Surgical Considerations for the UE - Red Flag Screening

Question 1

On Post-Operative Patients what Systemic Measures should be taken?

Answer 1

• Temperature
• Blood Pressure
• Heart Rate
• Respiratory Rate
• Oxygen Saturation (SpO2)

Question 2

When doing Red-Flag Screenings, what Screening Tools can be used?

Outcome Measures

Answer 2

• Optimal Screening for Prediction of Referral and Outcome for Yellow Flags (OSPRO-YF)
• Optimal Screening for Prediction of Referral and Outcome-Review of Systems (OSPRO-ROS)

Question 3

Post-Operatively, what are Localized symptoms we should look out for?

Answer 3

• Infection (One of the biggest risks after surgery)
  -Looking for Fever, redness, erythema, discharge from incision
• Deep Vein Thrombosis (DVT) - Mostly in LE
• Pulmonary Embolism (PE)
• Complex Regional Pain Syndrome (CRPS)

Question 4

When is Surgery Indicated?

Answer 4

• If conservative treatment fails over a reasonable time frame
• Worsening of Sx: Sensory, Motor, or both. Also worsoning of functional ability

Question 5

What is the Wells Criteria for DVT?

Answer 5