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急诊室的物理治疗和疼痛
One of Troy's biggest frustrations in the ER is patients suffering from pain. He prescribes what he can to help, but the patients often return still in pain. 他想帮忙, but the recent fears related to the opioid epidemic can cause him to hesitate to prescribe pain medication.
基思·罗珀登场, PT, DPT is a physical therapist that works in the ER at University of Utah health to help patients with their pain without the use of drugs. 在美国大约有60个急诊科.S. 有一个嵌入式物理治疗师. These specialists have extensive training that makes them uniquely qualified to treat pain.
疼痛是正常的，并不总是需要药物治疗
疼痛是一种非常复杂的感觉. 这不仅仅是一个“组织问题”." Pain is a complete neurophysiological sensation that is more than just a physical injury. How a patient experiences pain is an interplay of factors ranging from emotion to physiology to immunology.
The classical method is for doctors to treat pain as "the fifth vital sign." 病人 came in reporting an amount of pain on the pain scale. 然后，医生们的目标是让病人的疼痛降到零. This often included prescribing enough pain medication to reach that goal. 不幸的是, some of these interventions can be counterproductive to actually treating the root cause of pain.
"I know you're in pain, but it's okay," Keith will often tell his patients. 大发娱乐的目标不是让疼痛得分降为零, but to reassure patients that pain is a part of the healing process 和 to not assume it's a sign of something severe.
治疗疼痛的最佳方法：移动它
“如果疼的话, 不要这样做,对大发娱乐大多数人来说，这似乎很直观, but Keith assures his patients that movement is the best thing a person can do to help an injury heal 和 manage pain. After a patient is screened for more serious complications from an injury, 疼痛本身并不是组织损伤的标志.
People often fear that they may cause more damage if they continue to move something that hurts. 事实并非如此. 运动是受伤后你能做的最好的事情, 和 a physical therapist can help you reframe your relationship with pain 和 prescribe a plan to help you get moving through the pain safely.
疼痛是件好事，但它可能会变得过于敏感
疼痛其实是一件好事. 这是身体的警报系统. Pain tells us to pull our h和 away from a hot pan before the burn gets worse. Pain tells us when we've pushed our body too hard 和 need to rest. 痛苦让大发娱乐安全. In fact, a rare genetic condition can lead people to be born without the ability to feel pain. Most of these people die before age 20 because their body is unable to express injury 和 protect itself.
在急性损伤或某些慢性疼痛条件下, 身体的疼痛系统会对刺激过于敏感. The simple brush of a feather can cause an excruciating response for an over stimulated nervous system. It's important to remember that the relationship between pain 和 tissue damage is not linear. Just because something is extremely painful does not mean the physical injury is also severe. 它可能只是一个敏感的神经系统.
Physical therapy can reassure you it's safe to move - even when it's painful - 和 train you to get moving again safely.
多运动来治疗慢性背痛
对于坐办公室的人来说，疼痛是很常见的. Being hunched over computers day in day out can lead to chronic pain in the upper back 和 shoulders. Troy has personally experienced this with his job for the past 15 years. 是什么导致了这种疼痛，怎样才能缓解呢?
基思解释说，神经需要三样东西才能快乐：
- 血液流动
- 空间
- 运动
如果神经失去血液流动, 成为压缩, 或者静止太久, 它们会开始向大脑发送疼痛信号. 神经告诉大脑它们需要移动.
例如, 如果你长时间坐在硬椅子上, 你的背部会开始疼痛. 典型的上班族的上背部疼痛是相似的. You are holding your back in the same position for a long time without moving.
What can make the pain even worse is when a person sits in the same static position day in 和 day out. Every time your body experiences that upper back pain, it becomes more sensitive to the situation. The next time you sit at the computer, your body will tell you sooner. This can get to the point where people will start feeling pain the moment they sit down in their office.
怎样才能缓解背痛呢?
“行动起来，改变你的位置，”基思说.
运动 allows for the nerves to get the blood, space, 和 movement they need. 伸展一整天. 经常变换位置. 每小时起来走走.
"A lot of people tend to wait until the pain goes away before they move,基思说, "When actually the most persistent pain needs movement to heal."
急诊室与否：我差点淹死
说你出去游泳了. 也许在游泳池或湖边. 突然，你的一个朋友发现自己在水里. 挣扎了一下，吸了一大堆水. They get to shore, everything seems fine, but the almost drowned! 你应该带他们去急诊室吗?
据博士说. 麦德森，这真的是主观判断. The biggest concern with any liquid getting into a patient's lungs is the possibility of aspiration, 或者让水进入肺部. There's also a potential for a person to form pneumonia a few days after getting water in the lungs.
That being said, most of the time, an individual with cough up the water 和 be fine.
然而, if the person lost consciousness or required someone to pump the water out of the persons chest, you should take them to the ER to make sure everything is alright.
还记得, no one will ever fault you for going to the emergency department, 安全总比后悔好. When wondering if you should go to the ER, remember your ABC's. 如果病人的呼吸道有问题, 呼吸, 或循环, 你应该马上去急诊室.
把这个留在大发娱乐
在这一集 把这个留在大发娱乐, Troy finds new faith in humanity after reading a study about people finding a lost wallet 和 Scot's baby saving blood saves a child in need.
和大发娱乐谈谈
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