This website was developed by Canadian Physiotherapist Terry Kane who currently works in the Emergency Department at the Peter Lougheed Centre in Calgary, Alberta and also owns and operates OrthopaedicsCanada.com.

Understanding Orthopaedic Triage: A Crucial Step in Patient Care
Orthopaedic triage is a critical process in healthcare that ensures patients with musculoskeletal issues receive the appropriate care at the right time. This initial assessment phase involves prioritizing patients based on the severity of their conditions, enabling healthcare providers to allocate resources effectively and manage patient flow efficiently.
By efficiently categorizing patients, orthopaedic triage plays a pivotal role in delivering targeted care, enhancing patient safety, and maintaining the overall efficiency of healthcare systems.
Experienced physiotherapists working in emergency departments help reduce wait times by taking on specific cases that don’t require a doctor’s direct intervention, speeding up assessment, treatment, and discharge.
Here’s how:
Managing Minor Musculoskeletal Injuries
- Emergency Physiotherapists assess and treat common issues like:
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Sprains and strains
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Minor fractures
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Back or neck pain
- By handling these cases independently (within their scope), Emerg PTs free up doctors and nurses for more critical patients.
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Fast-Tracking Discharge
- Emergency Physiotherapists can:
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Provide immediate treatment plans (e.g., exercises, mobility aids)
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Educate patients on self-care
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Safely discharge patients without needing further medical intervention
- Emerg PTs help prevent unnecessary hospital admissions and long ED stays.
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Early Mobilization
- For patients who are admitted, emergency physios:
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Help get people moving sooner after injury or surgery
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Reduce the risk of complications (like blood clots or bedsores)
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Help determine whether patients can go home safely
- Emerg PTs shorten the inpatient stay and open up beds more quickly.
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Streamlining Care Pathways
- By being embedded in the ED team, they:
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Improve triage decisions
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Speed up diagnostics by identifying whether imaging or referrals are needed
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Coordinate follow-up with outpatient rehab or community services
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Reducing Repeat Visits
- Emerg PTs assess and educate patients to reduce the chance of a patient returning to the ED for the same issue.
Bottom line:
Emergency physiotherapists cut through bottlenecks by handling specific cases efficiently, reducing unnecessary admissions, and accelerating care—all of which help drive down ED wait times.

Check out ED Triage Sites Below
Physiotherapists and Orthopaedic Triage Settings / Roles
A physiotherapy triage service for orthopaedic upper limb service: an effective way to reduce clinic visits and identify patients for operative intervention. Ir J Med Sci. 2022.
Experienced physiotherapists as gatekeepers to hospital orthopaedic outpatient care. Med J Aust. 2007.
Emergency department after-hours primary contact physiotherapy service reduces analgesia and orthopaedic referrals while improving treatment times. Aust Health Rev. 2020.
Effects on health and process outcomes of physiotherapist-led orthopaedic triage for patients with musculoskeletal disorders: a systematic review of comparative studies. BMC Musculoskelet Disord. 2020.
A physiotherapy triage service for orthopaedic surgery: an effective strategy for reducing wait times. Physiother Can. 2013 Fall;65(4):358-63. doi: 10.3138/ptc.2012-53.
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