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Abdominal Injuries in Sports with Dr. Benedict Ifedi and Shwan Ready live from the memorial Hermann Sports Medicine Update
How are we going to see this on the field?
PQRST –
Provoking – what is making it worse?
Qulity – sharp, ripping
Radiating – diaphragm
Severity – 0-10
Timing – constant, coming and going
All ATs need to have a stethoscope and BP cuff in their kit to monitor for vitals
PulseOx in your pocket
What do we need to carry with us?
Stethoscope
PulseOx
BP Cuff
Pneumothorax cover
Possibly needle decompression – 18 gauge needle
Reflex Diaphragm evaluation
Whats going on
Where are yo uhurting
How is it hurting?
Keep it simple with yes or no questions
PulseOx for Oxygen
Walk them off and continue to monitor if things are trending upward.
Trending downward – call EMS and send them
Let’s try to loosen up everything so there is not compression from equipment.
It can also be a lung contusion – where the athlete is spitting up blood.
If it clears in a few minutes then still sit them out and have them follow up with an ER visit and imaging
Rib Fracture – Evaluation
Posterior to anterior allows you to check the spine first.
Having a systematic routine is important.
Pneumothorax
Spontaneous – taller thinner athletic male
Traumatic- comes witha hit to the ribs
If you are looking at the athlete and they are just struggling then elevate yoru care to the next level.
Use your vital sign measuring tools.
Comotio Cordis
Sudden collapse
Non-responsive
Activate EMS and provide care
Aortic Rupture
ABC
Pulses were weak
Legs felt like they were going numb
Spleenic Laceration
Mono increases the spleen 30-50% increase in size
Flank pain from a blow
Monitor vital signs – PulseOx and BP
Practice your abdominal palpations on non injuries so you know the difference.
Liver Laceration
Rare
Usually non emergency
Painful breathing
Outpatient follow up most likely
Looking at the PQRST
Rigidity in the abdomen is something we need to know what it feels like.
Kidney
Kidney punch
Tenderness in CVA area
May have radiating pain that wraps around to the bladder area
Blood in the urine
Where can we go to learn normal abdominal feel and sounds?
Youtube is a great resource
Contact Us:
Jeremy Jackson
Shawn Ready – shawnreadyatc@gmail.com
Dr. Mark Knoblauch – maknobla@Central.UH.EDU
Dr. Layci Harrison – lharris5@Central.UH.EDU
Bob Marley – Bob.Marley@uth.tmc.edu
ATCornerPodcast – ATCornerds@gmail.com
Joseph Eberhardt – eberhardtj@pearlandisd.org
Christina Fry – fryc@pearlandisd.org
These people LOVE Athletic Trainers and help support the podcast:
Frio Hydration – Superior Hydration products.
Donate and get some swag (like Patreon but for the school)
HOIST – No matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
These people LOVE Athletic Trainers and help support the podcast:
Frio Hydration – Superior Hydration products.
Donate and get some swag (like Patreon but for the school)
HOIST – No matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
