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?
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.
Researching a Path to Better Care Through ED PT Read More »
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 had to demonstrate my ability to help the team through constant communication and education of our role as a therapist.
Strictly Speaking, Physical Therapists Belong in the Emergency Department 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 »
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.
Oncology & PT Considerations for the Emergency Department Read More »
Describe how you became involved in Emergency Department Physical Therapist Practice. I have a broad range of experience across inpatients and outpatient hospital services, with a focus on orthopaedics (elective
Physiotherapy in the Emergency Department in Australia Read More »
No time for reviewing the literature? No problem.
Dr. Jacobsen summarizes pertinent literature to save you time & improve your practice.
The emergency department is a unique unit because it requires the clinician to utilize everything they have learned throughout physical therapy school and previous clinical experience.
I’m Seen For What I am – A Doctor of Physical Therapy Read More »
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