Summary: <br> <br> <br> <br> <br> How common are facial injuries occurring?<br> <br> <br> <br> -20-40% involve face<br> <br> <br> <br> It could just involve something as simple as a slap in the face.<br> <br> <br> <br> On-field assessment allows you to hone in on a specific injury. <br> <br> <br> <br> Where does your mind go during the initial assessment for a facial injury? What are you looking for?<br> <br> <br> <br> -1st talking and airway <br> <br> <br> <br> Ecchymosis is present, when should you refer?<br> <br> <br> <br> -Racoon eyes (both eyes) - vasal or skull fracture possibility<br> <br> <br> <br> -Battle sign - ecchymosis behind the ear. Basal or skull fracture possible.<br> <br> <br> <br> Skull fractures is surgery common or just monitor?<br> <br> <br> <br> -CT to check the brain and for fracture<br> <br> <br> <br> -not all require surgery<br> <br> <br> <br> Mandibular fractures. Are we looking at surgery?<br> <br> <br> <br> -Depends on the type of fracture. Not displaced can monitor and have on a soft food diet. <br> <br> <br> <br> -High protein foods for high-level athletes so they can still get nutrients<br> <br> <br> <br> Healing time during a mandible fracture, what are they allowed to do?<br> <br> <br> <br> -As tolerated<br> <br> <br> <br> -Lift, light exercise<br> <br> <br> <br> -nothing stressful that they clench their jaw.<br> <br> <br> <br> Difference between RTP. What are you looking for, for an athlete returning to play in a contact sport?<br> <br> <br> <br> -Depends on sport and position. <br> <br> <br> <br> -2-3 months, but it depends on how the athlete is healing and what their position entails. <br> <br> <br> <br> Regulations in rugby. They aren’t allowed to wear certain masks?<br> <br> <br> <br> -Protective gear cannot be a hard shell. <br> <br> <br> <br> -Lots of pads and tape.<br> <br> <br> <br> -Can have a mouth guard.<br> <br> <br> <br> TMJ dislocation. What is the relocation process?<br> <br> <br> <br> -Usually down and out. Put posterior pressure and push back in. <br> <br> <br> <br> -Wear gloves and roll gauze on your thumbs since you have to push on the bottom teeth. <br> <br> <br> <br> -Relocated the TMJ, but chose to not let him back in the game. <br> <br> <br> <br> Follow up for TMJ dislocation?<br> <br> <br> <br> -Follow up with them. <br> <br> <br> <br> -Ask about symptoms, can lead to who they need to be sent to. <br> <br> <br> <br> -Typically if it is back in and they are good, you can watch them.<br> <br> <br> <br> Maxillary fracture. Seen one clinically?<br> <br> <br> <br> -Common from motor vehicle injuries<br> <br> <br> <br> -Never seen one from sport. <br> <br> <br> <br> -Could maybe see one from a combat sport.<br> <br> <br> <br> Splint a lefort fracture.<br> <br> <br> <br> -Bartans split technique.<br> <br> <br> <br> Key signs of a zygomatic fracture?<br> <br> <br> <br> -Big swelling over cheek bone<br> <br> <br> <br> -Dent in the cheek bone<br> <br> <br> <br> Nasal fracture, when can you get them back to sport?<br> <br> <br> <br> -Depends on sport/position<br> <br> <br> <br> -usually 4-6 weeks<br> <br> <br> <br> -Need to be pain free and breathe ok. <br> <br> <br> <br> Mask wearing can be just to be for the athlete to have comfort and prevent another injury. <br> <br> <br> <br> Fix nasal bone once done with sports.<br> <br> <br> <br> Nasal bleeds. At what point should you call EMS if you cannot control a nosebleed?<br> <br> <br> <br> -Symptoms of lightheadedness or dizziness. Headache or nauseous<br> <br> <br>
