emergency department physical therapy

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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Researching a Path to Better Care Through ED PT

I think just understanding that the ED team really wants to hear your opinion on the diagnosis and recommendations for care is a great place to start. As I alluded to before, we generally have a laid-back culture and flat hierarchy and will readily acknowledge that you have unique expertise in whatever clinical area we’ve asked for your help in. The ED environment is always really busy and we’re doing a thousand things at once, so we’ll always look like our hair is on fire – but just knowing that we see you as value added is a great mindset to come from. In terms of actual communication strategies, I would say keep it short and simple? We tend to be more interested in the punchline than the plot development/background. And then if there’s disagreement, just standard communication principles: try to understand where both parties are coming from and keep things focused on the patient. 

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Take 5 – H.I.N.T.S. to Diagnose Stroke in Acute Vestibular Syndrome

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?

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Oncology & PT Considerations for the Emergency Department

A cancer diagnosis comes with a multitude of emotions, including the loss of control.  A person who is newly diagnosed with cancer may not feel that they have any control over their lives, as they now have multiple appointments to attend.  We as PTs can offer people living with cancer some sense of control; we can educate on safe mobility, validate their concerns, and provide a consistent calm through the storm that is a cancer diagnosis.

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