Injury Assessment Protocol
[heading style=”1″]Learn more about injury assessment protocol while First Aid Courses tries to discuss in this article.[/heading]
Identifying the history of the injury can be the most important step of injury assessment and this is the reason why you need to have a first aid refreshers for you to be able to handle related situations like this. A complete history includes information regarding the primary complaint, cause or mechanism of the injury, characteristics of the symptoms, and any related medical history that may have a bearing on the specific condition. This information can provide potential reasons for the symptoms and identify injured structures before initiating the physical examination. An individual’s medical history file can be an excellent resource for identifying past injuries, subsequent rehabilitation programs, and any factors that may predispose the individual to further injury.
History taking involves asking appropriate questions, but it also requires establishing a professional and comfortable atmosphere. When taking a history, the trainer or any individual in the first aid team, who has a minimum of first aid certification, should present a competent manner, listen attentively, and maintain eye contact in an effort to establish rapport with the injured individual. Ideally, this encourages the individual to respond more accurately to questions and instructions.
Often, an unacknowledged obstacle to the evaluation process is the socio-cultural dynamics that may exist between the patient and clinician that can hinder communication. It is important for all clinicians to understand and respect each cultural group’s attitudes, beliefs, and values as related to health and illness. If English is a second language to the patient, it may be necessary to locate an interpreter. If an interpreter is used, it is important to speak to the client, not to the interpreter. It also may be necessary to speak slower, not louder, and to refrain from using slang terms or jargon. To ensure understanding, the patient should be asked to repeat the instructions.
Similar video that explains about Classical Osteopathic Treatment Protocol for Acute Knee, Hip & Back Pain
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The Injury Assessment Protocol is a set of standards that clinicians/ first aiders use upon assessing the injury of the patient. Its first component is history of the injury. It involves the primary complaint (current nature, location, and onset of the condition), mechanism of injury (cause of stress, position of limb, and direction of force; and changes in running surface, shoes, equipment, techniques, or conditioning modes), characteristics of the symptoms (presence of unusual sensation such as pain, sounds, and feelings; evolution of the onset, nature, location, severity, and duration of symptoms), disability resulting from the injury (immediate limitations, limitations in occupation and activities of daily living), and related medical history (past musculoskeletal injuries, congenital abnormalities, family history, childhood diseases, allergies, or cardiac, respiratory, vascular, or neurologic problems). For more information, read about first aid FAQ’s.
Another component is observation and inspection. Observation involves analysis of overall appearance, general motor function, body symmetry, and posture and gait. Inspection involves observing the injury site for deformity, swelling, discoloration, scars, and general skin condition. Consequently, the next component is palpation. It involves palpation of bony structures (determine a possible fracture first), and soft-tissue structures (skin temperature, swelling, point tenderness, crepitus, deformity, muscle spasm, cutaneous sensation, and pulse).
Functional Tests is also a component of the Injury Assessment Protocol and it includes active movement, passive movement and end feel, and resisted manual muscle testing. Stress Tests includes ligamentous instability tests. There are also other components such as special tests, neurologic tests (dermatomes, myotomes, reflexes, peripheral nerve testing), activity/sport-specific functional testing (proprioception and motor coordination), and activity/sport-specific skill performance.
[note color=”#d14549″]Standard First Aid References:[/note]
Lesser JM, Hughes SV, Jemelka JR, Kumar S. Compiling a complete medical history: challenges and strategies for taking a comprehensive history in the elderly. Geriatrics 2005;60(11):22–25.