Steven Rankin – 2-Day: Acute Care Rehab Course: Strategies for Multi-Trauma Patients

Outline

OVERVIEW OF TRAUMA CARE DELIVERY SYSTEM

• Trauma care centers
• Triaging algorithms

INCIDENCE AND PREVALANCE OF TRAUMATIC INJURIES

• Who gets hurt? How and why?
  • Importance of what demographic information can tell us and how it can affect therapy
• How do client factors influence our decisions?

MECHANISMS OF INJURY

• What does it tell us?
• High vs. low impact injuries

EVALUATION: WHO DOES WHAT?

• By trauma surgeon
• By consultants
• By therapists
• Case Studies

COMPLICATIONS YOU MAY ENCOUNTER AND STEPS ON HOW TO HANDLE THEM

• Sepsis
• Drug and alcohol use
• Pulmonary embolism
• Pain
  • Acute pain vs. acute on chronic pain
  • Multi-modal approaches

SPECIFIC INJURIES AND ACUTE STRATEGIES FOR THE TREATMENT – CASE STUDIES AND LAB

FRACTURE MANAGEMENT

• Operative and non-operative treatments
• Indications for various treatments

UPPER EXTREMITY INJURIES

• Wrist/hand
• Elbow, splinting considerations
• Shoulder – diagnosis, provocative tests

HETEROTOPIC OSSIFICATION

• Elbow trauma
• Burns
• TBI

HEAD INJURIES

• Facial fractures, Le Fort taxonomy
• TBIs
• Is it a brain injury?
• ETOH withdrawal
• Delirium
• Underlying dementia

TRUNK/AXIAL SKELETON INJURIES

• Rib fractures
• Spinal fractures
• Pelvic fractures

LOWER EXTREMITY INJURIES

• Schatzker taxonomy
• Weber taxonomy
• Transfers and ambulation
• Weight bearing
• Amputations
• Splinting/orthotics/special cases

BURNS AND GUNSHOT WOUNDS

• Positioning, splinting
• Improve range of motion
• Precautions
• Fractures
• Soft tissue and vascular injuries

PUTTING IT ALL TOGETHER: THERAPY EVALUATION AND TREATMENT

• Where do I start?
• Standardized assessment in the acute setting
  • Balance/mobility
  • ADL
  • Functional cognition
• When do I co-treat?
• Caregiver training on c-collars, CTOs, TLOs and more
• Better billing and documentation under the new CMS guidelines
• Discharge planning and return to work recommendations
• How to dramatically reduce readmission
• Case Studies