Empowering Patients: A Guide to Trauma Informed Care in the ED
“If nothing else, just be kind to them.”
Empowering Patients: A Guide to Trauma Informed Care in the ED Read More »
April 2023
You’re the Dizziness Detective in the ED
A 52 year old patient sits very still in a chair at your facility’s Emergency Department, with her eyes closed and an emesis pan in arm’s reach. One glance at the chart tells you what you’ve already guessed – the patient came in with complaints of acute vertigo, the nurse recently gave her Zofran to manage nausea, and an MRI of her head has come back negative for stroke. Of course, you know that an MRI can be falsely negative for stroke in at least 12% of patients in the first 24-48 hours from symptom onset (Kattah et al., 2009). As the physical therapist assigned to the ED and renowned “dizziness detective,” you’ve been asked to help out. What do you do first?
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Take 5 – The Ottawa Knee Rules
A patient comes into the ED after twisting their knee falling off their skateboard. They are having a hard time walking and want to make sure their knee is okay so they can go to school and play soccer on their varsity high school team. What do you need to rule out? How do you know if you need imaging? And how long will all of this take? Based on the injury, how will this affect your plan of care and management of this patient?
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The Million Dollar Question
We are often asked by therapists or managers: How can we demonstrate the financial benefit of having Physical Therapy in the Emergency Department? Unfortunately, it’s complicated.
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