A 70 year old male comes into the ED with episodic neck pain and headache. He has a history of hypertension, CVA, and headaches that feel similar to this one. In the past, PT treated his neck pain. You are seeing him in the ED as their first point provider. What do you do? How do you know that this is truly musculoskeletal pain versus something more sinister?
Take 5 – IFOMPT Cervical Framework Read More »
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?
Take 5 – Canadian C-Spine Rule Read More »
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?
Take 5 – The Ottawa Knee Rules Read More »
Social Determinants of Health (SDH) may be more influential over health outcomes for musculoskeletal (MSK) conditions compared to direct medical treatment.
Take 5 – Social Determinants of Health: Are You Measuring Them? Read More »
Gomes YE, Chau M, Banwell HA, Causby RS. Diagnostic accuracy of the Ottawa ankle rule to exclude fractures in acute ankle injuries in adults: a systematic review and meta-analysis. BMC
Take 5 – Let’s Look at Diagnostic Accuracy of the Ottawa Ankle Rule Read More »
A patient comes into the ED with back pain from an injury at home when they went to pick up a heavy box. Their pain hasn’t improved since the incident yesterday and they want to get evaluated for an injury and pain control. Which provider(s) can help them? And how can they be helped? How can we ensure the patient gets better today, one month, and three months from now?
You’re asked to see a patient in the ED presenting with vertigo. They are constantly dizzy, unsteady with gait, nauseous and vomiting, and reporting that their symptoms started yesterday and worsened over the course of an hour. How do you know what type of vertigo they have? And how can you rule in/out central or peripheral causes for vertigo? Has any imaging been done? Does that even matter?
Take 5 – H.I.N.T.S. to Diagnose Stroke in Acute Vestibular Syndrome Read More »
I know some PTs shy away from the opportunity to develop their skill set in vestibular PT. However, with appropriate training and continuing education and use of vestibular clinical pathways, PT practice in the ED can improve patient outcomes and hospital processes for the better.
Take 5 – Vestibular Physical Therapy in the ED Read More »
No time for reviewing the literature? No problem.
Dr. Jacobsen summarizes pertinent literature to save you time & improve your practice.
