Emergency

Procedures & Primary

Care In Physical
Therapy Manual

Name of the department:

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Authored by: Dr. Bushra Mehwish (PT)

DR. BUSHRA MEHWISH (PT)

X
Bushra Mehwish
Physiotherapist

LIST OF LABS

S.NO LAB TOPIC PAGE T.

NUMBER SIGNATURE

1 Introduction to emergency equipment

2 Conduction of scene assessment,

Vital signs and safety

3 Oxygen therapy

4 Advanced airway devices

5 Identification, screening and recognition

of cardiac warning signs

6 Preparation for cardiac emergencies

7 Performing initial on site assessment,

sideline assessment, special tests for
assessment of coordination and
cognition

DR. BUSHRA MEHWISH (PT)

8 Assessment and management of
cervical spine injuries, Thoracic
injuries.
Acute care physical therapy
examination and discharge planning
9 Performing splinting techniques for :
Fractures and dislocations of upper
extremity
Fractures and dislocations of lower
extremity
Fractures and dislocations of of spine
10 Examination and evaluation
Symptoms investigation
Taking history of patient
Identifying risk factors
Review of systems
Examination of upper quadrant and
lower quadrant
Laboratory tests and values
11 Wound management

12 Basic life supports and supervised intra

muscular intra venous injection therapy

13 Disaster management

DR. BUSHRA MEHWISH (PT)

 LAB 1

Introduction to emergency equipment

Identify the emergency equipment given below.

DR. BUSHRA MEHWISH (PT)

DR. BUSHRA MEHWISH (PT)
 LAB 2
Conduction of scene assessment, Vital signs and safety

1. What do you see in the scene given below that needs to be addressed quickly by
the people on scene?

DR. BUSHRA MEHWISH (PT)

 2. CASE SCENARIO OF CARDIOPULMONARY RESUSCITATION:

You are leaving Indus University while you saw a 17 year old boy slump to the ground
and is unresponsive. Crowd has been gathered around him but no one knows what to
do. What will you do now? Explain in proper steps along with emergency numbers and
the process of calling an ambulance.

DR. BUSHRA MEHWISH (PT)

3. What do you understand by the mnemonic ABCDE?

A:
B:
C:
D:
E:

4. Differentiate between contusions, lacerations and abration.

DR. BUSHRA MEHWISH (PT)

 5. What is PERRLA ?

P _____________
E _____________
R _____________
R _____________
L _____________
A _____________

6. Write down the normal range for the following vitals.

Pulse:

Blood pressure:

Respiratory rate:

Temperature:

Pulse oximetry:

7. What do you understand by the term “Golden hour”?

DR. BUSHRA MEHWISH (PT)

 LAB 3
Oxygen therapy

1. Write down the difference between jaw thrust maneuver and triple airway
maneuver.

2. Label the parts of an Oxygen cylinder:

DR. BUSHRA MEHWISH (PT)

3. Write down the correct value of Fraction of inspired oxygen.

4. Identify the following oxygen devices. Write down their flow rate in Litres/min.

DR. BUSHRA MEHWISH (PT)

DR. BUSHRA MEHWISH (PT)
 LAB 4

Advanced airway devices

1. Identify advanced airway devices:

DR. BUSHRA MEHWISH (PT)

 LAB 5

Identification, screening and recognition of cardiac warning signs

1. Name the three cardiac rhythms, with which SCA usually presents along with
three points about them?

DR. BUSHRA MEHWISH (PT)

2. Write down the symptoms to be kept in mind during pre- participation screening
of Cardiac warning signs.

DR. BUSHRA MEHWISH (PT)

 LAB 6

Preparation for cardiac emergencies

1. The first step is to be AWARE. Can you think of the ways to spread awareness
among general population about cardiac emergencies?

2. What is Einthoven’s triangle?

DR. BUSHRA MEHWISH (PT)

3. Label the diagram with correct ECG leads?

DR. BUSHRA MEHWISH (PT)

 4. Draw the rough diagram of the heart and label it’s coronary arteries along with
their branches.

5. Which ECG lead look where?

II, III, aVF: ___________________

V1,V2: ______________________

V3, V4: ______________________

I, aVL, V5, V6: _________________

DR. BUSHRA MEHWISH (PT)

 LAB 7

Performing initial on site assessment, sideline assessment, special tests for

assessment of coordination and cognition

1. Write down the five level of consciousness.

_____________
_____________
_____________
_____________
_____________

2. Write down the difference between Anterograde and Retrograde amnesia?

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____________________________________________________________

3. Write down the name of all cranial nerves.

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DR. BUSHRA MEHWISH (PT)

4. Explain Log roll method (without spinal board) in details.
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5. Explain the following terms:

Battle’s sign: ____________________________________________________

Ottorhea: ______________________________________________________

Rhinorrhea: ____________________________________________________

DR. BUSHRA MEHWISH (PT)

 LAB 8
Assessment and management of cervical spine injuries, Thoracic injuries.

Acute care physical therapy examination and discharge planning

1. Write some of the precautions and preventions you need to consider in an acute
care setting.

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2. What do you understand by the term “Medication Reconciliation”?

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3. Write full form of the following abbreviations.

DNR _____________________
DNI ______________________
CMO _____________________
LAMA ____________________
ICU ______________________
CCU _____________________

DR. BUSHRA MEHWISH (PT)

4. Identify and write the names.

DR. BUSHRA MEHWISH (PT)

 LAB 9

Performing splinting techniques for fractures of UE, LE and Spine:

1. Identify the fracture type:

DR. BUSHRA MEHWISH (PT)

2. Explain aerterial pressure points.

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3. Recognize the type of splint

DR. BUSHRA MEHWISH (PT)

 LAB 10

Examination and evaluation

1. What do you understand by Severity, Irritability and Nature? Write in

your words.

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2. Describe OPQRST in terms of symptoms inverstigation.

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3. Write down the pain description of the following disorders.

Vascular disorders: __________________________

Neurological disorders: _______________________
Visceral disorders: ___________________________

DR. BUSHRA MEHWISH (PT)

4. Match the columns.

Hemoglobin 11-13.5 seconds

Platelets 135-145 mEq/L

White blood cells 13-15 g/dL

Sodium 4,500 - 11,000 µL

Potassium 150,000 to 450,000 µL

PT 3.6 to 5.2 mmol/L

DR. BUSHRA MEHWISH (PT)

 LAB 11

Wound management

1. What are the functions of Integumentary system?

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2. Identify the following:

DR. BUSHRA MEHWISH (PT)

DR. BUSHRA MEHWISH (PT)
 LAB 12

Basic life supports and supervised intra muscular intra venous injection
therapy

1. Why do we administer IM injections?

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2. Explain the procedure of IM injection on deltoid muscle.

DR. BUSHRA MEHWISH (PT)

 LAB 13

Disaster management

1. Write the name of the missing steps:

DR. BUSHRA MEHWISH (PT)

2. How will you response during an earth quake.

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3. How will you response during flash flood?

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4. Why is it recommended to crawl out of a room full of smoke instead of running

or walking?

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DR. BUSHRA MEHWISH (PT)

5. What does this picture mean?

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* THAT’S ALL FOLKS *

DR. BUSHRA MEHWISH (PT)