COVID and Clotting: How to Identify, Assess, and Treat Clotting Disorders in COVID-19 Survivors

Treating patients with acute and chronic clotting conditions is not new to rehabilitation professionals. We even have¬†clinical practice guidelines¬†around how to do so safely. However, what is new is the increased risk of newly acquired clotting conditions among post-COVID-19 patients. Those of us practicing in acute, subacute, emergency, and outpatient settings are uniquely tasked withContinue reading “COVID and Clotting: How to Identify, Assess, and Treat Clotting Disorders in COVID-19 Survivors”

Altitude Medicine: Rehab at the Peak

I took a trip to Denver recently and, right around the same time, was consulted regarding the use of a pulse oximeter at high altitudes. It all got me thinking: how different could it really be to practice at 9,000ft? So, I did some work on this and I have to tell you, finding thisContinue reading “Altitude Medicine: Rehab at the Peak”

Blow Out the Candles…

If there is any treatment that I feel like gets used in a cookie-cutter fashion, it’s pursed-lip breathing. As much as I hate seeing this technique used for every single patient that has shortness of breath, it does have clinical usefulness. So let’s talk about how to implement pursed-lip breathing properly based on patient presentationContinue reading “Blow Out the Candles…”

Exercise-Induced Hypertension

Have you ever had patient exercising during your treatment session and taken their blood pressure only to find that is has shot up pretty high? They didn’t have symptoms of high blood pressure so you rested them and it came right back down. But, then you find that it keeps happening… What does this mean?Continue reading “Exercise-Induced Hypertension”

Blood Pressure Basics

Are you taking the blood pressure and heart rate of EVERY patient you see for a new evaluation? How about for every visit? A recent survey of over 1800 Outpatient PTs showed that although 51% of PTs reported that over half their caseload had risk factors for hypertension and cardiovascular disease, only 14% of themContinue reading “Blood Pressure Basics”

Out with the Old, In with the New (Dynamic Hyperinflation)

I can’t even begin to tell you guys how much I love teaching people about lung function in the presence of disease (read: HUGE NERD). Teaching patients how to correct for dynamic hyperinflation is one of those things that I really love teaching. If you remember from a few weeks ago, we talked about howContinue reading “Out with the Old, In with the New (Dynamic Hyperinflation)”

HFNO

HFNO stands for High Flow Nasal Oxygen. This is something that was used frequently in patients who were desaturating quickly with symptoms of COVID-19. It has the ability, through the use of several different devices or setups, to deliver very high concentrations of supplemental oxygen to patients with advanced pulmonary diseases or conditions. In theContinue reading “HFNO”

Time to Pump It Up! (aka Ejection Fractions)

I’m starting to push more in to the cardiac side of things. As well as this being the original intent of this blog years ago, it is also because your focus should also be shifting. If you are treating COVID-19 patients, you need to start focusing on their heart. The patients who did a stentContinue reading “Time to Pump It Up! (aka Ejection Fractions)”

Guillain-Barre Syndrome

We used to think of this as only being associated with the flu. But we know now that GBS can be associated with any insult to the immune system, known or unknown (unknown in up to 40% of cases!). Now that we know COVID-19 can present, especially early on, with neurological symptoms, we need toContinue reading “Guillain-Barre Syndrome”

Venous Thromboembolism (VTE) Part 1: DVTs

UPDATED!!! This is the first half of a two-part installment on VTEs. Keep an eye out for part 2 on pulmonary embolisms (PEs) and how these are associated with COVID-19, coming soon! If you work in outpatient therapy, this has probably been on your radar with just about every post-operative patient that comes through yourContinue reading “Venous Thromboembolism (VTE) Part 1: DVTs”