Injury Report Injury Report
Dec 18, 2015
HOPSHOPS
1.1. HistoryHistory
2.2. ObservationObservation
3.3. PalpationsPalpations
4.4. Special TestsSpecial Tests
HistoryHistory Basic InformationBasic Information
– Name of athleteName of athlete– Date of birth & genderDate of birth & gender– Sport, position, year & seasonSport, position, year & season– Activity & groupActivity & group– Location, weather, & type of surfaceLocation, weather, & type of surface
HistoryHistory Injury HistoryInjury History
– Date & time of injuryDate & time of injury– OnsetOnset
Acute, chronic, or re-injuryAcute, chronic, or re-injury
– Body part & sideBody part & side– Mechanism & how did it occurMechanism & how did it occur– Was there an existing injury and if yes, what & Was there an existing injury and if yes, what &
whenwhen– PainPain
Location, type, any soundsLocation, type, any sounds
– General condition of the athleteGeneral condition of the athlete
HistoryHistory
Present historyPresent history What is the problem? What is the problem? How did it occur?How did it occur? When did it occur? When did it occur? Did you fall?Did you fall? How did you land?How did you land? Which direction did your joint move?Which direction did your joint move? Did you feel or hear something when it Did you feel or hear something when it
occurred?occurred? If so, what? If so, what?
HistoryHistory
Present historyPresent history
Injury Location:Injury Location: Toes, Lower Leg, Hip, Lumbar, Toes, Lower Leg, Hip, Lumbar,
Shoulder, Forearm, Cervical, Foot, Shoulder, Forearm, Cervical, Foot, Knee, Pelvis, Thorax, Upper Arm, Knee, Pelvis, Thorax, Upper Arm, Wrist, Head, Ankle, Thigh, Wrist, Head, Ankle, Thigh, Abdomen, Thoracic, Elbow, Fingers, Abdomen, Thoracic, Elbow, Fingers, Face, MedicalFace, Medical
HistoryHistory
Present historyPresent history
With one finger, point to the exact With one finger, point to the exact location of the injury: location of the injury:
Proximal, Distal, Superior, Inferior, Proximal, Distal, Superior, Inferior, Medial, Lateral, Anterior, Posterior, Medial, Lateral, Anterior, Posterior, RUQ, RLQ, LUQ, LLQ, MidlineRUQ, RLQ, LUQ, LLQ, Midline
HistoryHistoryPresent historyPresent historyPain Type:Pain Type:
Nerve Nerve – Sharp, bright, burningSharp, bright, burning
Muscle Muscle – Dull, aching, referred to another areaDull, aching, referred to another area
BoneBone– Localized and piercingLocalized and piercing
Vascular Vascular – Poorly localized, aching, referred from Poorly localized, aching, referred from
another areaanother area
HistoryHistoryPresent historyPresent history
Pain Location:Pain Location: DeepDeep
– more difficult to match the pain with more difficult to match the pain with the site of trauma, may cause the site of trauma, may cause treatment to be performed at the treatment to be performed at the wrong sitewrong site
Superficial Superficial – better elicited pain corresponding with better elicited pain corresponding with
the site of pain stimulationthe site of pain stimulation
HistoryHistoryPresent historyPresent history
Does the pain change at different Does the pain change at different times?times?
Chronic inflammationChronic inflammation– indicated by pain that usually subsides indicated by pain that usually subsides
during activityduring activity Edema Edema
– pain that increases in a joint pain that increases in a joint throughout the daythroughout the day
HistoryHistoryPresent historyPresent history
Does the athlete feel a sensation Does the athlete feel a sensation other than pain?other than pain?
Pressure on nerve roots can Pressure on nerve roots can produce pain or a sensation of “pins produce pain or a sensation of “pins and needles” (paresthesia)and needles” (paresthesia)
HistoryHistoryPresent historyPresent history
If the injury is related to a joint:If the injury is related to a joint: Is there stability?Is there stability? Does it feel if it will give way? Does it feel if it will give way? Does it lock and unlock?Does it lock and unlock? Positive responses may indicate the Positive responses may indicate the
joint has a loose body catching or joint has a loose body catching or inhibiting the normal musculature inhibiting the normal musculature support in the areasupport in the area
HistoryHistoryPresent historyPresent history
How long has the athlete had the How long has the athlete had the injury?injury?
Acute Acute – immediateimmediate
Chronic Chronic – over an extended period of timeover an extended period of time
ObservationsObservations Usually taken during the historyUsually taken during the history What do you see?What do you see?
– SwellingSwelling– RednessRedness– EcchymosisEcchymosis– Scars, blisters, callusesScars, blisters, calluses– Limp or abnormal movementLimp or abnormal movement– Asymmetry, protrusions, malalignments, Asymmetry, protrusions, malalignments,
deformitiesdeformities– Guarding, facial expressions, etcGuarding, facial expressions, etc
ObservationObservation
How does the How does the athlete move? athlete move?
LimpLimp Facial expressionFacial expression Asynchronous Asynchronous
MovementMovement No movementNo movement GuardingGuarding Slow movement Slow movement
SwellingSwelling RednessRedness DeformityDeformity InflammationInflammation EcchymosisEcchymosis AsymmetriesAsymmetries Abnormal SoundAbnormal Sound AtrophyAtrophy
Elbow ObservationsElbow Observations
Cubitus RecurvatusCubitus Recurvatus– HyperextensionHyperextension
Toe ObservationsToe Observations Morton’s ToeMorton’s Toe
– Abnormally short 1st metatarsal makes the second toe Abnormally short 1st metatarsal makes the second toe appear longer and putting more weight bearing on the 2nd appear longer and putting more weight bearing on the 2nd metatarsal metatarsal
Bunions (Hallux Valgus) or Bunionettes (Tailor’s Bunions (Hallux Valgus) or Bunionettes (Tailor’s Bunions)Bunions)
– In all bunions, both the flexor and extensor tendons are In all bunions, both the flexor and extensor tendons are malaligned, creating more angular stress on the joint.malaligned, creating more angular stress on the joint.
CornsCorns Hammer Toes or Clawed ToesHammer Toes or Clawed Toes
– Malalignment of the metatarsophalangeal joint and PIP jointsMalalignment of the metatarsophalangeal joint and PIP joints Toe Overlap Toe Overlap Ingrown NailIngrown Nail Subungual Hematoma Subungual Hematoma
Foot ObservationsFoot Observations
Pes PlanusPes Planus– Flat feetFlat feet
Pes CavusPes Cavus– High arch High arch
Knee ObservationsKnee Observations
Genu VarumGenu Varum– Bowed LegsBowed Legs
Genu ValgumGenu Valgum– Knock KneesKnock Knees
Genu RecurvatumGenu Recurvatum– HyperextensionHyperextension
Lumbar ObservationsLumbar Observations ScoliosisScoliosis
– Lateral curvature of the spineLateral curvature of the spine KyphosisKyphosis
– Increased thoracic curvatureIncreased thoracic curvature LordosisLordosis
– Increased lumbar curvatureIncreased lumbar curvature Forward head postureForward head posture
– Head protrudes forward caused by kyphosisHead protrudes forward caused by kyphosis Flatback postureFlatback posture
– Flat posture caused by a decreased lumbar curvatureFlat posture caused by a decreased lumbar curvature Swayback posture Swayback posture
– Anterior shifting of the entire pelvis resulting in hip Anterior shifting of the entire pelvis resulting in hip extensionextension
Postural MalalignmentsPostural Malalignments
A.A. KyphosisKyphosis
B.B. Forward Forward headhead
C.C. FlatbackFlatback
D.D. SwaybackSwayback
E.E. LordosisLordosis
F.F. Scoliosis Scoliosis
PalpationsPalpations Bony & muscularBony & muscular
– Point tenderness (pain)Point tenderness (pain)– Differences compared to the able sideDifferences compared to the able side– Temperature (hot or cold)Temperature (hot or cold)– CrepitusCrepitus– PulsePulse– DermatomesDermatomes– Spasms or crampsSpasms or cramps
Special TestsSpecial Tests Active range of motion (AROM)Active range of motion (AROM) Passive range of motion (PROM)Passive range of motion (PROM) Resistive range of motion (RROM)Resistive range of motion (RROM)
– Aka active resistive range of motion (ARROM)Aka active resistive range of motion (ARROM) Muscle grade (done with active range of motion)Muscle grade (done with active range of motion) Ligament testsLigament tests Special testsSpecial tests Functional testsFunctional tests Sports specific testsSports specific tests Neurological testsNeurological tests
– Reflexes and glascow coma scaleReflexes and glascow coma scale Vital signs Vital signs
Suspected InjurySuspected Injury Write all suspected injuriesWrite all suspected injuries SeveritySeverity Immediate careImmediate care Service & initial treatmentService & initial treatment Status & restrictionsStatus & restrictions Instructions to the athleteInstructions to the athlete Athlete & evaluator must sign the Athlete & evaluator must sign the
documentdocument
The unconscious athlete must always The unconscious athlete must always be considered to have a life-be considered to have a life-threatening injury, which requires an threatening injury, which requires an immediate primary survey.immediate primary survey.
THE PRIMARY SURVEY THE PRIMARY SURVEY The athletic trainer should immediately note the The athletic trainer should immediately note the
body position and determine the level of body position and determine the level of consciousness and unresponsiveness.consciousness and unresponsiveness.
Airway, breathing, and circulation should be Airway, breathing, and circulation should be established immediately.established immediately.
Injury to the neck and spine should always be Injury to the neck and spine should always be considered as a possibility in the unconscious considered as a possibility in the unconscious athlete.athlete.
If the athlete is wearing a helmet, it should never If the athlete is wearing a helmet, it should never be removed until neck and spine have been clearly be removed until neck and spine have been clearly ruled out. However, the face mask must be cut ruled out. However, the face mask must be cut away and removed to allow for CPR.away and removed to allow for CPR.
If the athlete is supine and not breathing, airway, If the athlete is supine and not breathing, airway, breathing, and circulation should be established breathing, and circulation should be established immediately.immediately.
THE PRIMARY SURVEY THE PRIMARY SURVEY If the athlete is supine and breathing, nothing If the athlete is supine and breathing, nothing
should be done until consciousness returns.should be done until consciousness returns. If the athlete is prone and not breathing, he or she If the athlete is prone and not breathing, he or she
should be log-rolled carefully to the supine position should be log-rolled carefully to the supine position and ABCs should be established immediately. and ABCs should be established immediately.
If the athlete is prone and breathing, nothing If the athlete is prone and breathing, nothing should be done until consciousness returns, then should be done until consciousness returns, then the athlete should be carefully log rolled onto a the athlete should be carefully log rolled onto a spine board because CPR could be necessary at spine board because CPR could be necessary at any time.any time.
Life support for the unconscious athlete should be Life support for the unconscious athlete should be monitored and maintained until emergency medical monitored and maintained until emergency medical personnel arrive.personnel arrive.
Once the athlete is stabilized, the athletic trainer Once the athlete is stabilized, the athletic trainer should begin a secondary survey.should begin a secondary survey.
Controlling Bleeding Controlling Bleeding
Direct pressureDirect pressure Elevation Elevation Pressure points Pressure points Tourniquets (only for special Tourniquets (only for special
circumstances)circumstances)
Shock:Shock:Signs and SymptomsSigns and Symptoms
1.1. Blood pressure is lowBlood pressure is low2.2. Systolic pressure is usually below 90 mmHgSystolic pressure is usually below 90 mmHg3.3. Pulse is rapid and weakPulse is rapid and weak4.4. Rapid BreathingRapid Breathing5.5. Athlete may be drowsy and appear sluggishAthlete may be drowsy and appear sluggish6.6. Altered level of consciousnessAltered level of consciousness7.7. Respiration is shallow and extremely rapidRespiration is shallow and extremely rapid8.8. Skin is pale, cool, and clammySkin is pale, cool, and clammy9.9. Restlessness or irritabilityRestlessness or irritability10.10. Nausea and vomitingNausea and vomiting11.11. A blue tinge to lips and nail bedsA blue tinge to lips and nail beds
Shock:Shock:TreatmentTreatment
1.1. Make sure that 9-1-1 or the workplace Make sure that 9-1-1 or the workplace emergency number has been calledemergency number has been called
2.2. Continue to monitor the victim’s airway, Continue to monitor the victim’s airway, breathing, and circulation (ABCs)breathing, and circulation (ABCs)
3.3. Control any external bleedingControl any external bleeding4.4. Keep the victim from getting chilled or Keep the victim from getting chilled or
overheatedoverheated5.5. Help the victim rest comfortably. If the victim is Help the victim rest comfortably. If the victim is
not having trouble breathing or if it is not not having trouble breathing or if it is not expected that the victim has a head, neck, or expected that the victim has a head, neck, or back injury or broken bones in the hips or legs, back injury or broken bones in the hips or legs, elevate the legs about 12 incheselevate the legs about 12 inches
6.6. Comfort and reassure the victim until advanced Comfort and reassure the victim until advanced medical personnel arrive and take overmedical personnel arrive and take over
7.7. Do not give food or drink to the victimDo not give food or drink to the victim
THE SECONDARY SURVEY:THE SECONDARY SURVEY:
Vital SignsVital Signs Pulse, respiration, blood pressure, Pulse, respiration, blood pressure,
temperature, skin temperature, skin temperature, skin temperature, skin moisture, skin color, pupilsmoisture, skin color, pupils, level of , level of consciousness, ability to move, consciousness, ability to move, reaction to pain, abnormal nerve reaction to pain, abnormal nerve response, and breath soundsresponse, and breath sounds
THE SECONDARY SURVEY:THE SECONDARY SURVEY:PulsePulse
Adults range between 60 and 80 beats per Adults range between 60 and 80 beats per minuteminute
Children range between 80 and 100 beats Children range between 80 and 100 beats per minuteper minute
Infants range between 120 to 160 beats Infants range between 120 to 160 beats per minuteper minute
Trained athletes may be slowerTrained athletes may be slower Heart rate can be taken at the radial or Heart rate can be taken at the radial or
carotid artery for 30 seconds then multiply carotid artery for 30 seconds then multiply by twoby two
THE SECONDARY SURVEY:THE SECONDARY SURVEY:PulsePulse
Fast & weakFast & weak– Shock, heat exhaustion, diabetic comaShock, heat exhaustion, diabetic coma
Fast & strongFast & strong– Fright, stress, Fever, HTN, heat stroke, Fright, stress, Fever, HTN, heat stroke,
stimulant drugsstimulant drugs Slow & weakSlow & weak
– Drug overdose, impending deathDrug overdose, impending death Slow & strong Slow & strong
– Stroke, head injury Stroke, head injury
THE SECONDARY SURVEY:THE SECONDARY SURVEY:RespirationRespiration
Adult breathing rate is 12 breaths Adult breathing rate is 12 breaths per minuteper minute
Children breathing rate is 20 to 25 Children breathing rate is 20 to 25 breaths per minutebreaths per minute
Infant breathing rate is 24 to 50 Infant breathing rate is 24 to 50 breaths per minutebreaths per minute
Watch the chest rise and fall for 30 Watch the chest rise and fall for 30 seconds then multiply by twoseconds then multiply by two
THE SECONDARY SURVEY:THE SECONDARY SURVEY:RespirationRespiration
Rapid & shallowRapid & shallow– Airway obstruction (partial), heart Airway obstruction (partial), heart
failure, chest or abdominal injury or painfailure, chest or abdominal injury or pain Rapid & deepRapid & deep
– Diabetic coma, head injury, stressDiabetic coma, head injury, stress Slow & shallowSlow & shallow
– Drug overdose, impending death Drug overdose, impending death Labored Labored
– Airway obstruction Airway obstruction
THE SECONDARY SURVEY:THE SECONDARY SURVEY:Blood PressureBlood Pressure
Normal range 90/60 mmHg - 120/80 Normal range 90/60 mmHg - 120/80 mmHg mmHg
Borderline HTN 139/89 mmHgBorderline HTN 139/89 mmHg Hypertension is 140/90 mmHg or Hypertension is 140/90 mmHg or
higherhigher Top number represents the systolic Top number represents the systolic
pressurepressure Bottom number represents the Bottom number represents the
diastolic pressurediastolic pressure
THE SECONDARY SURVEY:THE SECONDARY SURVEY:Blood PressureBlood Pressure
High or risingHigh or rising– Fright, stress, head injury, CNS Fright, stress, head injury, CNS
problems, poisoning problems, poisoning Low or fallingLow or falling
– Shock, internal bleedingShock, internal bleeding
THE SECONDARY SURVEY:THE SECONDARY SURVEY:TemperatureTemperature
Oral = 98.6º ± 1ºOral = 98.6º ± 1º Axillary = 97.6º Axillary = 97.6º Rectal = 99.6ºRectal = 99.6º
– Core temperatureCore temperature Very HighVery High
– Heat stroke, infection, feverHeat stroke, infection, fever ElevatedElevated
– Heat exhaustion, infection, feverHeat exhaustion, infection, fever Low Low
– Hypothermia Hypothermia
THE SECONDARY SURVEY:THE SECONDARY SURVEY:Skin TemperatureSkin Temperature
Warm is normalWarm is normal HotHot
– Hyperthermia Hyperthermia Cold Cold
– Hypothermia Hypothermia
THE SECONDARY SURVEY:THE SECONDARY SURVEY:Skin MoistureSkin Moisture
Dry is normalDry is normal DampDamp
– Shock, fright, stress Shock, fright, stress Very sweaty Very sweaty
– Heart attack, insulin shock, shock Heart attack, insulin shock, shock
THE SECONDARY SURVEY:THE SECONDARY SURVEY:Skin ColorSkin Color
Pink on thenar prominencePink on thenar prominence Normal capillary refill is less than 2 Normal capillary refill is less than 2
secsec Capillary refill longer than 2 sec is Capillary refill longer than 2 sec is
circulatory compromise circulatory compromise
THE SECONDARY SURVEY:THE SECONDARY SURVEY:Skin ColorSkin Color
Red (Flushed) – Excessive Circulation to the skinRed (Flushed) – Excessive Circulation to the skin– Fever, diabetic coma, heat stroke, hypertension (HTN)Fever, diabetic coma, heat stroke, hypertension (HTN)
White (Pallor/Pale): circulatory insufficiencyWhite (Pallor/Pale): circulatory insufficiency– Stress, shock, hypoglycemia, heat exhaustion, heart Stress, shock, hypoglycemia, heat exhaustion, heart
attackattack Blue (Cyanosis): respiratory insufficiencyBlue (Cyanosis): respiratory insufficiency
– Airway obstruction, respiratory insufficiency, pump Airway obstruction, respiratory insufficiency, pump failure, shock, traumatic asphyxiafailure, shock, traumatic asphyxia
Yellow (Jaundice) – Liver FunctionYellow (Jaundice) – Liver Function– liver failure, hepatitis, chronic alcoholismliver failure, hepatitis, chronic alcoholism
Gray (Ashen): circulatory insufficiencyGray (Ashen): circulatory insufficiency– heart attackheart attack
Blotchy (Mottled): circulatory insufficiencyBlotchy (Mottled): circulatory insufficiency– shock, poor perfusion shock, poor perfusion
THE SECONDARY SURVEY:THE SECONDARY SURVEY:PupilsPupils
Should be equal and reactive to light Should be equal and reactive to light ConstrictedConstricted
– Bright light, opiates/heroin overdose, some Bright light, opiates/heroin overdose, some poisoningspoisonings
Mid-pointMid-point– Dead (pupils are fixed and dilated) Dead (pupils are fixed and dilated)
Dilated Dilated – Stress, fright, coma, amphetamine/stimulant Stress, fright, coma, amphetamine/stimulant
overdose, CNS injury, overdose, CNS injury, – early stage of death early stage of death
One pupil dilatedOne pupil dilated– Head injuryHead injury
THE SECONDARY SURVEY:THE SECONDARY SURVEY:Level of ConsciousnessLevel of Consciousness
Alert and oriented to Alert and oriented to Time Time What day is it?What day is it? PlacePlace Where are you?Where are you? PersonPerson What is your coaches What is your coaches
name?name? Purpose Purpose What are you doing today?What are you doing today?
THE SECONDARY SURVEY:THE SECONDARY SURVEY:Level of ConsciousnessLevel of Consciousness
Glascow Coma Scale Glascow Coma Scale Normal Score is 15 Normal Score is 15
– Eye opening is 4 maximumEye opening is 4 maximum– Motor response is 6 maximumMotor response is 6 maximum– Verbal response is 5 maximumVerbal response is 5 maximum
Under 15 is considered alteredUnder 15 is considered altered Under 7 is considered a coma Under 7 is considered a coma
THE SECONDARY SURVEY:THE SECONDARY SURVEY:Level of ConsciousnessLevel of Consciousness
Eye opening Eye opening 4 – Spontaneous4 – Spontaneous 3 – Verbal3 – Verbal 2 – Pain2 – Pain 1 – None1 – None
THE SECONDARY SURVEY:THE SECONDARY SURVEY:Level of ConsciousnessLevel of Consciousness
Motor responseMotor response 6 – Obeys6 – Obeys 5 – Localizes to pain5 – Localizes to pain 4 – Withdraws to pain4 – Withdraws to pain 3 – Flexion (decorticate)3 – Flexion (decorticate)
– Flexion of arms Flexion of arms – Hyperextension legs Hyperextension legs
2 – Extension (decerebrate)2 – Extension (decerebrate)– Arms and legs extended Arms and legs extended – Internally rotated Internally rotated
1 – None1 – None
THE SECONDARY SURVEY:THE SECONDARY SURVEY:Level of ConsciousnessLevel of Consciousness
Verbal response Verbal response 5 – Oriented5 – Oriented 4 – Confused4 – Confused 3 - Inappropriate words 3 - Inappropriate words 2 – Incomprehensible sounds2 – Incomprehensible sounds 1 – No verbal response 1 – No verbal response
THE SECONDARY SURVEY:THE SECONDARY SURVEY:Ability to MoveAbility to Move
Normal is a full range of motion Normal is a full range of motion (ROM)(ROM)
Apparent inabilityApparent inability– Guarding due to trauma, fracture, or Guarding due to trauma, fracture, or
painpain True inability True inability
– ParalysisParalysis One sided – head injuryOne sided – head injury Below – spinal injuryBelow – spinal injury
THE SECONDARY SURVEY:THE SECONDARY SURVEY:Ability to MoveAbility to Move
Inability to move a body part can indicate Inability to move a body part can indicate a serious central nervous system injurya serious central nervous system injury
Inability to move one side of the body can Inability to move one side of the body can indicate head injuryindicate head injury
Tingling or numbness of the upper Tingling or numbness of the upper extremity can indicate cervical injuryextremity can indicate cervical injury
Weakness or inability to move the lower Weakness or inability to move the lower extremity can indicate injury below the extremity can indicate injury below the neckneck
THE SECONDARY SURVEY:THE SECONDARY SURVEY:Reaction to PainReaction to Pain
Normal is recognized abilityNormal is recognized ability LocalizedLocalized
– Injury or fractureInjury or fracture GeneralizedGeneralized
– Massive trauma, poisoningMassive trauma, poisoning Absent Absent
– (When injury is obvious) downer drugs, (When injury is obvious) downer drugs, alcohol, shock, spinal injury alcohol, shock, spinal injury
THE SECONDARY SURVEY:THE SECONDARY SURVEY:Abnormal Nerve ResponseAbnormal Nerve Response
Numbness or tingling in a limb with or Numbness or tingling in a limb with or without movement can indicate nerve or without movement can indicate nerve or cold damagecold damage
Blocking of a main artery can produce Blocking of a main artery can produce severe pain, loss of sensation, or lack of a severe pain, loss of sensation, or lack of a pulse in a limbpulse in a limb
A complete lack of pain or of awareness of A complete lack of pain or of awareness of serious, but obvious injury may be caused serious, but obvious injury may be caused by shock, hysteria, drug usage, or a spinal by shock, hysteria, drug usage, or a spinal cord injury cord injury
THE SECONDARY SURVEY:THE SECONDARY SURVEY:Breath SoundsBreath Sounds
Normal is clearNormal is clear StridorStridor
– Upper airway obstruction heard on inspirationUpper airway obstruction heard on inspiration high-pitched whistlinghigh-pitched whistling
WheezesWheezes– Lower airway obstruction heard on expiration Lower airway obstruction heard on expiration
high-pitched whistlinghigh-pitched whistling
RhonchiRhonchi– Lower airway obstruction heard on expiration Lower airway obstruction heard on expiration
coarse, loud, gurglingcoarse, loud, gurgling
THE SECONDARY SURVEY:THE SECONDARY SURVEY:Breath SoundsBreath Sounds
CracklesCrackles– Lower airway obstruction heard on Lower airway obstruction heard on
inspirationinspiration fine cracklingfine crackling
GruntingGrunting– Upper airway obstruction heard on Upper airway obstruction heard on
expirationexpiration ““ugh” soundugh” sound
SnoringSnoring– Soft palate obstruction Soft palate obstruction
THE SECONDARY SURVEY:THE SECONDARY SURVEY:
Immediate treatment of all Immediate treatment of all musculoskeletal injuries:musculoskeletal injuries:
R.I.C.E.R.I.C.E. Rest Rest Ice Ice CompressionCompression Elevation Elevation
Special TestsSpecial Tests
SOAP NotesSOAP Notes
S = SubjectiveS = Subjective What the athlete tells What the athlete tells youyou
O = ObjectiveO = Objective Trainer’s testsTrainer’s tests A = AssessmentA = Assessment Suspected conditionSuspected condition P = PlanP = Plan TreatmentTreatment
This can be used as an evaluation or a This can be used as an evaluation or a progress report.progress report.