Modality Contraindications

Question 1

What are the contraindications for HBOT?

Answer 1

“PLACE” mnemonic

• Pregnancy
• Lung issues
• Arterial TCOM <40
• Claustrophobia
• Ear/sinus issues

Question 2

What are the contraindications for pulse lavage?

Answer 2

“FABLE” mnemonic

• Face
• Active bleeding
• Bypass grafts
• Latex allergy
• Exposed bone, tendon

Question 3

What are the contraindications for sharp debridement?

Answer 3

“GO PITAS”

• Gangrene
• Osteomyelitis
• PAD/arterial insufficiency <.9
• Immunocompromised
• Thrombocytopenic
• Anticoagulants
• Stage 3-4 w/tunneling

Question 4

What are the contraindications for NPWT?

Answer 4

“FB Domains” mnemonic

• Fistulas
• Blood vessels
• Dry
• Osteomyelitis
• Malignancy
• Active bleed
• Infection
• Necrosis
• Starved/malnourished Albumin <3.5

Question 5

What are the contraindications for Estim?

Answer 5

“B SUCTION” mnemonic

• Blood flow compromised
• Seizures
• Unstable fracture
• Chest/cancer
• Titanium okay, all other metals no
• Implants
• Osteomyelitis
• Neck

Question 6

What are the precautions for Estim?

Answer 6

“SSSSOCCC” mnemonic

• Seizure hx
• Sensation deficits
• Surgical sites
• Skin conditions
• Obesity
• Cognitive deficits
• Cancer hx
• Cardiac issues

Question 7

What are the contraindications for laser?

Answer 7

“CHEEP EGG” mnemonic

• Cancer
• Hemorrhage
• Eyes
• Endocrine
• Pregnancy
• Epilepsy
• Gangrene
• Growth plate

Question 8

What are the contraindications for compression?

Answer 8

CC Ideas

• Claustrophobia
• Complex regional pain syndrome
• Infection
• DVT
• Edema of the cardiopulm system
• ABI <.7
• Spasticity

Question 9

What are the contraindications for ultrasound?

Answer 9

“O SAD” mnemonic

• Osteomyelitis
• Severe arterial insufficiency
• DVT