After an accident, such as an ankle sprain or knee injury, you can relieve pain, reduce swelling, and counteract the body’s initial response to injury with the RICE method. It’s important to perform this protocol as soon as possible after an injury to promote flexibility and healing.
What does RICE mean?
RICE stands for rest, ice, compression and elevation.
Rest
Stop using the injured body part! Protect the area, and avoid any activity that is painful or may have caused the injury. Continued activity could cause further damage.
Ice
Use ice for the first 48-72 hours after an injury. Apply ice several times a day for 20 minutes at a time, followed by one hour “off.” The cold will contract injured capillaries and blood vessels to help stop internal bleeding. Do not apply ice directly to the skin.
Compression
Wrap the injured body part firmly with an elasticized bandage, compression sleeve, or cloth – especially when you are more active. This will help speed up healing time by reducing swelling around the injury.
Elevation
Elevate the injured body part above the level of your heart to decrease swelling and joint pain.
In addition, non-steroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen and aspirin, may also help reduce your pain and swelling, and are beneficial treatments for muscular aches and pains, arthritis, and joint stiffness. If you have tried the RICE method but experience no improvement, or if you are unable to put any weight on the injured area, you should seek medical attention.
Carpal Tunnel Syndrome – we’ve all heard of it, but what exactly does it mean? Carpal tunnel syndrome is a common condition that causes joint pain, numbness, and tingling in the hand and wrist. This happens when the main nerve running from your forearm to your hand, called the median nerve, becomes compressed. The median nerve and several tendons run through a small space in your wrist called the carpal tunnel. This nerve controls movement and feeling in your thumb and first three fingers. Pressure on the median nerve is usually the cause of carpal tunnel syndrome. Pressure may come from swelling, or anything else that makes the carpal tunnel in your wrist smaller. As the space becomes smaller, the nerve becomes compressed, and you will start to notice symptoms.
Many things can contribute to carpal tunnel syndrome, including:
Genetics
Repetitive hand use
Performing activities with extreme flexion or extension of the hand or wrist
Pregnancy, or other conditions that cause your body to retain fluid
Most people that have carpal tunnel syndrome will notice that their symptoms gradually worsen over time. The good news is that this condition is very treatable. It is important to be evaluated by your orthopedic surgeon in the early stages to slow or even stop the progression of carpal tunnel syndrome. The sooner you start treatment, the better your chances of preventing long-term damage to your median nerve.
Grand Rounds - Mar. 11, 2022 "The Newest Phase of the COVID-19 Pandemic: Omicron, and Beyond"
Speaker: Diane M. Birnbaumer, MD, FACEP. Emeritus Professor of Medicine, David Geffen School of Medicine at UCLA; Senior Clinical Attending, Department of Emergency Medicine Harbor-UCLA Medical Center. .
Objectives
Describe characteristics of the Omicron variant, including transmissibility and severity of illness.
Detail effectiveness of available vaccines in protecting against the Omicron variant.
Describe the risk of post-vaccination infections and severity of illness where cases occur.
Accreditation: St. Charles Health System is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. St. Charles Health System designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)TM.
The period to claim credit for this activity expires one year after its original publication. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Target Audience: Physicians, Nurses, Pharmacists, Allied Health Professionals
Accessibility/Program Questions: St. Charles Health System encourages persons with disabilities to participate in its programs and activities. If you anticipate needing any type of accommodation or have questions about the physical access provided, please contact Continuing Medical Education at [email protected].
Oher CME or Clerkship questions: also contact Continuing Medical Education at [email protected].
Grand Rounds - Mar. 4, 2022 "Laboratory Overview and Updates"
Speaker: Bradley Bryan, MD. Laboratory medical director, SCMC-Bend; Pathologist, Central Oregon Pathology Consultants.
Objectives
Identify issues for ordering of various tests (e.g. flow cytometry, peripheral smearreview, etc.).
Review best practice guidelines of commonly ordered tests throughout the laboratory.
Review qualifications of laboratory scientists and regulating agencies that accredit our laboratory.
Accreditation: St. Charles Health System is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. St. Charles Health System designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)TM.
The period to claim credit for this activity expires one year after its original publication. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Target Audience: Physicians, Nurses, Pharmacists, Allied Health Professionals
Accessibility/Program Questions: St. Charles Health System encourages persons with disabilities to participate in its programs and activities. If you anticipate needing any type of accommodation or have questions about the physical access provided, please contact Continuing Medical Education at [email protected].
Oher CME or Clerkship questions: also contact Continuing Medical Education at [email protected].
St. Charles Bend drive-through COVID-19 test site closing Friday, March 4
With the Oregon National Guard scheduled to stand down its operations at St. Charles facilities over the next two weeks, St. Charles Bend is planning to close its drive-through COVID-19 test site on Friday, March 4.
People who should seek testing from a health care provider include those who:
Are 65 or older
Have a chronic health condition such as obesity, diabetes, chronic kidney disease or any other condition that puts them at increased risk of severe disease, or they are pregnant
Have moderate or severe illness needing medical evaluation
Live in a group setting such as a nursing home
Work in agriculture, food service or an educational setting like a preschool and at-home testing is not available
People who may not need to seek testing from a health care provider include those who:
Have had close contact with a family member with COVID-19. In this scenario, household members should assume they have COVID-19 and isolate. The exception is if any household members are considered high risk and would benefit from treatment.
Are mildly ill and do not meet conditions above
Have tested positive with an at-home kit. Another confirmatory test is not needed. Likewise, symptomatic people with a negative test within three to five days of illness onset do not need a confirmatory test.
Have had COVID-19 and want to return to work or school. Individuals should be able to return after completing their isolation or quarantine as described at www.deschutes.org/covidinfo
About St. Charles Health System
St. Charles Health System, Inc., headquartered in Bend, Ore., owns and operates St. Charles Bend, Madras, Prineville and Redmond. It also owns family care clinics in Bend, La Pine, Madras, Prineville, Redmond and Sisters. St. Charles is a private, not-for-profit Oregon corporation and is the largest employer in Central Oregon with more than 4,500 caregivers. In addition, there are more than 350 active medical staff members and nearly 200 visiting medical staff members who partner with the health system to provide a wide range of care and service to our communities.
Grand Rounds - Feb. 25, 2022 "Sepsis Update & Treatments"
Speaker: Presented by Clinton Coil, MD. Associate Clinical Professor of Emergency Medicine, Associate Medical Director for Quality and Safety, LA County Harbor-UCLA Medical Center.
Objectives
Follow current guidelines and evidence-based practice in sepsis management.
Recognize and diagnose sepsis in a timely and efficient manner.
Utilize new treatment modalities to aggressively treat the sepsis patient.
Prioritize treatment for septic patients effectively.
Determine when and how to use procalcitonin (PCT).
Identify high-risk patient groups, such as the elderly and immune-compromised patients.
Accreditation: St. Charles Health System is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. St. Charles Health System designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)TM.
The period to claim credit for this activity expires one year after its original publication. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Target Audience: Physicians, Nurses, Pharmacists, Allied Health Professionals
Accessibility/Program Questions: St. Charles Health System encourages persons with disabilities to participate in its programs and activities. If you anticipate needing any type of accommodation or have questions about the physical access provided, please contact Continuing Medical Education at [email protected].
Oher CME or Clerkship questions: also contact Continuing Medical Education at [email protected].
Spinal fusion is a surgical procedure that involves permanently joining vertebrae together and fusing them into a single bone. It is usually recommended when your surgeon can pinpoint the source of your back pain. By eliminating the motion in the spine that causes pain, this procedure relieves symptoms of many back conditions including spinal stenosis, spondylolisthesis, degenerative disk disease, and others.
All spinal fusions use some type of bone material, called a bone graft, to stimulate bone healing and help fill in the space left after a disk is removed. The bone is usually taken from your hip area, but can be taken from a donor as well. After the bone graft is placed, your neurosurgeon will use metal screws, plates, and rods to stabilize the spine and promote healing of the fusion.
What is a lumbar transformal epidural steroid injection?
A lumbar transformal epidural steroid injection is a non-surgical procedure that treats pain and can also serve as a diagnostic tool. Conditions typically treated include pinched nerve/radiculopathy, sciatica, herniated discs or spinal stenosis. Your doctor injects a combination of anesthetic and steroid medications adjacent to the inflamed/painful nerve. Come patients experience significant pain relief after just one steroid injection. However, some patients get no pain relief or only short term relief.
Bulging, slipped or herniated discs can occur due to arthritis, trauma or aging and are a common cause of severe back pain when a nerve is compressed. When conservative treatment options like physical therapy, medication and rest do not relieve low back pain, your neurosurgeon may recommend microdiscectomy. It is a minimally invasive surgical procedure which allows for removal of only a portion of the damaged lumbar disc, enlarging the spinal canal, and alleviating the low back pain symptoms. This is typically done on an outpatient basis and patients can go home the same day.
A laminectomy is a surgical procedure typically performed on patients with spinal stenosis that suffer from chronic back pain. A laminectomy makes the spinal canal larger, reducing pressure on the spinal nerves. The bony arch at the back of the spine that covers the spinal canal (lamina) is removed at the site of nerve irritation. Your neurosurgeon will also remove any bone spurs from around the nerves, reducing irritation and inflammation they have caused. It may be necessary to remove part of the facet joints or part of the discs as well.
