Intro to PM&R 2023 – Individual Topic Sessions- Medically Complex Rehabilitation-Intro to PMR 2023 Medically Complex Rehabilitation

Video Transcription

Video Summary

Dr. Sam Mayer from Johns Hopkins introduces himself as the medical director for the Medical Student Summer Clinical Experience Program. He announces a separate meeting for the program following this video. Dr. Mayer proceeds to discuss medical complications in inpatient rehab, beginning with venous thromboembolism (blood clots) as the number one cause of preventable deaths in hospitals. Risk factors for blood clots include immobility, surgery, stroke, brain/spinal cord injuries, and cancer. Guidelines set by the American College of Chest Physicians recommend prophylaxis to prevent blood clots. Symptoms include calf tenderness and swelling, while pulmonary embolism may present with chest pain, shortness of breath, and tachycardia. Testing includes DOP ultrasound for deep venous thrombosis (DVT) and chest CT with contrast for pulmonary embolism (PE). Treatment options include anticoagulants like Noxaparin and direct oral anticoagulants. Dr. Mayer emphasizes the importance of preventing, diagnosing, and treating blood clots. Other complications discussed in the video include aspiration pneumonia, cardiac arrhythmias (particularly atrial fibrillation), delirium, hypertensive urgency, urinary tract infections (UTIs), C. diff infection, and pain management. Dr. Mayer stresses the need for interdisciplinary collaboration and patient involvement in decision making. He encourages medical students to develop a strong general medicine knowledge base. The video concludes with a Q&A session.

Keywords

venous thromboembolism

blood clots

prevention

complications

anticoagulants

patient involvement

medical students

general medicine