MEDREH-12 · Polytrauma and Critical Illness

Polytrauma and Critical Illness. Topics: ICU-Acquired Weakness, CIP vs CIM, Early Mobilization, and Blast Injury. Part of the Medical Rehabilitation series of the Reflex PM&R Board Review podcast. Audio correction: In the audio: For deep vein thrombosis, chemical prophylaxis with low molecular weight heparin starts within 24 to 72 hours of the injury being hemodynamically and surgically stabilized. — Correct: Polytrauma VTE prophylaxis is not run off a fixed clock. Start LMWH when the brain imaging and the operative status permit, coordinated with the trauma and neurosurgical teams, and use mechanical prophylaxis on the limb that can take it. Where a TBI is part of the polytrauma, the TBI-specific window is 24 to 48 hours from injury gated on a stable repeat head CT (ACS Best Practices in the Management of Traumatic Brain Injury, 2024), not 24 to 72. The written chapter is correct. Full correction register: https://www.reflexpmr.com/errata. The full companion chapter and a linked board-style Q-bank set for this topic are at https://www.reflexpmr.com/read/MEDREH-12-a.