CCSP Emergency Procedures & Sideline Management 4

Question 1

During a football game, a player sustains a facial laceration with active arterial bleeding. The most appropriate immediate sideline action is:

Accepted Answer

Apply direct firm pressure with a sterile gauze for at least 5–10 minutes

Answer

Direct continuous pressure for 5–10 minutes is the first-line treatment for facial lacerations, which have excellent vascularity and typically respond well.

Question 2

The primary reason a sports medicine provider should NOT remove a football helmet in a suspected cervical spine injury (except in specific indications) is:

Accepted Answer

Helmet removal without shoulder pad removal can extend the cervical spine and worsen injury

Answer

Removing the helmet without simultaneously removing shoulder pads creates cervical extension because shoulder pads elevate the torso relative to the head.

Question 3

An athlete on the sideline reports a sudden severe headache described as 'the worst headache of my life' after heading a soccer ball. The most concerning diagnosis is:

Accepted Answer

Subarachnoid hemorrhage

Answer

A thunderclap headache — sudden severe 'worst headache of my life' — is the classic presentation of subarachnoid hemorrhage and requires immediate emergency transport.

Question 4

Which of the following is the most accurate field test for assessing exertional heat stroke severity?

Accepted Answer

Rectal temperature measurement

Answer

Rectal temperature is the gold standard for core temperature measurement in heat stroke; oral, axillary, and tympanic methods are unreliable during exercise.

Question 5

During sideline assessment of a potential pneumothorax after a chest wall blow, which finding most strongly supports this diagnosis?

Accepted Answer

Absent breath sounds on the affected side with respiratory distress

Answer

Absent unilateral breath sounds combined with respiratory distress after chest trauma strongly indicates pneumothorax requiring immediate EMS activation.

(CCSP) Certified Chiropractic Sports Physician Practice Test

(CCSP) Certified Chiropractic Sports Physician Practice Test

CCSP Emergency Procedures & Sideline Management 4