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Staying on the Softer Side

This is when it really hit me. That reminder of the tragedies of life. Most of the patients I was planning to see were my age or younger, beset by, at best, completely life altering circumstances laden with permanent disability, and at worst, fatal diagnosis. That heaviness might not impact others the way it does me. But for me it feels like this huge weighted blanket of grief mixed with possibility. I remembered why I prefer the acute emergency, the limited involvement, the hopeful possibilities in the ED, and why I had somewhat distanced myself from this type of patient care.

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Migraine in the ED

By recognizing the unique challenges faced by migraine patients in the emergency department, physical therapists can play a vital role in providing comprehensive care, improving patient outcomes, and minimizing the impact of migraine on their lives. Together, we can create a more supportive and understanding healthcare environment for those living with migraine.

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Take 5 – Canadian C-Spine Rule

A 33 year old patient comes into the ED after getting rear-ended during rush hour traffic on Friday afternoon. They were in stand still traffic when they were caught off guard and hit from behind by a car going 10 mph. The patient ambulated into the ED with family present and stated that they felt fine until an hour ago when they started to get a headache. What should you do for this patient? Do they need imaging? What needs to be ruled out before you can treat them for whiplash and/or concussion? How much time do you need? What resources are required?

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