Ebook Sports emergency care (3/E): Part 2
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Ebook Sports emergency care (3/E): Part 2
10Abdominal and Pelvic InjuriesDavid A. Middlemen EdD, ATC, CCISMYou have been assigned to provide the medical care for a high school ice hockey tourn Ebook Sports emergency care (3/E): Part 2nament involving 15- to 18-year-olds. During one of the games, a player is checked hard into the boards. After the collision, the player is kneeling on the ice for about 30 seconds. He slowly gets up, shakes it off, and finishes his shift. About 2 minutes later, at the end of the shift, the player s Ebook Sports emergency care (3/E): Part 2lowly skates to the bench. The coach calls you to the bench because the player is doubled over with abdominal pain and has just vomited. You approachEbook Sports emergency care (3/E): Part 2
the athlete to begin your assessment. What is wrong? How bad is it? What do you do?Injuries to the abdominal and pelvic regions are not uncommon in sp10Abdominal and Pelvic InjuriesDavid A. Middlemen EdD, ATC, CCISMYou have been assigned to provide the medical care for a high school ice hockey tourn Ebook Sports emergency care (3/E): Part 2s of the abdomen. Although potentially life-threatening abdominal injuries are not everyday occurrences, the sports emergency care team members need to be aware of the potential causes of abdominal problems in athletes, the signs and symptoms, and the importance of recognizing the nature and extent Ebook Sports emergency care (3/E): Part 2of injury so the athlete can be referred for appropriate medical care.Many sports and physical activities involve intentional and unintentional collisEbook Sports emergency care (3/E): Part 2
ions with other athletes, impact with sports implements, and high-velocity movement and twisting. The ability of the sports emergency care provider to10Abdominal and Pelvic InjuriesDavid A. Middlemen EdD, ATC, CCISMYou have been assigned to provide the medical care for a high school ice hockey tourn Ebook Sports emergency care (3/E): Part 2ed for immediate action. This chapter will provide the reader with an overview of the anatomy of the abdominopelvic region, assessment of abdominal injuries, and medical conditions and guidelines for immediate care.Rehherq RS, Korun JG.Íportí emergency Cate: A Team Approach, Third fdir.VvKpp 135-151 Ebook Sports emergency care (3/E): Part 2).© 2018 SLACK Incorporated135136 Chapter 10Figure 10-1. The abdominopelvic cavity.(Illustration by Joelle Rehberg, DO.)Review of Clinically RelevantEbook Sports emergency care (3/E): Part 2
AnatomyThe abdominal cavity is defined as the area below the thoracic cavity that contains many of rhe body’s internal organs. It is separated from th10Abdominal and Pelvic InjuriesDavid A. Middlemen EdD, ATC, CCISMYou have been assigned to provide the medical care for a high school ice hockey tourn Ebook Sports emergency care (3/E): Part 2nd sacrum is called the pelvic region (Figure 10-1).The location of the organs in the abdomen and pelvis is usually described by dividing the abdomen into 4 quadrants. The abdominal quadrants are defined by drawing a vertical and horizontal line through the navel. The quadrants and the structures lo Ebook Sports emergency care (3/E): Part 2cated within them are shown in Figure 10-1. The quadrants are called the left upper quadrant (LUQJ, right upper quadrant (RUQJ, left lower quadrant (LEbook Sports emergency care (3/E): Part 2
LQJ, and right lower quadrant (RLQJ. The quality of communication between medical professionals and the accuracy of injury records is improved when ev10Abdominal and Pelvic InjuriesDavid A. Middlemen EdD, ATC, CCISMYou have been assigned to provide the medical care for a high school ice hockey tourn Ebook Sports emergency care (3/E): Part 2small intestine, and large intestine) are contained in the abdominal cavity. The urinary bladder and female reproductive organs are in the pelvic region, with male genitalia being external. It is important to note that the kidneys are not within the abdomen. They are located outside the peritoneum b Ebook Sports emergency care (3/E): Part 2ehind the abdominal cavity, covered by the muscles of the back and protected by the lower ribs.To assist in understanding the nature of emergencies inEbook Sports emergency care (3/E): Part 2
the abdominopelvic region and their implications, it is important to understand the basic structure and functions of the organs in this region. It is10Abdominal and Pelvic InjuriesDavid A. Middlemen EdD, ATC, CCISMYou have been assigned to provide the medical care for a high school ice hockey tourn Ebook Sports emergency care (3/E): Part 2, as in the stomach and intestines, or serve as holding tanks for materials until they are needed or expelled from the body, as in the gallbladder or urinary bladder. As a rule, hollow organs tend to be injured less in sports and physical activity because they are at significantly less risk when the Ebook Sports emergency care (3/E): Part 2y are empty. The best way to prevent injuries to the hollow organs is to have them as empty as possible when participating in sports orAbdominal and PEbook Sports emergency care (3/E): Part 2
elvic Injuries137Table 10-1 Categories of Organs of the Abdominal and Pelvic CavitiesSolid OrgansHollow OrgansReproductionLiver Spleen Pancreas Kidney10Abdominal and Pelvic InjuriesDavid A. Middlemen EdD, ATC, CCISMYou have been assigned to provide the medical care for a high school ice hockey tourn Ebook Sports emergency care (3/E): Part 2things as not eating immediately before competition and urinating before a game or practice significantly reduce the risk of injury to digestive organs and the urinary bladder.Solid organs do nor have cavities inside them ro hold or srore fluids. They rend ro have significant blood supplies that arc Ebook Sports emergency care (3/E): Part 2 necessary to complete their functions. The solid organs include the liver, spleen, pancreas, kidneys, ovaries, and testes. The very fact that these oEbook Sports emergency care (3/E): Part 2
rgans will not easily compress during a collision, combined with their ample blood supply, place them at a higher risk of bruising or tearing with pot10Abdominal and Pelvic InjuriesDavid A. Middlemen EdD, ATC, CCISMYou have been assigned to provide the medical care for a high school ice hockey tourn Ebook Sports emergency care (3/E): Part 2aking bile, converting glucose to glycogen fbr storage, producing urea, and storing multiple substances for the body. As a result of these critical functions, it has a very rich blood supply. Injuries to the liver can result in serious bruising or significant bleeding into the abdominal cavity.The s Ebook Sports emergency care (3/E): Part 2pleen is located in the LUQof the abdomen. Its job is to filter blood and to store red blood cells and platelets. It has a plentiful blood supply andEbook Sports emergency care (3/E): Part 2
is at risk for injury from blows to the upper abdomen. It is also important to note that the spleen swells in individuals who have had mononucleosis, 10Abdominal and Pelvic InjuriesDavid A. Middlemen EdD, ATC, CCISMYou have been assigned to provide the medical care for a high school ice hockey tourn Ebook Sports emergency care (3/E): Part 2g urine is critical to the body. The kidneys, which arc on the back of the body, arc somewhat protected by the ribs. The process of filtering waste products from the blood produces urine. It then flows through the ureters to the urinary bladder, which is located in the lower abdominal cavity. Becaus Ebook Sports emergency care (3/E): Part 2e the kidneys are the primary filters that remove waste from the bloodstream, they have a very rich blood supply. Although the lower ribs cover the kiEbook Sports emergency care (3/E): Part 2
dneys, blows to the back over the kidneys can cause significant injuries.The majority of reproductive organs in women arc within the abdominal cavity.10Abdominal and Pelvic InjuriesDavid A. Middlemen EdD, ATC, CCISMYou have been assigned to provide the medical care for a high school ice hockey tourn Ebook Sports emergency care (3/E): Part 2ve anatomy. The male reproductive anatomy is more likely to be injured from a direct blow or collision due to the fact that it is external. The penis, which has a rich blood supply, and the testes, which are solid, have little protection.Avoiding InjuryPreventing abdominal injuries in athletes is ve Ebook Sports emergency care (3/E): Part 2ry important and requires rhe efforts of many individuals. The sports emergency care personnel, coaches, officials, parents, and even rhe arhlere canEbook Sports emergency care (3/E): Part 2
be essential ro preventing or reducing rhe occurrence of abdominal trauma in sports. By working together, everyone can ensure that athletes have rhe p10Abdominal and Pelvic InjuriesDavid A. Middlemen EdD, ATC, CCISMYou have been assigned to provide the medical care for a high school ice hockey tourn Ebook Sports emergency care (3/E): Part 2nt for the abdominal region includes such items as baseball and softball chest protectors and extensions for shoulder pads in sports such as football and ice hockey, sometimes called flak jackets. To get the best protection possible, the coach and sports emergency care team must work together to ens Ebook Sports emergency care (3/E): Part 2ure that protective equipment is in good repair, meets required standards, and fits the athlete properly. The athlete is a critical link in helping toEbook Sports emergency care (3/E): Part 2
keep his or her equipment safe. It is very important to take the time to educate athletes about how to care for their equipment and how to recognize 10Abdominal and Pelvic InjuriesDavid A. Middlemen EdD, ATC, CCISMYou have been assigned to provide the medical care for a high school ice hockey tourn Ebook Sports emergency care (3/E): Part 2njury occurs.Proper technique in sports where contact and collision are part of the game is essential to reducing injur}-. Coaches and officials can work together to reduce the occurrence of injury by teaching proper methods of contact and collision and to appropriately penalize those who abuse the Ebook Sports emergency care (3/E): Part 2rules.Finally, there are times where the best method for preventing a potentially devastating situation is to disqualify an individual from participatEbook Sports emergency care (3/E): Part 2
ion in certain activities where the potential for injury is unacceptable for that person. Examples of situations in which a physician might disqualifyGọi ngay
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