The Management of Patients with Chronic Spinal Cord Injury in Emergency Departments: Utilization and a Knowledge Survey of Emergency Medicine Residents

DiPonio, Lisa; Roth, Randy S.; Gater, David R.; Kowalenko, Terry; Engel, Kirsten G.; Carson, James; Curtin, Catherine

doi:10.1310/sci1702-38

Cited by 4 publications

(2 citation statements)

References 12 publications

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“…7,12 This is further highlighted by 47% of emergency room residents not having adequate knowledge in six categories of post-SCI care (autonomic dysreflexia, urinary tract infection, posttraumatic syringomyelia, gastrointestinal system problems, pulmonary disturbances, and cardiac complications). 19 Many individuals with SCI have been educated on some of these aspects of their care in inpatient rehabilitation centers, and so it is important for PCPs to demonstrate willingness to collaborate and build capacity in managing these issues.…”

Section: Attitudes Knowledge and Expertisementioning

confidence: 99%

A Primary Care Provider’s Guide to Accessibility After Spinal Cord Injury

Lee

Varghese

Brooks

et al. 2020

Topics in Spinal Cord Injury Rehabilitation

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Individuals with spinal cord injury (SCI) continue to have shorter life expectancies, limited ability to receive basic health care, and unmet care needs when compared to the general population. Primary preventive health care services remain underutilized, contributing to an increased risk of secondary complications. Three broad themes have been identified that limit primary care providers (PCPs) in providing good quality care: physical barriers; attitudes, knowledge, and expertise; and systemic barriers. Making significant physical alterations in every primary care clinic is not realistic, but solutions such as seeking out community partnerships that offer accessibility or transportation and scheduling appointments around an individual’s needs can mitigate some access issues. Resources that improve provider and staff disability literacy and communication skills should be emphasized. PCPs should also seek out easily accessible practice tools (SCI-specific toolkit, manuals, modules, quick reference guides, and other educational materials) to address any knowledge gaps. From a systemic perspective, it is important to recognize community SCI resources and develop collaboration between primary, secondary, and tertiary care services that can benefit SCI patients. Providers can address some of these barriers that lead to inequitable health care practices and in turn provide good quality, patient-centered care for such vulnerable groups. This article serves to assist PCPs in identifying the challenges of providing equitable care to SCI individuals.

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Section: Attitudes Knowledge and Expertisementioning

confidence: 99%

A Primary Care Provider’s Guide to Accessibility After Spinal Cord Injury

Lee

Varghese

Brooks

et al. 2020

Topics in Spinal Cord Injury Rehabilitation

View full text Add to dashboard Cite

show abstract

“…One study reported that emergency department (ED) residents displayed appropriate knowledge of 6 serious complications for SCI patients in the ED only 47% of the time. 12 Other studies reported that SCI patients have difficulty finding knowledgeable doctors and feel the need to educate them about their disability. 6, [13][14][15] While potentially dangerous, limited provider knowledge can also pose a substantial hurdle for SCI patients in accessing primary health care.…”

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confidence: 99%