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Interdisciplinary Management of Traumatic Ankle Injuries in the Emergency Department at La Tour Hospital

Published on 26.01.22
Prise en charge interdisciplinaire des chevilles traumatiques aux urgences de l’Hôpital de La Tour
Since January 2022, La Tour Hospital has implemented an interdisciplinary care model for the treatment of traumatic ankle injuries. After an initial diagnosis by an emergency physician, the patient is then referred to a physical therapist at the Swiss Olympic Medical Center in La Tour who is specially trained in this approach. The goal is to reduce the workload on emergency physicians, streamline the flow of patients through the emergency department, and improve patient satisfaction as well as certain metrics, such as the prescription of medications or non-essential additional tests.

What is a traumatic ankle injury?

In this context, a traumatic ankle injury refers to mild or moderate ankle sprains without a fracture, as well as certain foot injuries.

Who is eligible for this care?

Any patient who presents to the emergency department at Hôpital de La Tour for these conditions, whether on weekdays or weekends.

How does the care process work?

The patient is first examined in the emergency department, where the emergency physician makes a diagnosis. The patient is then immediately referred to the Hôpital de La Tour’s Physical Therapy & Rehabilitation Center, where a physical therapist takes over to complete the clinical evaluation, teach the patient essential initial steps (applying a splint, walking with crutches, etc.), and answer any questions the patient may have. If a patient arrives at the emergency department outside the physical therapy center’s hours of operation (evenings and weekends), they are asked to leave a message at the center (022 719 67 67) and will be contacted the next day or on Monday morning to schedule a priority appointment later that day.

In conclusion

This innovative initiative was implemented at Hôpital de la Tour based on scientific studies showing reduced wait times and more effective care, thanks in particular to the promotion of therapeutic education (explanation of the condition and its consequences, how to apply a splint, and how to use ice, for example). Furthermore, this interdisciplinary procedure aims to prevent the lack of rehabilitation following an ankle sprain, which can lead to recurrences, chronic instability, and even osteoarthritis in the long term.