Physical therapy role in an emergency department: Difference between revisions

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== INTRODUCTION: ==
== INTRODUCTION: ==
[[File:Images (4).jpg|thumb]]
[[File:Images (4).jpg|thumb]]
Physical therapy in the hospital emergency department is a growing area of practice. Physical therapists in the emergency room can help patients start on the road to recovery early in the injury process, facilitating the possibility to improve outcomes in certain injury types.<ref name=":0">Verywellhealth. available from: http://www.verywellhealth.com/emergency-room-physical-therapy-4135939 </ref>. Typically, once the treating physician has evaluated the patient, physical therapists are consulted by the treating Emergency department physician to assist in the evaluation and treatment of a number of movement and functional disorders, such as low back pain, peripheral vertigo, and various gait disturbances. Patients receiving Emergency department physical therapy (ED PT) benefit from the physical therapist’s expertise in Musculoskeletal and vestibular conditions and from the individualized attention provided in a typical bedside evaluation and treatment session, which includes education on expected symptom trajectory, recommendations for activity modulation, and facilitated outpatient follow-up<ref>Kim HS, Strickland KJ, Mullen KA, Lebec MT. Physical therapy in the emergency department: A new opportunity for collaborative care. The American journal of emergency medicine. 2018 May 24</ref>. As part the emergency department team, physical therapists have the opportunity to collaborate in the care of patients with a wide range of acute and chronic problems coming from the neuromusculoskeletal, cardiovascular, pulmonary and integumentary systems. The physical therapist in the ED serves a critical role in screening for appropriateness of care, consultation with other practitioner, and in the direct care of patients<ref>APTA. available from: http://www.apta.org/EmergencyDepartment/ </ref>.
Physical therapy in the hospital emergency department is a growing area of practice. Physical therapists in the emergency room can help patients start on the road to recovery early in the injury process, facilitating the possibility to improve outcomes in certain injury types.<ref name=":0">Verywellhealth. available from: http://www.verywellhealth.com/emergency-room-physical-therapy-4135939 </ref>. Typically, once the treating physician has evaluated the patient, physical therapists are consulted by the treating Emergency department physician to assist in the evaluation and treatment of a number of movement and functional disorders, such as low back pain, peripheral vertigo, and various gait disturbances. Patients receiving emergency department physical therapy (ED PT) benefit from the physical therapist’s expertise in musculoskeletal and vestibular conditions and from the individualised attention provided in a typical bedside evaluation and treatment session. This includes education on expected symptom trajectory, recommendations for activity modulation and facilitated outpatient follow-up<ref>Kim HS, Strickland KJ, Mullen KA, Lebec MT. Physical therapy in the emergency department: A new opportunity for collaborative care. The American journal of emergency medicine. 2018 May 24</ref>. As part the emergency department team, physical therapists have the opportunity to collaborate in the care of patients with a wide range of acute and chronic problems coming from the neuromusculoskeletal, cardiovascular, pulmonary and integumentary systems.


=== Function of emergency physiotherapist<ref name=":0" /> ===
== Function of emergency physiotherapist<ref name=":0" /> ==
1.      Patient education about their injury or illness and how that affects their mobility[[File:2448px-Teenage boy on crutches with walking boot.jpg|frameless|180x180px]]
1.      Patient education about their injury or illness and how that affects their mobility


2.      Instruction in bed mobility, transfers, and walking
2.      Instruction in bed mobility, transfers and walking


3.      Instruction in using assistive device like a cane or a walker
3.      Instruction in using assistive device like a cane, crutches or a walker


4.      Prescribe exercises to help treat conditions
4.      Prescribe exercises to help treat conditions
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5.      Provide pain relief like ice or heat for injury
5.      Provide pain relief like ice or heat for injury


Patient with certain types of diagnoses may benefit from Physiotherapy in an emergency room. These may include:
6.     Provide suitable immobilisation for fractures and ligamentous injury such as backslabs, moon boots and Richard splints for example.
* Lower extremity sprains, strains or other injuries
* Shoulder, wrist or elbow injuries
* Back and neck pain
* After motor vehicle accidents


=== Outcome with physical therapy in the emergency department ===
Referrals have increased and length of stay has decreased for patients receiving physical therapy. Preliminary surveys suggest high patient and practitioner satisfaction with physical therapy service<ref>1.      Fleming-McDonnell D, Czuppon S, Deusinger SS, Deusinger RH. Physical therapy in the emergency department: development of a novel practice venue. Physical therapy. 2010 Mar 1;90(3):420-6.</ref>
=== Geriatric Emergency Departments ===
Recently-created guidelines and criteria for Geroatric emergency departments aim to improve the standard of care. Physiotherapist play a large role here to assess and identify eg falls risk patients. These issues can then be acted on at this early stage. Injuries that were once treated are now prevented.
{{#ev:youtube|https://www.youtube.com/watch?v=77uqmjfQNt4|width}}<ref>CDC  Stand STEADI: Fall Prevention in a Geriatric Emergency Department. Available from: https://www.youtube.com/watch?v=77uqmjfQNt4 (last accessed 26.4.2019)</ref>
References
References
<references />
<references />

Revision as of 02:27, 2 June 2019

Original Editor - [Ayelawa Samuel] Top Contributors - Claire Knott, Ayelawa Samuel, Jeremy Bryan, Lucinda hampton, Kim Jackson, Amanda Ager and Amal Abbasi

INTRODUCTION:[edit | edit source]

Images (4).jpg

Physical therapy in the hospital emergency department is a growing area of practice. Physical therapists in the emergency room can help patients start on the road to recovery early in the injury process, facilitating the possibility to improve outcomes in certain injury types.[1]. Typically, once the treating physician has evaluated the patient, physical therapists are consulted by the treating Emergency department physician to assist in the evaluation and treatment of a number of movement and functional disorders, such as low back pain, peripheral vertigo, and various gait disturbances. Patients receiving emergency department physical therapy (ED PT) benefit from the physical therapist’s expertise in musculoskeletal and vestibular conditions and from the individualised attention provided in a typical bedside evaluation and treatment session. This includes education on expected symptom trajectory, recommendations for activity modulation and facilitated outpatient follow-up[2]. As part the emergency department team, physical therapists have the opportunity to collaborate in the care of patients with a wide range of acute and chronic problems coming from the neuromusculoskeletal, cardiovascular, pulmonary and integumentary systems.

Function of emergency physiotherapist[1][edit | edit source]

1.      Patient education about their injury or illness and how that affects their mobility

2.      Instruction in bed mobility, transfers and walking

3.      Instruction in using assistive device like a cane, crutches or a walker

4.      Prescribe exercises to help treat conditions

5.      Provide pain relief like ice or heat for injury

6. Provide suitable immobilisation for fractures and ligamentous injury such as backslabs, moon boots and Richard splints for example.

References

  1. 1.0 1.1 Verywellhealth. available from: http://www.verywellhealth.com/emergency-room-physical-therapy-4135939
  2. Kim HS, Strickland KJ, Mullen KA, Lebec MT. Physical therapy in the emergency department: A new opportunity for collaborative care. The American journal of emergency medicine. 2018 May 24