1. Head and Face

2. Anatomy  Eyes  Ears  Nose  Jaw  Mouth  Brain

3. “Black eye”

5. Laceration

11. Eyes  Conjunctivitis:  “Pink eye”

13. Eyes  Hyphema  Pooling of blood in the eye

21. Ears  Auricular hematoma  Otitis externa

22. Auricular hematoma  “Cauliflower ear”  For cauliflower ear to form, the ear has to be struck hard enough for a blood clot to develop.

26. Treatments

29. Otitis externa  “Swimmer’s ear”  Too much moisture in the ear can irritate and break down the skin in the canal, allowing bacteria or fungi inside.

31. How to keep this from occurring?

32. Nose  Deviated septum  Epistaxis

33. Deviated septum  “Broken nose”  Caused from a direct blow.

44. Epistaxis  “Nosebleed”  Can be caused by a direct blow or weak blood vessels.

49. Treatment

50. Jaw  Broken jaw  Again, from a direct blow.

56. Mouth  Lips  Teeth

57. Lips  Lacerated lip  “Fat lip”  Braces in lip

61. Teeth  Broken teeth

64. Brain  Concussion

65. Concussion  Loss or impairment of neurological function of the brain  A player does not need to lose consciousness to have a concussion  Symptoms are now classified as mild, moderate or severe

66. Concussion

67. Classifications of concussions  http://cpancf.com/headinjuryclassific ation.asp http://cpancf.com/headinjuryclassific ation.asp

68. Mild concussion symptoms  Grade 1: You did not lose consciousness (were not "knocked out"). You may have been dazed or confused for a short time after the injury. Normal thinking and behavior returns within 20 minutes of the injury.

71. Moderate Concussion symptoms  Grade 2: You did not lose consciousness, but you did not think clearly for more than 20 minutes after the injury. Also, you may not remember what happened.

75. Severe Concussion symptoms  Grade 3: You lost consciousness for a short time. Also, you may not remember what happened.

79. What are the signs and symptoms of a concussion?  Mild to moderate headache.  Dizziness or loss of balance.  Nausea (feeling sick) or vomiting (throwing up).  Change in mood (such as restlessness or irritability).  Trouble thinking, remembering things, or concentrating (giving full attention to one thing for a period of time).  Ringing in the ears. (tinnitis)  Drowsiness or decreased amount of energy.  Change in normal sleeping pattern (you may sleep more than usual or cannot sleep).

80. Evaluation of Concussion  History  Observation  Palpation  Stress Tests

81. IHSA concussion protocol  http://www.ihsa.org/documents/sport sMedicine/IHSA_Protocols_for_NFHS_ Concussion_Playing_Rule.pdf http://www.ihsa.org/documents/sport sMedicine/IHSA_Protocols_for_NFHS_ Concussion_Playing_Rule.pdf

82. History  Where does it hurt?  Do you remember what happened?  Nausea?  Tinnitis?

83. Observation  Watch how they move.  Deformity  Breathing  PEARL- pupils equal and reactive to light  Nystagmus- “dancing eye”  http://www.youtube.com/watch?v=oUlUVWQx7zI&feature=related http://www.youtube.com/watch?v=oUlUVWQx7zI&feature=related  Blurred or double vision?  Memory- counting backwards, remember three words

84. Palpation  For signs of deformity  Unusually low pulse

85. Stress Tests  Rhomberg test  http://www.youtube.com/watch?v=4hOSkmDYAR4 http://www.youtube.com/watch?v=4hOSkmDYAR4  Coordination tests

86. Concussion checklist  http://www.cdc.gov/concussion/pdf/T BI_schools_checklist_508-a.pdf http://www.cdc.gov/concussion/pdf/T BI_schools_checklist_508-a.pdf

88. After concusion #10