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What defense do athletic trainers and healthcare professionals have against disease? What can we do to prevent contracting diseases? Gloves One-time use only Different sizes available Hands must be washed after wearing gloves 3 Goggles Eyes remain vulnerable to splashes of body fluids if they are unprotected Use goggles or protective safety glasses Eyeglasses require side splash protection to prevent accidental exposure 4 Barrier devices: Masks Provide protection from blood and other body fluids splashing into the open mouth Masks also provide protection from inhaling airborne infectious particles 5 U.S. Centers for Disease Control and Prevention (CDC) Federal government organization Monitors outbreaks of infections Advises affected groups how to handle the situation and control the spread of disease ▪ Hepatitis B ▪ Tuberculosis 6 Occupational Safety and Health Administration Produces standards for infection control practice Encourages compliance Bloodborne Pathogens Rule (29 CFR 1910.1030) 7 Standard Precautions Infection control guidelines designed to protect workers from exposure to disease spread by contact with blood or other body fluids (AIDS, hepatitis B, etc) 8 Standard Precautions Wash hands before/after all patient or specimen contact Treat all blood/soiled linens as potentially infectious Wear gloves if contact with blood/body fluids Place used syringes in sharps container ▪ Don’t recap or manipulate needles/sharps Wear protective eyewear & mask if splatter is possible Wear mask if risk of tuberculosis or other airborne organisms 9 Loss depends on how much skin is damaged and amount of force behind the bleeding Arterial bleeding: bright red, tends to spurt Capillary bleeding: low pressure, tends to ooze Venous bleeding: darker red, tends to flow 10 11 Bandages Primary purpose is to hold dressing in place ▪ Roller bandage ▪ Elastic bandage ▪ Triangular bandage 12 Types of dressings Gauze: cotton, weave cloth; many sizes Non-adherent: doesn’t stick to wound’s dried blood Self-adherent: (bandaid) Occlusive: prevent escape of air and moisture from wound 13 Watch for signs of infection Redness Heat Swelling Pain Loss of function Red streaks up arms/legs blood poisoning PROTECT YOURSELF FIRST! gloves, mask, goggles, etc. 1. Irrigate wound with clean, cool water ▪ May use mild soap 2. Apply sterile gauze 3. Apply first aid cream to prevent infection 4. Apply dry, sterile bandage ▪ Large enough to cover entire injury 5. Reapply new dressing/bandage daily as needed Inadequate Circulation “hypoperfusion” Potentially fatal physiological reaction ▪ Drop in blood pressure ▪ Reduced blood circulation ▪ Inadequate blood flow to tissues Caused by illness, injury, hemorrhage & dehydration 16 Hemorrhagic Loss of blood from injury Internal or external bleeding (i.e. open fractures or ruptured spleen) Respiratory Lungs unable to supply enough oxygen to blood Disease, illness, pulmonary contusion 17 Cardiac Inadequate functioning of the heart Disease, infection or injury Metabolic Severe loss of body fluids ▪ Diarrhea, vomiting, disease or dehydration 18 Anaphylactic Shock Severe allergic reaction Insect stings/bites, medications, foods Anything from itchy eyes and runny nose to circulatory/respiratory failure Septic Shock Caused by severe infection Body tissues don’t get enough blood & oxygen Affects vital organs 19 Psychogenic Shock Physiologic response to fear, stress, or emotional crisis Causes person to become faint Caused by sudden temporary dilation of the blood vessels reduces normal blood volume to the brain 20 Signs & Symptoms Restlessness/anxiety Weak or rapid pulse Cold, clammy skin Profuse sweating Pale/blue skin (palor/cyanosis) Shallow respiration Nausea/vomiting Falling blood pressure Loss of consciousness 21 Maintain airway Control all bleeding Elevate extremities Prevent loss of body heat Do NOT eat or drink anything Record vital signs periodically Reassure victim Activate EMS