At the completion of this course the student should be able to:
- AC-1-Explain the legal, moral, and ethical parameters that define the athletic trainer's scope of acute and emergency care.
- AC-2-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.
- AC-3-Describe the hospital trauma level system and its role in the transportation decision-making process.
- AC-4-Demonstrate the ability to perform scene, primary, and secondary surveys.
- AC-5-Obtain a medical history appropriate for the patient's ability to respond.
- AC-6-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.
- AC-7-Differentiate between normal and abnormal physical findings (e.g., pulse, blood pressure, heart and lung sounds, oxygen saturation, pain, core temperature) and the associated pathophysiology.
- AC-8-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.
- AC-9-Differentiate the types of airway adjuncts (oropharyngeal 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.
- AC-10-Establish and maintain an airway, including the use of oro- and nasopharyngeal 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-10a-oropharyngeal airway
- AC-10b-nasopharyngeal airway
- 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-17-Administer supplemental oxygen with adjuncts (eg, non-rebreather mask, nasal cannula).
- 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-25a-supine log roll
- AC-25b-prone log roll with push
- AC-25c-prone log roll with pull
- AC-25d-lift-and-slide
- 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.
- AC-27-Explain the role of core body temperature in differentiating between exertional heat stroke, hyponatremia, and head injury.
- 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-36d-heat illness including heat cramps, heat exhaustion, exertional heat stroke, and hyponatremia
- AC-36l-shock
- AC-37-Select and apply appropriate splinting material to stabilize an injured body area.
- AC-38-Apply appropriate immediate treatment to protect the injured area and minimize the effects of hypoxic and enzymatic injury.
- AC-40-Determine the proper transportation technique based on the patient's condition and findings of the immediate examination.
- AC-41-Identify the criteria used in the decision-making process to transport the injured patient for further medical examination.
- AC-42-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.
- Standard 64-Apply contemporary principles and practices of health informatics to the administration and delivery of patient care, including (but not limited to) the ability to do the following:
•Use data to drive informed decisions
•Search, retrieve, and use information derived from online databases and internal databases for clinical decision support
•Maintain data privacy, protection, and data security
•Use medical classification systems (including International Classification of Disease codes) and terminology (including Current Procedural Terminology)
•Use an electronic health record to document, communicate, and manage health-related information; mitigate error; and support decision making
- Standard 66-Practice healthcare in a manner that is compliant with the BOC Standards of Professional Practice and applicable institutional/organizational, local, state, and federal laws, regulations, rules, and guidelines. Applicable laws and regulations include (but are not limited to) the following:
•Requirements for physician direction and collaboration
•Mandatory reporting obligations
•Health Insurance Portability and Accountability Act (HIPAA)
•Family Education Rights and Privacy Act (FERPA)
•Universal Precautions/OSHA Bloodborne Pathogen Standards
•Regulations pertaining to over-the-counter and prescription medications
- Standard 70: Evaluate and manage patients with acute conditions, including triaging conditions that are life threatening or otherwise emergent. These include (but are not limited to) the following conditions:
•Cardiac compromise (including emergency cardiac care, supplemental oxygen, suction, adjunct airways, nitroglycerine, and low-dose aspirin)
•Respiratory compromise (including use of pulse oximetry, adjunct airways, supplemental oxygen, spirometry, meter-dosed inhalers, nebulizers, and bronchodilators)
•Conditions related to the environment: lightning, cold, heat (including use of rectal thermometry)
•Cervical spine compromise
•Traumatic brain injury
•Internal and external hemorrhage (including use of a tourniquet and hemostatic agents)
•Fractures and dislocations (including reduction of dislocation)
•Anaphylaxis (including administering epinephrine using automated injection device)
•Exertional sickling, rhabdomyolysis, and hyponatremia
•Diabetes (including use of glucometer, administering glucagon, insulin)
•Drug overdose (including administration of rescue medications such as naloxone)
•Wounds (including care and closure)
•Testicular injury
•Other musculoskeletal injuries