Bell ringer What would you consider a bad head injury and why? Today’s plan: Elbow/forearm/wrist/hand quiz Head/face notes Head/face activities

quiz Write down 15 questions (5 with elbow, 5 with forearm/wrist, 5 with hand) Write down the answer to each question Share with a partner at your table and quiz each other Should take you between 15-20 minutes to complete Once I see everyone is done, you will turn in your questions and answers for a quiz grade

Head, Face, Eyes, Ears, Nose, and Throat Unit 8 Head, Face, Eyes, Ears, Nose, and Throat

WHAT SPORTS DO YOU THINK ARE AT HIGH RISK OF HEAD INJURIES AND WHY?

Sports with high risk Boxing Football Ice hockey Martial arts Rugby Wrestling Soccer Auto racing Equestrian Motorcycle racing Diving Bicycling Snow sking

Bones of the head

Brain Cerebrum Cerebellum Pons Medulla oblongata Largest part of the brain Coordinates all voluntary muscle activities Interprets sensory impulses and controlling higher mental functions Memory, reasoning, intelligence, learning, judgment, and emotions Cerebellum Controls synergistic movements of skeletal muscle and coordination of voluntary muscle movements Pons Sleep, posture, respiration, swallowing, and bladder Medulla oblongata Regulates HR, breathing, BP, coughing, sneezing, vomiting

Brain

Head injury evaluation Any time there is a head injury, on-field evaluation is really important Why? Helps determine if it is life threatening Concussion management History questions with head injuries: Can you tell me what happened to you? Can you remember the score or who we played last week? Can you remember walking off the field? Do you remember what day it is? Does your head hurt? Do you have any pain in your neck?

Head injury evaluation Observation Is the person acting normal? Do they appear to be disoriented? Blank or vacant stare Slurred or incoherent speech Delayed verbal or motor responses Coordination disturbance Unable to focus Memory deficit Normal emotional response

Head injury evaluation Palpation Palpate along both neck and skull looking for point tenderness or deformity Do not move the patient if you suspect a neck injury Special tests Neurological exam Eye function-track normal, pupil size, vision blurred PEARL Balance tests Romberg BESS Coordination test Cognitive tests and neuropsychological tests – SAC https://www.newburghschools.org/departments/athletics/ConcussionTestForm.pdf

Partner activity With a partner look up the Romberg and BESS test… On paper, write down what each one is and make a double bubble graph comparing and contrasting each of them Practice each test with each other standing up to see how they work

Head/face injuries Concussion Skull fracture Second impact syndrome Cerebral contusion Epidural hematoma Subdural hematoma Migrane headaches Mandible fracture TMJ

In your group… Within your group, look up one of the injuries… Design a powerpoint including: What is the injury How the injury occurs Signs and symptoms of the injury Treatment for the injury Include pictures and major anatomy we should know