Environmental Injuries

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SPS 351

SPORT INJURY MANAGEMENT


AND STRENGTH TRAINING

HEAT & COLD INJURIES


Mohd Fadzil b. Hj. Kamarudin
SR113 UiTM/INSTEDT
Heat Injuries
• Heat injuries can be brought about by exposure to a
hot environment.
• Body gains heat through;
– Radiation (from the sun)
– Conduction (uniforms)
– Convection (air temperature higher than skin)
– Metabolism (muscular exertion)
• May lead to serious health conditions and even
death.
Heat Injuries
• Heat Exhaustion
– This is defined as a condition when the body has
absorbed excessive heat through either
conduction, radiation, convection and metabolism,
and has caused considerable loss of water.
– May lead to heat stroke if not treated immediately.
– Symptoms include
• excessive sweating,
• headache,
• nausea,
• dizziness,
• cool, pale and clammy skin,
• normal or slightly lowered body temperature,
• rapid, weak pulse.
Heat Injuries
• Heat Stroke
– This is when the body enters a state of shock due
to loss of fluids caused by heat gained through
either conduction, radiation, convection and
metabolism.
– Can lead to coma or death.
– Symptoms
• Disorientation or unconsciousness,
• Rapid, pounding pulse,
• No sweating,
• Hot, dry, reddish skin,
• Drastic increase in in body temperature.
Heat Injuries
• Those who are susceptible to injury are
– Obese
– Unfit
– Dehydrated
– Illness
– Not used to heat
– Under 15 or over 40
• Treatment for heat injuries
– Bring to shaded area.
– Fan, use wet towels to bring body temperature
down.
– Drink plenty of water when recovering.
Cold Injuries
• Cold injuries are caused by exposure to extreme cold
temperatures and environment.
• Cold temperatures will bring about heat loss through
– Radiation (body temperature higher than surroundings)
– Conduction (contact with cool water, object)
– Convection (air temperature cooler than skin)
– Evaporation (sweat)
• Brings about condition called hypothermia.
• Can lead to hypothermic shock, coma and death if
not treated immediately.
Cold Injuries
• Hypothermia is defined as when the body’s core
temperature drops to less than 35 degrees celsius
• Mild hypothermia
– Loss of coordination
– Disorientation
– Fatigue
– Lowered heart rate and breathing
– Violent shivering
• Hypothermia
– Shivering stops
– Body loses its ability to regulate its temperature
– Assistance needed to survive
– Sleepiness
• If body temperature drops below 30⁰C, the victim will
be prone to ventricular dysrhythmias.
• Hypothermia causes depression of the CNS,
incoordination, confusion, lethargy and eventually
coma.
Cold Injuries
• Treatment for hypothermia
– Check ABC
– Rewarm to return core temperature to normal levels
• Rewarming methods
– Passive rewarming
• Removal from cold environment
• Insulation
– Active rewarming
• Warm water immersion
• Blankets
• Hot water bottles
• Forced air
– Send to hospital
Cold Injuries
• Frostbite
– Defined as localized skin damage caused by cold injury with or
without associated factor.
– Frostnip is less severe.
• Clinical features
– Occurs on any exposed skin surface and can leave severe scarring
or loss of limbs organs.
– Frostnip can be resolved through rewarming and leaves no tissue
loss.
• Emergency care
– Rapid rewarming
– Immerse extremity in gently circulating warm water (40-42 degrees
celsius) for 10 to 30 minutes.
– Do not rewarm with dry air
– Send to hospital
Burns
• Burns are frightening and painful injuries,
especially in severe cases. The first step is to
reassure the victim and try to keep him or her
calm. Move swiftly and decisively.
• Definition and Clinical Features
– 1st Degree Burns
• Involves the epidermis only.
• Painful, red and dry skin, no blisters (eg.
sunburn)
– 2nd Degree Burns
• Involves the epidermis and varying
levels of the dermis.
• Painful, edema with blisters.
– 3rd Degree Burns
• Involves all layers of skin including blood
vessels and nerve endings.
• Painless, dry, black or white in colour,
with edema.
Treatment
• Treatment for 1st Degree Burns
– Place burned area in cold water.
– Do not put salt or ice in the water.
– If cannot immerse in cold water, pour the
cold water over the affected area or use
cloth or sponge to soak and squeeze water
over the area.
• Treatment for 2nd Degree Burns
– Place burned area in cold water.
– Do not put salt or ice in the water.
– Place cold, wet dressings on the burn. Use
only clean cloths or preferably sterile
bandages.
– Do not break the blisters on the affected
skin. Do not put oil, butter or ointments on
the burned area. Do not remove burned or
blistered skin.
– Call for ambulance and send to hospital
immediately.
• Treatment for 3rd Degree Burns
– Do not remove burned clothes. Leave them
on the skin.
– If face is burned keep him or her sitting
upright.
– Make sure airway is kept open. Tilt the
head back if necessary.
– Call for ambulance and send to hospital
immediately.
• Risk Factors for Burns
– Very young (infants) or very old individuals.
– Children with cases of abuse.
– Individuals who are immobile.
– Neurological conditions or diseases.
– Head trauma.
• Complications
– Thermal Burns
• Renal failure
• Hypothermia
• Hypovolemic shock
– Electrical Burns
• Cardiopulmonary arrest

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