Sports Injury Management SG – Flashcards
Unlock all answers in this set
Unlock answersquestion
The absence of an athletic trainer, it is essential that the coach understand the responsibilities of the athletic trainer to ensure that the coach acts in their appropriate duty a care intending to an injured participant.
answer
Athletic training
question
Will be presented with reference to the responsibilities of the coach, team physician, primary care physician, in the participant.
answer
Team approach to the delivery of healthcare
question
A broad and complex branch of healthcare, encompassing several disciplines.
answer
Sports medicine
question
True or False? No single profession can provide the expertise to carryout this enormous responsibility.
answer
True
question
NATA
answer
The National Athletic Trainers' Association
question
The professional organization responsible for about the certification of athletic trainers and defining the major performance domains of the athletic trainer.
answer
The board of certification for athletic trainer
question
Encompasses a broad spectrum of knowledge and skills that address the risks associated with participation in sports and physical activities.
answer
Prevention
question
Allows for a comprehensive prevention, assessment, and management of an injury or illness, as it taps the expertise of the individual specialist working in conjunction with one another and the patient.
answer
The team approach to the delivery of healthcare
question
By having healthcare professional from different disciplines work collaboratively, a venue is in place for addressing an injury from different perspectives.
answer
Benefits of having team approach
question
Is the final authority to determine the mental and physical fitness of athletes in organized programs. Should administer and review preseason physical examinations; preseason conditioning programs.
answer
Team physician
question
It is essential that coaches, physical educators, and other specialists responsible for the medical well-being of their players protect themselves with regard to liability, a legal responsibility for one's acts.
answer
Legal considerations
question
A minimum standard that requires an individual to act as a responsibly prudent person.
answer
Reasonable person standard of care
question
Requires an individual to use the knowledge, skills, and abilities that conform to the standard of care for their particular specialization.
answer
Professional standard of care
question
Encompasses a variety of responsibilities, such as teaching proper and appropriate techniques for any age group, providing appropriate supervision of activities, providing quality safety equipment, insuring a safe participation environment and taking proper actions when injuries sustained.
answer
Duty of care
question
A civil wrong done to an individual, whereby the injured party seeks a remedy for damages suffered.
answer
Tort
question
Can occur as a result of an action or lack of action by a professional who had a legal duty of care.
answer
Negligence
question
Occurs when an individual fails to perform a legal duty of care.
answer
Nonfeasance (Omission)
question
Occurs when an individual commits an act that is not their responsibility to perform.
answer
Malfeasance (Commission)
question
Occurs when an individual commits an act that is their legal responsibility to perform, but uses the wrong procedure or performs the correct procedure in an improper manner.
answer
Misfeasance
question
Four elements of negligence:
answer
-there was a duty of care owed to the injured person by the person responsible for the injury. -there was a breach of that duty. -there was harm. -the resulting harm was a direct cause of the breach of duty
question
Performed by a licensed physician as a requirement for participation in sports team or in the physical fitness program can be an effective strategy for ensuring an individualhealth and safety as it pertains to their participation in physical activity or sport.
answer
Preparticipation Examination
question
What is the focus of the PPE?
answer
Dependent on the specific age group
question
True or False? It is a responsibility of the coach to evaluate the status of participants prior to permitting them to engage in activity.
answer
True
question
True or False? It is imperative that the coach has an understanding of legal issues pertaining to injury care and management.
answer
True
question
The duties of the certified athletic trainer include which of the following: injury prevention injury rehabilitation injury assessment acute care of injury all of the above
answer
all of the above
question
True or False? Having been treated by an emergency room physician, a high school athlete reports to the coach with a written note from the physician stating that he should not participate in physical activity for 2 weeks. One week later, the athlete's parent calls the coach indicating that their son has improved significantly and grants permission for him to resume practice. If the coach allows the player to return to practice, a breach of duty has been committed.
answer
True
question
Which of the following tasks is the duty of the coach relative to injury prevention? developing and implementing appropriate conditioning programs administering basic first aid developing appropriate treatment programs diagnosing an acute injury taping the athletes before practice
answer
developing and implementing appropriate conditioning programs
question
During an afternoon football practice on a hot, humid day in August, a coach delayed a scheduled water break until the team performed a particular drill in an acceptable manner. The water break was only 15 minutes later than the scheduled time. During the water break, one of the athletes collapsed with signs of heat stroke. What type of legal liability could result from the coach's actions? delaying the water break was an acceptable action; there is no liability issue malfeasance misfeasance gross negligence
answer
misfeasance
question
The team approach to the delivery of health care to athletes includes all of the following individuals except the: team physician primary care physician athletic trainer coach athletic director
answer
athletic director
question
In an athletic program, the team physician should: A. review preseason conditioning programs B. administer preseason conditioning programs C. design preseason conditioning programs D. none of the above E. answers A & C only
answer
A. review preseason conditioning programs
question
True or False? The immediate care of an acute injury could range from the implementation of standard emergency care for a life threatening condition to administering standard immediate care.
answer
True
question
Which of the following is a written guarantee that a product is safe for use?
answer
Expressed Warranty
question
True or False? You are the coach of a high school soccer team. Following a game, a college coach comes to your office expressing interest in one of the players on the team. It is appropriate to give the college coach limited information regarding the athlete's health.
answer
False
question
An individual can be found negligent if: there was a duty of care there was a breach of duty of care there was harm that was directly caused by breach of duty of care any of the above are present all of the above must by present
answer
all of the above must by present
question
During a weight training session, the coach left the room to work with some players in the gymnasium. While the coach was out of the room, an athlete sustained an injury using the equipment. The coach is at risk for: failure to warn negligence lack of product liability forseeability of harm
answer
negligence
question
Standard of care: requires an individual to use the knowledge, skills, and abilities that conform to the standard of care for their particular specialization refers to the ethical responsibilities that guide an individual's actions and promote standards of conduct is a legal obligation to protect individuals under one's care from unreasonable risks that could be harmful is the permission granted by the government for an individual to practice a professionrequires an individual to use the knowledge, skills, and abilities that conform to the standard of care for their particular specialization
answer
requires an individual to use the knowledge, skills, and abilities that conform to the standard of care for their particular specialization
question
True or False? The team approach to the delivery of healthcare allows for a comprehensive prevention, assessment, and management of an injury or illness as it utilizes the expertise of individual specialists working in conjunction with one another and the patient.
answer
True
question
True or False? Following an injury, the coach is responsible for the implementation of treatment, rehabilitation, and reconditioning programs as developed in consultation with a physician.
answer
False
question
True or False? Negligence can occur as a result of commission, but not as a result of omission.
answer
False
question
True or False? Risk management is the sole responsibility of the coach.
answer
False
question
True or False? In some settings, the areas of injury prevention and management are relegated to the coach regardless of the individual's background.
answer
True
question
Malfeasance is defined as: committing an act that is not your responsibility to perform committing an act that another minimally competent professional would do in the same circumstance committing an act that is your responsibility to perform, but you use the wrong procedure failing to perform your legal duty of care
answer
committing an act that is not your responsibility to perform
question
The sport/ physical activity participant is responsible for each of the following except: performing within the guidelines of an activity maintaining and wearing safety equipment providing appropriate supervision during activity reporting an injury
answer
providing appropriate supervision during activity
question
True or False? A conscious and medically competent individual has the right to refuse treatment.
answer
True
question
The risk of litigation can be reduced by all of the following except: establishing clear standing orders for providing immediate care requiring coaches to purchase insurance having a well-organized emergency plan providing proper supervision
answer
requiring coaches to purchase insurance
question
The final authority to clear an athlete for participation rests with the: athletic trainer coach supervising physician parent of the athlete
answer
supervising physician
question
In order to ensure appropriate healthcare to participants, a coach should be certified: A. in emergency cardiac care B. in emergency first aid C. as an athletic trainer D. all of the above E. answers A & B only
answer
E. answers A & B only
question
True or False? Good Samaritan Laws protect the employees of a fitness facility who render improper care to a client.
answer
False
question
True or False? If an individual signs an assumption of risk form, the coach/ fitness specialist is no longer liable for any injuries that may occur to that individual.
answer
False
question
Based on the individuals assumption of risk and is a release signed by the individual or parent of the individual under the age of 18 that releases the physician from liability of negligence.
answer
Exculpatory waiver
question
Coaches should inform potential participants of the risks for injury during sport and physical activity participation.
answer
Assumption of risk
question
Implies that an injured party has been reasonably informed of the needed treatment for the services that a coach may need to perform, possible alternative treatments, and advantages and disadvantages of each course of action.
answer
Informed consent
question
Any unfermented or intentional contact with another individual without their consent.
answer
Battery
question
A major concern affecting all healthcare providers is the individual's right to privacy.
answer
Confidentiality
question
Health Insurance Portability and Accountability Act
answer
HIPAA
question
Includes laws that are intended to protect the privacy of patients.
answer
What does HIPAA do?
question
Exists when danger is apparent or should have being apparent, resulting in an unreasonably unsafe condition.
answer
Foreseeability of harm
question
Refers to the relative degree of negligence on the part of a professional (defendant) and the participant (plaintiff), with damages awarded on a basis proportionate to each person's carelessness.
answer
Comparative negligence
question
Manufacturers have a duty of care to design, manufacture, in package equipments that will not cause injury to an individual when used as intended.
answer
Implied warranty
question
Written guarantee that the product is safe for use.
answer
Expressed warranty
question
Developed to encourage bystanders to assist others in need of emergency care by granting them immunity from potential litigation.
answer
Good Samaritan laws
question
Specific Adaptation to Imposed Demands
answer
SAID Principle
question
That the body responds to a given demand with a specific and predictable adaptation.
answer
SAID principle states
question
Physiological improvements occur when an individual physically demands more of the body than is normally required.
answer
Overload
question
Refers to the number of exercise sessions per day or week.
answer
Frequency
question
Flexibility can be increased through ? or ? stretching techniques.
answer
Ballistic or static
question
Uses repetitive bouncing motions at the end of the available ROM.
answer
Ballistic stretching
question
Movement is slow and deliberate
answer
Static stretching
question
Cardiorespiratory exercise can be ? or ? depending upon the energy system being utilized?
answer
Aerobic or anaerobic
question
Requires oxygen to produce energy
answer
Aerobic exercise
question
Short, intense bursts of activity that last for less than several minutes.
answer
Anaerobic exercise
question
Refers to the ability to sustain prolonged exercise.
answer
Cardiorespiratory endurance
question
Normal heart rate for adults?
answer
60 to 100 bpm
question
Normal heart rate for children?
answer
120 to 140 bpm
question
Normal respiration for adults?
answer
10 to 20 breaths per minute
question
Normal respiration for children?
answer
20 to 25 breaths per minute
question
How to maintain and improve cardiovascular endurance?
answer
Influenced by an interaction of frequency, duration, and intensity.
question
Purpose of protective equipment?
answer
Can protect the participant from accidental or routine injuries associated with a particular sport or physical activity.
question
The body is erect, facing forward, with the arms at the side of the body, palms facing forward.
answer
Anatomic position
question
Towards the head or cranium.
answer
Superior Ex) the heart is superior to the abdomen.
question
Towards the lower part of the body.
answer
Inferior Ex) the pelvic cavity is in inferior to the thoracic cavity.
question
Towards the front of the body.
answer
Anterior Ex) the quadriceps muscles lie anterior to the femur.
question
Towards the back of the body.
answer
Posterior Ex) the buttock muscles lie posterior to the pelvis.
question
Closest to a reference point.
answer
Proximal Ex) the shoulder is proximal to the elbow
question
Farthest from a reference point.
answer
Distal Ex) the wrist is distal to the elbow
question
Towards or at the midline of the body.
answer
Medial Ex) the little finger is medial to the thumb
question
Away from the midline of the body.
answer
Lateral Ex) The thumb is lateral to the little finger
question
Pertaining to both sides of the outer body.
answer
Bilateral Ex) the ears are bilateral to the skull body.
question
Towards or at the body surface.
answer
Superficial Ex) the skin is superficial to the muscles
question
Away from the body surface.
answer
Deep Ex) the femur is deep to the skin.
question
Movement along the sagittal plane that decreases the angle of the joint. Ex) bending the knee
answer
Flexion
question
Movement along the sagittal plane that increases the angle of the joint. Ex) straightening a flexed knee
answer
Extension
question
Lifting the foot towards the shin is dorsiflexion. Depressing the foot away from the skin is called plantar flexion.
answer
Dorsiflexion and plantar flexion
question
Movement along the frontal plane whereby the limb moved away from the midline of the body. Ex) raising the arm
answer
Abduction
question
Movement along the frontal plane whereby the limb moves towards the midline of the body.
answer
Adduction Ex.) Lowering a raised arm to the side of the body
question
Limb moves in a circle
answer
Circumduction
question
Turning a bone around on its axis
answer
Rotation
question
Rotating of the forearm side to side. Ex) you can hold a cup of tea in your hand
answer
Supination
question
Rotating the forearm up-and-down Ex) Palm laying down on the table
answer
Pronation
question
Pushing your jaw out
answer
Protraction
question
Letting your jaw return to normal position
answer
Retraction
question
Lifting a body parts superiorly. Ex) shrugging your shoulders
answer
Elevation
question
Force acting along the long axis of a structure. Ex) body weight creates axial loads
answer
Axial force
question
Axial loading that produces a squeezing or crushing effect.
answer
Compressive force
question
Pulling force that stretches the object to which is it applied.
answer
Tensile force
question
Causes one part of the object to slide against, displace or shear with another part of the object
answer
Shear force
question
When a single force produces an injury.
answer
Acute injury
question
When repeated or chronic loading over time produces an injury.
answer
Chronic injury
question
When the skin is scraped with sufficient force, usually in one direction, against a rough surface such as a floor or the artificial playing service.
answer
Abrasions
question
Caused by a sharp, cutting object, such as broken glass.
answer
Incisions
question
An irregular tear in the skin that typically results from a combination of tension and shear. Edges are often jagged, leading to significant bleeding.
answer
Laceration
question
A severe laceration that results in complete separation of the skin from the underlying tissues.
answer
Avulsion
question
Formed when a sharp object, such as a shoe spike or nail, penetrates the skin and underlying tissues with tensile loading
answer
Puncture Wound
question
A painful involuntary contraction that may be clonic, with alternating contraction and relaxation.
answer
Cramp
question
An involuntary contraction of short duration caused by reflex action that can be biochemically derived or initiated by a mechanical blow to a nerve or muscle.
answer
Spasm
question
Inflammation of the tendons
answer
Tendinitis
question
Inflammation of the tendon sheath
answer
Tenosynovitis
question
Inflammation of the muscle
answer
Myositis
question
What is an important fact about pain?
answer
It has meaning!
question
Originates in the skin as well as internal structures in the musculoskeletal system.
answer
Somatic pain
question
Defuse or referred rather than localized to the problem site, originates from the internal organs.
answer
Visceral pain
question
Perceived at a location remote from the side of the tissues actually causing the pain.
answer
Referred pain
question
Three Phases of the healing process?
answer
Inflammatory Phase (0-6 days) The Proliferative Phase (3-21 days) The Maturation phase (3 weeks-1 yr)
question
What is the significance of vasoconstriction in the first phase of the healing process?
answer
It promotes increased blood viscosity or resistance to the flow, which further reduces blood loss from the wound.
question
What is the significance of the activation of the coagulation cascade in the first phase of the healing process?
answer
is to stop the blood loss from the wound area.
question
A plasma-like fluid that exudes out of tissues or its capillaries and is composed of protein and granular leukocytes (white blood cells).
answer
Exudate
question
What is phagocytosis?
answer
Leukocytes (neutrophils and macrophages) ingest the cellular debris; in doing so, prepares the area for repair.
question
An increase in blood flow
answer
Vasodilation
question
What concerns are associated with complete immobilization of a body part following a soft tissue injury? Why?
answer
Complete immobilization of the injury leads to atrophy, loss of strength, and decreased rate of healing in those tissues. Increased risk of re-injury exist as long as the affected tissues are below pre-injury strength.
question
1) Extent (size) of the injury 2) Extent (amount) of hemorrhage and edema 3) Muscle spasm 4) Inflammation 5) Infection
answer
Identify five local factors (not systemic) that can delay the healing of a soft tissue injury.
question
What is the best method of controlling bleeding?
answer
Direct pressure
question
What does elevation of an injured side due for the injury?
answer
Prevents pooling of the blood in the extremities.
question
Immobilization can lead to loss of muscle strength within:
answer
24 hours
question
An objective, measurable physical findings regarding an individual's condition.
answer
Sign
question
Information provided by the injured individual regarding their perception of the problem.
answer
Symptom
question
HOPS
answer
History Observation Palpation Special Tests
question
SOAP
answer
Subjective Objective Assessment Plan
question
Most important step in injury assessment?
answer
Identifying the history of the injury
question
What is information provided by the individual regarding their perception of the problem?
answer
Symptoms
question
Subjective information is gained through what part of the HOPS process?
answer
History
question
To identify and initiate management of any life threatening conditions.
answer
Primary Survey
question
Purpose of a secondary survey?
answer
To identify the type and extent of an injury, and the immediate disposition of the condition.
question
The amount of "give" within a joint supportive tissue is termed
answer
Laxity
question
Is performed voluntarily by the individual
answer
Active range of motion
question
When an injured individual is unable to perform the full motion.
answer
Passive range of motion
question
When an individual is able to perform the full and pain-free motion, the coach may want to resist range of motion to detect muscle strength.
answer
Resisted range of motion
question
When the individual has successfully completed active and resisted motion.
answer
Weight bearing
question
Information gathered during the assessment must be analyzed and decisions made based on the best interests of the injured individual.
answer
Disposition
question
What are the questions for mechanisms of injury?
answer
Who? What? When? Where? How?