1. 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

2. 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 minutes to complete
Once I see everyone is done, you will turn in your questions and answers for a quiz grade

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

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

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

6. Bones of the head

7. 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

8. Brain

9. 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?

10. 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

11. 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

12. 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

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

14. 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