Hi Jane
We have a prominent role for physio in our A&E Dept though it is not full
time rather the acute OPD physio is available on call. Some of the real
benefits have been:
- LBP neck pts with neurologicals generally get admitted. Physio has reduced
these admissions by reducing s/s with massage, heat,McKenzies, other acute
LBP ex's, or gentle traction, though never electrotherapy. These patients
can then be sent home and followed up in clinic.
- Acute ankle sprains can be managed more efficiently with RICE and taping
applied and taught correctly to patients. This has seen significant positive
results in orthpaedic clinic followup.
- there are some musculoskeletal conditions that an experienced physio may
be more familiar with than an intern or RMO doing an odd rotation in A&E.
i.e. Osgood Schlatters, Sinding-Larsen-Johnson syndrome. A physio may do a
better assessment of a shoulder injury too.
Hope this helps
Bruce
Dear All,
We currently have a physio based in the A and E (in a large teaching
hospital) as part of a senior II rotation and have been offered the
possibility of more funding to develop the post from 2 afternoons a week to
a full time position (senior I) I am very grateful for any ideas as to how
posts like these have been developed and how effective they have been.
many thanks
Jane Miller
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