Musculoskeletal Objectives

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Illinois EMSC. 2. MUSCULOSKELETAL EMERGENICIES. Illinois EMSC. 3. Sorts OF INJURIES. CONTUSIONSTRAINSPRAINDISLOCATIONFRACTUREEPIPHYSEAL TRAUMA. Illinois EMSC. 4. Wound. An injury is a wound without a break in the skin. Illinois EMSC. 5. Injury. Seeping in the subcutaneous tissueDiscolorationEdema or swelling over areaDissipates in 48-96 hours.

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Musculoskeletal Objectives Upon fulfillment of this address, you will be better ready to: Identify vital centered history focuses and systems for physical evaluation of musculoskeletal damage Differentiate delicate tissue wounds from skeletal wounds Demonstrate proper nursing intercessions for musculoskeletal injury Illinois EMSC

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CONTUSION A wound is a wound without a break in the skin Illinois EMSC

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CONTUSION Bleeding in the subcutaneous tissue Discoloration Edema or swelling over zone Dissipates in 48-96 hours Illinois EMSC

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STRAIN A strain is a "pull" in a ligament, tendon, or muscle created by an inordinate extend or constrain Illinois EMSC

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STRAIN SIGNS AND SYMPTOMS MAY INCLUDE: Pain which may transmit Spasms Disfigurement Loss of capacity Severe shortcoming Illinois EMSC

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SPRAIN A sprain is a halfway or full tearing of a tendon far from its connection to a bone Illinois EMSC

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SPRAIN FIRST DEGREE next to zero swelling negligible agony or point delicacy SECOND DEGREE confined swelling with direct delicacy direct toward serious torment restricted movement or weight bearing Illinois EMSC

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SPRAIN THIRD DEGREE add up to interruption of tendon history of hearing boisterous "snap" or "pop" extreme torment loss of capacity unusual movement deformation not able to hold up under weight Illinois EMSC

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DISLOCATION Primarily in ball and attachment joints, ie bear Subluxation is a fractional disengagement Signs include: deformity extreme torment, swelling loss of capacity, unbending nature neurovascular trade off Illinois EMSC

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DISLOCATION Joint moves past typical range May be finished or incomplete Causes distortion, extreme torment, inflexibility, loss of capacity Neurovascular bargain Illinois EMSC

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FRACTURE A crack is a break in the congruity of a bone Illinois EMSC

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FRACTURES Deformity, torment, loss of capacity Immobilize, lift and ice, for solace Assess neurovascular status distal to crack both prior and then afterward immobilization distal heartbeat and hairlike refill sensation and movement (dynamic and detached) swelling, shading and temperature of skin Illinois EMSC

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EPIPHYSEAL FRACTURE An epiphyseal crack is a break in the development ligament at the articulating end of a long bone Illinois EMSC

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INJURY ASSESSMENT Across the room appraisal Initial Assessment - ABC's History – CIAMPEDS/SAMPLE Chief Complaint Mechanism of harm Onset of side effects Focused Physical Assessment Observation Inspection Palpation 5 P's Illinois EMSC

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RANGE OF MOTION Flexion and augmentation Rotation inside outside Abduction and adduction Illinois EMSC

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UPPER EXTREMITY INJURIES Clavicular break Acromioclavicular (AC) partition Anterior shoulder separation Humeral break Radial head disengagement (Nursemaid's elbow) Illinois EMSC

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HAND AND WRIST INJURIES Navicular (scaphoid) bone crack Phalangeal crack Finger disengagement Mallet finger Degloving harm Illinois EMSC

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FINGER JOINTS MP-metacarpo-phalangeal joint PIP - proximal interphalangeal joint DIP - distal interphalangeal joint IP-interphalangeal joint (thumb) Illinois EMSC

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Focused Assessment Mechanism of Injury Was the arm or hand outstretched? At what edge to the body was the arm, shoulder or hand on effect? Did hyperflexion or hyperextension happen? Crack or separation of the zone some time recently? Included in thorough athletic preparing (abuse harm)? Perception Is harmed bear lower than uninjured shoulder? Does understudy need to bolster the arm? Is there deformation at the joint? Development Able to endure constrained development of the harmed range? Is there delicacy, edema or deformation that represses movement? Illinois EMSC

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LOWER EXTREMITY INJURIES Epiphyseal partition (leader of the femur) Collateral tendon harm to the knee Meniscus damage to the Knee disengagement Osgood-Schlatter illness Chondromalacia patellae Illinois EMSC

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ANKLE AND FOOT INJURIES Ankle sprain Ankle break Phalangeal crack Illinois EMSC

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OPEN FRACTURES Usually connected with the long bones Femur Tibia Fibula Lacerated veins can make direct serious discharge into the tissue which may not be apparent Any open break is viewed as critical because of the probability of bacterial disease or other defilement of the injury. On the off chance that neurovascular trade off exists, then it turns into an emanant condition. Illinois EMSC

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Lower Extremity Assessment Palpate whole surface of thigh Hematoma Tenderness Edema Rotation Deformity Palpate knee, guarantee tendons Assess patellar outskirts for indications of subluxation Check neurologic trustworthiness in foot Assess sufficiency of heartbeats in foot Illinois EMSC

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INTERVENTIONS R - Rest/immobilize I - Ice C - Compression E - Elevation S - Support Illinois EMSC

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Prevention of further damage Decrease torment Decrease swelling Stabilize crack or separation Relieve debilitated neurological capacity or muscle fits Reduce blood and liquid misfortune into tissues SPLINTING INDICATIONS Illinois EMSC

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Immobilize joint above and underneath harm Assess neurovascular status distal to harm preceding brace application and again directly after prop application If angulation at break site without neurovascular trade off, immobilize as displayed Minimize development of limit amid propping Secure support to offer help and pressure Reassess/screen neurovascular status each 5-10 minutes IMMOBILIZATION/SPLINTING KEY POINTS Illinois EMSC

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TRIAGE AND TRANSPORT EMERGENT ABC's or neurovascular bargain Fractured femur or open femur URGENT Deformity, loss of movement Severe swelling or agony NON-URGENT Mild swelling, no neurovascular trade off Illinois EMSC

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PREVENTION Assess dangers of school condition Use information to figure out where/when understudies are being harmed Ensure wellbeing systems are accentuated amid all school exercises Work agreeably with educators, mentors and school staff to guarantee they are present in medical aid readiness Illinois EMSC

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SUMMARY Musculoskeletal wounds run from straightforward strains and sprains to joint disengagements and hard breaks. Acquaint yourself with fitting appraisal strategies to direct your nursing analysis and decide proper triage classification. Your essential objectives in treating these wounds are to avoid dismalness and mitigate torment. Fitting immobilization/bracing methods will be assistive in balancing out the territory until EMS transport arrives Illinois EMSC

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