Cranial Nerves
What is cranial nerve 1 (Olfactory) responsible for?
Smell
What is a concussion? (medical definition)
Traumatic Brain injury (bruise to the brain)
When can an athlete start the return to play process?
When they are symptom free
Name 3 EMR careers
Firefighter, paramedic, EMT, 911 dispatcher, Doctor, Nurse, Physician Assistant
How would you check Cranial Nerve 5 (Trigeminal)? Demonstrate it
Face sensation, checking forehead, cheeks and jaw
What is cranial nerve 5 (Trigeminal) responsible for?
Sensations to face and chewing
What part of the SCAT 6 do you have the patient fill out?
Their symptoms
Who need to sign off for an athlete to start return to play?
A doctor
Name 3 personality qualities that an EMR professional should have?
Calm, Triage, able to handle high stress situations, able to multitask, etc.
What are you looking for during smooth pursuit?
Nystagmus and are their eyes tracking properly
What is cranial nerve 2 (Optic) responsible for?
Vision
What are 3 red flags for concussions?
Neck P!, Seizure/ convulsion, Double vision, LOC, Vomiting, Visible skull deformity, Deteriorating conscious state, severe or increasing headache
What is the danger of an athlete going back too soon?
Second impact syndrome
What is the first thing you do in an emergency situation
Call 911
What are the 3 stances for BESS?
Double leg, single leg, tandem
What is cranial nerve 8 (vestibulocochlear) responsible for?
Balance
What are Concussion Signs?
Inability to control emotions, poor balance, Nystagmus, (-) PEARL
What is second impact syndrome
A concussion on top of a concussion
What did the white papers do?
Criticized ambulances and Emergency response personnel for not being trained and providing quality care.... Congress then enacted EMS act
How do you check for PEARL? Demonstrate it properly
Moving a light in from the lateral corner of the eye and then repeating that motion for the other eye
What is Cranial Nerve 3 (Oculomotor) responsible for?
PEARL
What are Concussion Symptoms?
Headache, Nausea, dizziness, sensitivity to light, sensitivity to sound
If an athlete experience symptoms at any point during the return to play protocol what do you do?
Stop immediately, wait 24hrs, start back at beginning
What is it called when a medical professional has to stay I in their range of duties and skills that they are allowed to perform
Scope of Practice
What is smooth pursuit? Demonstrate it properly
When you move your finger slowly in front of a patients eyes in a plus sign motion