The University of West Alabama





Athletic Training & Sports Medicine Center

AH 323 Evaluation of Athletic Injuries I Laboratory
UNCONSCIOUSNESS SKILL DEMONSTRATIONS

 

ABCs (Airway, Breathing, Circulation) & Unconscious Examination

SKILL

PROCEDURE DESCRIPTION

MATERIALS & EQUIPMENT

SPECIAL NOTES

MOUSE OVER PICTURE TO VIEW MOVIE

Position model in head tilt position 1. Position patient supine
2.  Place one hand on forehead and other hand on chin
  
     
Position model in chin lift position Move the patient's chin up while pulling down on the forehead      
Respirations - Look Look at the patient's chest to see if it rises and falls when you give respirations.   Record the number of times the chest rises and falls.  
Respirations - Listen Listen for breath sounds from the patient.   Record if any breath sounds are heard.  
Respirations - Feel Feel for breaths on your cheek.   Record if any breaths are felt on your cheek.  
Pulse - Carotid Find the Adam's Apple of the patient then move two finger widths over to find Carotid Artery.      
Pulse - Brachial Take and record the Brachial pulse by feeling for the pulse on the medial aspect of the upper arm.      
Pulse - Radial Take and record the Radial pulse by feeling for the pulse on the thumbside of the wrist.      
Pulse - Brachial        
Pulse - Femoral Take and record the Femoral pulse by feeling for the pulse on the medial side of the upper leg.      
Pupils - Equal Observe the patient to see if their pupils are of equal size when evaluating for a head injury.   If the pupils are unequal it is indicative of a head injury.  
Pupils- Reactive to Light (equally) Observe the patient to see if the pupils constrict equally when light is shined into them. Penlight If the pupils do not constrict equally to light it is indicative of a head injury.  
Pupils - Constricted vs. Dilated Observe the pupils of the patient to see if they are equal or if one pupil is constricted and one pupil is dilated.   If the pupils are not equally constricted then it is an indication of a head injury.  
Observe skin color Look at the patient's skin to see if it is normal or if it is red, white, or blue   If the patient's skin is red it is indicative of high blood pressure.When the skin is white it indicates shock. When the skin is blue it indicates heart failure or airway obstruction.  
Check nail beds for capillary refill Check the nail beds of the patient to see if the patient has normal circulation.   If the patient does not have normal circulation the fingernails will turn from white to pink slower than normal.  
Check Blood Pressure Check to see if the patient's blood pressure is normal. Stethoscope and Sphygmomanometer If the blood pressure is slower than normal it indicates shock. If the blood pressure is faster than normal it indicates fright or hypertension  
Check Skin Temperature Feel several areas of the body with back of hand to see if there is a difference in skin temperature.      
Reaction to Pain Check to see if the patient withdraws from the pain quickly or slowly.   A slow reaction to pain is indicative of a head injury.  

Last Updated: Tuesday, January 20, 2009

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