 segments: history, observation, physical examination, special tests
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PRICE
- Protection
- Rest
- Ice
- Compression
- Elevation
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Posttraumatic amnesia
- Inability of athlete to recall events since injury
- Anterograde and retrograde amnesia
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Anterograde amnesia
Loss of memory for events immediately following a trauma
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Retrograde amnesia
Loss of memory for events immediately preceding a trauma
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Concussions
- Cause: direct blow, acceleration and deceleration of forces producing shaking of brain
- Signs: altered levels of consciousness, headaches, tinnitus, nausea, irritability, confusion, disorientation, dizziness, amnesia
- Tests: palpation neck and skull, neurologic exam, eye function, balance test, coordination, cognitive
- Care: any loss of consciousness-ATC removes from play, objective measures should be used to determine readiness to play, cervical spine injury suspected
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Post-concussion syndrome
- Cause: condition that occurs following a concussion
- Signs: persistent headaches, impaired memory, lack of concentration, anxiety and irritability, fatigue, depression
- Care: return athlete to play when all symptoms are gone
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Secondary Impact Syndrome
- Cause: rapid swelling and herniation of brain after second head injury, impact can be minimal but damage large, disrupts autoregulatory system leading to swelling, increasing intracranial pressure
- Signs: athlete looks stunned, within 15s condition degrades rapidly, dilated pupils, loss of eye movement, LOC leading to coma, respiratory failure
- Care: life-threatening injury that must be addressed within 5min. with life saving measures performed at an emergency facility
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Epidural Hematoma
- Cause: blow to the head or skull fracture which tear meningeal arteries, blood pressure and accumulation and creation of hematoma occur rapidly.
- Signs: LOC followed by period of lucidity, showing few signs and symptoms of serious injury, gradual progression of signs and symptoms: dizziness, head pains, nausea, dilation of one pupil, convulsion
- Care: requires urgent neurological surgery, must relieve pressure, CT scan
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Subdural Hematoma
- Cause: result of acceleration or deceleration of forces that tear vessels that bridge duramater and brain, venous bleeding
- Signs: LOC, dilation of one pupil, headaches, dizziness, nausea and sleepiness
- Care: immediate medical attention, CT and MRI
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Cerebrum Control
Memory and sensory impulses
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Cerebellum control
Skeletal and muscle movement
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Chronic Traumatic Encephalopathy
Degenerative brain disease that results in behaviors similar to Alzheimer's disease, clear environmental cause not genetic, preventable form of dementia
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Types of Fracture
- Greenstick
- Transverse
- Oblique
- Spiral
- Linear
- Comminuted
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Greenstick
Incomplete break that usually occurs in the convex bone surface
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Transverse
Occur in a straight line at 90 degrees to the bone shaft
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Oblique
Similar to spiral, occur when sudden twisting or torsion occurs while the other end is stable
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Spiral
Has an S shaped separation, are common in football and skiing, occur when the foot is planted and the body rotates. Cleaner break than oblique
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Linear
The bone splits along its length
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Comminuted
Consists of three or more fragments at the fracture site
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Stress Fractures
Caused by overuse or chronic stress to the bone
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Ligament Sprain
- Grade 1: stretching and separation of the ligamentous fibers may occur
- Grade 2: some tearing and separation
- Grade 3: complete tear
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Muscle Strains
- Strain to tendons
- Grade 1: some muscle fibers have been stretched or torn
- Grade 2: a number of muscle fibers have been torn
- Grade 3: a complete rupture of the muscle tendon from the bone or where the muscle becomes a tendon
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