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1. TABLE TOP EXERCISE

2. Scenario You are the first team of rehabilitation professionals to work in a small newly re-opened district hospital in a newly liberated area close to the frontline. It has 80 beds and 2 operating theatres for emergency and orthopaedic surgery. The hospital is already very full, and there is a shortage of all staff. You are sent to the main acute ward. Your capacity is limited, and you only have 7 hours to see patients today. You do a very quick scan of the ward. 15 October 2024

3. Activity 1 Identify any patients that need urgent action (medical or other) and what action you would take.

4. Possible answers Urgent medical review: 1: Urgent review possible compartment syndrome 2: Urgent review possible neurogenic shock. Needs transfer. 11: Urgent review, possible undiagnosed Cx spine injury Other urgent actions: 4: identify a caregiver 5: Provide crutches and urgently clarify weight bearing status

5. Activity 2: Your urgent patients have all been reviewed. Patient 1 has gone for fasciotomy – remove Patient 2 has been sat down and given medication to support BP and HR – keep for now, transfer likely to be 5 days. Patient 11 has been referred to another hospital for Cx CT – remove. Patient 4: A caregiver has been identified Patient 5: Surgeon says he can partial weight bear. Your rehab team now have 6 hours remaining for treatment today. the patients in order of priority for assessment and treatment by the rehabilitation team

6. Prioritisation Any immediate medical risk Any risk of rapid deterioration without rehab Any risk of delayed recovery without rehab? Any possibility to discharge the patient today and free up resources Remaining patients

7. Activity 3 Develop basic initial assessment and treatment plans for your first 5 priority patients – just key points. Present to team. Patient Assessment Plan Treatment Plan 1 2 3 4 5

8. Thank you! Any questions?