Cardiovascular and Pulmonary Examination: Post-Acute COVID-19 Exercise and Rehabilitation (PACER) Project

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About Course

This pre-recorded lecture was presented as part of the PACER Project PACER Project which was an initiative of multiple APTA Sections & Academies.

PACER Project Description: The sheer number of cases and novelty of the SARS-CoV-2 virus, causing the coronavirus disease known as COVID-19 (WHO, 2020), presents a challenge to physical therapy practitioners. Physical therapy practitioners will be presented with a volume of clients with significant cardiovascular and pulmonary impairments with which they might not be proficient. The PACER Project is an initiative of multiple APTA Sections & Academies to be a resource to increase practitioner proficiency in cardiovascular and pulmonary (CVP) physical therapy, including critical illness sequelae. Additionally, the clients with COVID-19 most likely to need physical therapy management are those who are elderly and/or possess chronic health issues, such as diabetes, COPD, hypertension, and coronary heart disease. These educational courses are intended to educate physical therapy and other rehabilitation clinicians. This education is not to take place of individual institutional competency training. The PACER Project coordinators urge institutions who lack the needed internal CVP competencies to consider seeking consultation by an ABPTS certified CCS, experienced acute/critical care PT, or similarly trained practitioner (live or virtual) (
ABPTS/CCS = American Board of Physical Therapy Specialties Board Certified Cardiovascular & Pulmonary Clinical Specialist

Objectives: Upon completion of this course series the learner will understand the components of physical therapy management for patients with cardiovascular and pulmonary impairments, specific to those components most commonly encountered related to post-acute COVID-19 and related conditions.

PACER Topics/Courses:
• Covid-19 Specific Considerations by Heidi Engel
• Cardiovascular & Pulmonary Anatomy & Physiology by Steve Tepper
• Cardiovascular & Pulmonary Examination by Morgan Johanson
• Cardiovascular & Pulmonary Medications by Michael Tevald & Angela Campbell
• Vital Signs, Exercise Prescription, Oxygen devices by Ellen Hillegass
• PICS Patricia Ohtake by Jim Smith
• Airway Clearance by Annie Downs
• Posture, Breathing, Ventilation by Mary Massery
• Inspiratory Muscle Training by Larry Cahalin
• Blood-Flow Restriction Training by Johnny Owens/ Larry Cahalin
• Pulmonary Rehabilitation by Pam Bartlo/ Naomi Bauer
• Cardiopulmonary Outcome Measures by Kristin Lefebvre
• Pediatric Considerations by Ashley Parish
• Geriatric Considerations by Suzanne Greenwalt
• Home Health Considerations by Melissa Bednarek & Ken Miller

The other PACER topics are available on the APTA Learning Center or the APTA Cardiopulmonary Section You-Tube Page


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