ATH/PHE 340 Acute Care for Athletic Injuries Fall Semester 2013

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1 ATH/PHE 340 Acute Care for Athletic Injuries Fall Semester 2013 LECTURER: Deena Albert Parks, M.S., ATC OFFICE HOURS: PM M & W, 11-2 PM T & H; Friday by appointment deena.albertparks@umpi.edu PHONE : (o) , (c) CREDIT HOURS: 3 CLASS TIME: TR 8:00-9:15 AM As a member of the university community: I pledge to pursue academic excellence I pledge to support open inquiry and civil expression I pledge to listen respectfully to the viewpoints of others I pledge to participate in the life of the community I pledge to conserve and enhance the beauty of the campus I Pledge to help all members of the university community to realize their full potential "Definition of the Credit Hour at UMPI In all of its courses and programs, the University of Maine at Presque Isle defines a credit hour as an amount of work equivalent to one hour of classroom instruction supplemented by a minimum of two additional hours of student out-ofclass work each week for an approximately fifteen-week semester. Accordingly, in all lecture or seminar courses, it is our expectation that students will work on course assignments for a minimum of two hours outside of class for every hour they are in class. It is understood that internships, practica, studio work, laboratory work, online courses, and other academic activities leading to the award of credit will organize student work in configurations which do not precisely match this definition. Nevertheless, the amount of student work required per credit hour in these courses or credit-bearing activities at UMPI will always be equivalent to the amount of work required per credit hour in a standard lecture or seminar course, as defined above." Information, Policies, & Procedures for all courses at UMPI: UMPI Writing Center: Located on the first floor of South Hall, the writing center offers one-on-one consultations for writers at all levels of course work, at all stages of the writing process. Call or stop by to set up an appointment. Disability Services: with disabilities needing accommodations or assistance with coursework or testing should contact Mary Kate Barbosa, Director of Student Support Services, at Please note that disabled students must present current and complete documentation to receive accommodations. Tutoring: Student Support Services offers tutoring to all students via experienced professional and peer tutors. If you are interested in receiving tutoring, please contact Helen Findlen, Tutor Coordinator, at

2 Attendance: Attendance is mandatory. Students are expected to attend all lectures. Special consideration will be given for documented excusable absences of illness or death in the family. Unexcused absences will result in a 2 point deduction from the final grade for each day absent. Course Text: Required: Rehberg, Robb, Sports Emergency Care, A Team Approach, 2 nd Ed. Slack ISBN American Heart Association, BLS for Healthcare Providers Student Manual AHA ISBN-13: Ehrlich, Ann; Schroeder, Carol, Medical Terminology for Health Professionals, 7 th ed bundled with learning Labs, 1 year access, ISBN: Course Description: This course will develop skills in assessment of acute care of athletic injuries, emergency planning, interaction with emergency medical services, etiology, signs and symptoms of common medical emergencies in sports including environmental and mental health emergencies. Medical terminology study and usage will be also incorporated throughout the class. BLS certification in first aid, CPR and AED from the American Heart Association is included. Course Fee: A charge of $2.50 ($5 total) for each new AHA card (CPR & First Aid) will be paid to the class instructor before the student will receive their new certifications during this course. Grading: Grades will be based on in-class participation, medical terminology quizzes & activities, homework assignments, practical exams, a mid-term exam, and a final exam (or project). Evaluation Type: In-Class Participation Participation for in-class activities will be evaluated each class. Medical Terminology Quizzes & Activities These will be due every Friday by noon online. Homework Assignments The student will be asked to complete homework assignments associated with learning the current class material. Practical Exams The student will demonstrate in a practical manner that they understand the basic functions & learned concepts to apply to an acute care situation. Mid-Term Exam A written test based on the material being learned out of the class textbook at week 7 or 8. Final Exam A written test based on the material being learned out of the class textbook at the end of the semester. (Research Project Develop a research project (to include, but not limited to case study, clinical research project, literature review) for acute care-related topic.)

3 Evaluation Type: In-Class Participation 40% Medical Terminology Quizzes & Activities 15% Homework Assignments 10% Practical Exams 15% Mid-Term Exam 10% Final Exam (Research Project) 10% Total: 100% Your final letter grade will be awarded on the following scale: A: % C: % A-: % C-: % B+: % D+: % B: % D: % B-: % D-: % C+: % F: % *Scores will not be curved. Course Policies: Academic Dishonesty: Academic dishonesty in any portion of the academic work for this course shall be grounds for awarding a grade of F for the entire course. Workload: For this course, one credit is defined as equivalent to an average of 3 hours of learning effort per week (over the full semester) necessary for the average student to achieve an average grade in this course. Late Assignments: Assignments are due at the beginning of class on the assigned date. Assignments handed in after the beginning of class will be penalized 5 points, then 10 points each day thereafter. After a week they will no longer be accepted and will result in a zero. Dress Code: Students are asked to wear loose-fitting clothing, shorts, and short-sleeved tops or tank tops to facilitate easy access to various body areas that we will be practicing on during lab. Preparation work: Students are expected to read the assigned literature prior to attending class.

4 COURSE SCHEDULE: Week Date Topic Chapter(s) 1 9/03 9/06 Intro/Blood Borne Pathogens Emergency Action Plans/BLS Training SEC 1 SEC 2-3, BLS 2 9/10 BLS Training BLS, video 9/12 BLS Training 3 9/17 BLS Testing BLS 9/19 BLS Testing 4 9/24 9/26 Vitals Environmental Conditions SEC 3 SEC /01 Sports Equipment 10/ /08 Spinal Injuries & Spineboarding, Airways SEC / /15 10/17 Fall Break No Classes Spinal Injuries & Spineboarding, Airways cont. 8 10/22 MTBI 10/ /29 Soft Tissue Injuries SEC 11 10/ /05 Wound Care, Wrapping 11/ /12 Splinting & Crutches 11/ /19 General Medical Conditions SEC 12 11/ /26 General Medical Conditions cont. SEC 12 11/28 No Class-Thanksgiving Break 14 12/03 Scenarios 12/ /10 12/12 Scenarios Last Day of Classes Review Final Exam *Subject to change Acute Care of Injuries and Illnesses (AC) Athletic trainers and other various acute care providers are often present when injuries or other acute conditions occur or are the first healthcare professionals to evaluate a patient. For this reason, they must be knowledgeable and skilled in the evaluation and immediate management of acute injuries and illnesses. The following competencies identified in this section will be introduced and instructed to entry-level acute care providers during the duration of this course.

5 KNOWLEDGE AND SKILLS Planning AC-1. AC-2. AC-3. Examination AC-4. AC-5. AC-6. AC-7. Explain the legal, moral, and ethical parameters that define the athletic trainer's scope of acute and emergency care. Differentiate the roles and responsibilities of the athletic trainer from other pre-hospital care and hospital-based providers, including emergency medical technicians/paramedics, nurses, physician assistants, and physicians. Describe the hospital trauma level system and its role in the transportation decision-making process. Demonstrate the ability to perform scene, primary, and secondary surveys. Obtain a medical history appropriate for the patient s ability to respond. When appropriate, obtain and monitor signs of basic body functions including pulse, blood pressure, respiration, pulse oximetry, pain, and core temperature. Relate changes in vital signs to the patient s status. Differentiate between normal and abnormal physical findings (eg, pulse, blood pressure, heart and lung sounds, oxygen saturation, pain, core temperature) and the associated pathophysiology. Immediate Emergent Management AC-8. AC-9. AC-10. Explain the indications, guidelines, proper techniques, and necessary supplies for removing equipment and clothing in order to access the airway, evaluate and/or stabilize an athlete s injured body part. Differentiate the types of airway adjuncts (oropharygneal airways [OPA], nasopharyngeal airways [NPA] and supraglottic airways [King LT-D or Combitube]) and their use in maintaining a patent airway in adult respiratory and/or cardiac arrest. Establish and maintain an airway, including the use of oro- and nasopharygneal airways, and neutral spine alignment in an athlete with a suspected spine injury who may be wearing shoulder pads, a helmet with and without a face guard, or other protective equipment. AC-11. Determine when suction for airway maintenance is indicated and use according to accepted practice protocols. AC-12. Identify cases when rescue breathing, CPR, and/or AED use is indicated according to current accepted practice protocols. AC-13. Utilize an automated external defibrillator (AED) according to current accepted practice protocols. AC-14. Perform one- and two- person CPR on an infant, child and adult. AC-15. Utilize a bag valve and pocket mask on a child and adult using supplemental oxygen. AC-16. Explain the indications, application, and treatment parameters for supplemental oxygen administration for emergency situations. AC-17. Administer supplemental oxygen with adjuncts (eg, non-rebreather mask, nasal cannula). AC-18. Assess oxygen saturation using a pulse oximeter and interpret the results to guide decision making. AC-19. Explain the proper procedures for managing external hemorrhage (eg, direct pressure, pressure points, tourniquets) and the rationale for use of each. AC-20. Select and use the appropriate procedure for managing external hemorrhage. AC-21. Explain aseptic or sterile techniques, approved sanitation methods, and universal precautions used in the cleaning, closure, and dressing of wounds. AC-22. Select and use appropriate procedures for the cleaning, closure, and dressing of wounds, identifying when referral is necessary. AC-23. Use cervical stabilization devices and techniques that are appropriate to the circumstances of an injury. AC-24. Demonstrate proper positioning and immobilization of a patient with a suspected spinal cord injury. AC-25. Perform patient transfer techniques for suspected head and spine injuries utilizing supine log roll, prone log roll with push, prone log roll with pull, and lift-and-slide techniques. AC-26. Select the appropriate spine board, including long board or short board, and use appropriate immobilization techniques based on the circumstance of the patient s injury.

6 AC-27. Explain the role of core body temperature in differentiating between exertional heat stroke, hyponatremia, and head injury. AC-28. Differentiate the different methods for assessing core body temperature. AC-29. Assess core body temperature using a rectal probe. AC-30. Explain the role of rapid full body cooling in the emergency management of exertional heat stroke. AC-31. Assist the patient in the use of a nebulizer treatment for an asthmatic attack. AC-32. Determine when use of a metered-dose inhaler is warranted based on a patient s condition. AC-33. Instruct a patient in the use of a meter-dosed inhaler in the presence of asthma-related bronchospasm. AC-34. Explain the importance of monitoring a patient following a head injury, including the role of obtaining clearance from a physician before further patient participation. AC-35. Demonstrate the use of an auto-injectable epinephrine in the management of allergic anaphylaxis. Decide when autoinjectable epinephrine use is warranted based on a patient s condition. AC-36. Identify the signs, symptoms, interventions and, when appropriate, the return-to-participation criteria for: AC-36a. sudden cardiac arrest AC-36b. brain injury including concussion, subdural and epidural hematomas, second impact syndrome and skull fracture AC-36c. cervical, thoracic, and lumbar spine trauma AC-36d. heat illness including heat cramps, heat exhaustion, exertional heat stroke, and hyponatremia AC-36e. exertional sickling associated with sickle cell trait AC-36f. rhabdomyolysis AC-36g. internal hemorrhage AC-36h. diabetic emergencies including hypoglycemia and ketoacidosis AC-36i. asthma attacks AC-36j. systemic allergic reaction, including anaphylactic shock AC-36k. epileptic and non-epileptic seizures AC-36l. shock AC-36m. hypothermia, frostbite AC-36n. toxic drug overdoses AC-36o. local allergic reaction Immediate Musculoskeletal Management AC-37. AC-38. AC-39. Transportation AC-40. AC-41. AC-42. Select and apply appropriate splinting material to stabilize an injured body area. Apply appropriate immediate treatment to protect the injured area and minimize the effects of hypoxic and enzymatic injury. Select and implement the appropriate ambulatory aid based on the patient s injury and activity and participation restrictions. Determine the proper transportation technique based on the patient s condition and findings of the immediate examination. Identify the criteria used in the decision-making process to transport the injured patient for further medical examination. Select and use the appropriate short-distance transportation methods, such as the log roll or lift and slide, for an injured patient in different situations. Education AC-43. Instruct the patient in home care and self-treatment plans for acute conditions.