Geriatric trauma
The landscape of trauma is changing due to an aging population. Geriatric patients represent an increasing number and proportion of trauma admissions and deaths. This review explores recent literature on geriatric trauma, including triage criteria, assessment of frailty, fall-related injury, treatme...
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| Veröffentlicht in: | Current opinion in critical care 2015-12, Vol.21 (6), p.520-526 |
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| container_title | Current opinion in critical care |
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| creator | Adams, Sasha D Holcomb, John B |
| description | The landscape of trauma is changing due to an aging population. Geriatric patients represent an increasing number and proportion of trauma admissions and deaths. This review explores recent literature on geriatric trauma, including triage criteria, assessment of frailty, fall-related injury, treatment of head injury complicated by coagulopathy, goals of care, and the need for ongoing education of all surgeons in the care of the elderly.
Early identification of high-risk geriatric patients is imperative to initiate early resuscitative efforts. Geriatric patients are typically undertriaged because of their baseline frailty being underappreciated; however, centers that see more geriatric patients do better. Rapid reversal of anticoagulation is important in preventing progression of brain injury. Anticipation of difficult disposition necessitates early involvement of physical therapy for rehabilitation and case management for appropriate placement.
Optimal care of geriatric trauma patients will be based on the well established tenets of trauma resuscitation and injury repair, but with distinct elements that address the physiological and anatomical challenges presented by geriatric patients. |
| doi_str_mv | 10.1097/MCC.0000000000000246 |
| format | Article |
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Early identification of high-risk geriatric patients is imperative to initiate early resuscitative efforts. Geriatric patients are typically undertriaged because of their baseline frailty being underappreciated; however, centers that see more geriatric patients do better. Rapid reversal of anticoagulation is important in preventing progression of brain injury. Anticipation of difficult disposition necessitates early involvement of physical therapy for rehabilitation and case management for appropriate placement.
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Early identification of high-risk geriatric patients is imperative to initiate early resuscitative efforts. Geriatric patients are typically undertriaged because of their baseline frailty being underappreciated; however, centers that see more geriatric patients do better. Rapid reversal of anticoagulation is important in preventing progression of brain injury. Anticipation of difficult disposition necessitates early involvement of physical therapy for rehabilitation and case management for appropriate placement.
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Early identification of high-risk geriatric patients is imperative to initiate early resuscitative efforts. Geriatric patients are typically undertriaged because of their baseline frailty being underappreciated; however, centers that see more geriatric patients do better. Rapid reversal of anticoagulation is important in preventing progression of brain injury. Anticipation of difficult disposition necessitates early involvement of physical therapy for rehabilitation and case management for appropriate placement.
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| ispartof | Current opinion in critical care, 2015-12, Vol.21 (6), p.520-526 |
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| language | eng |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Accidental Falls Age Factors Aged Aging - physiology Anticoagulants - administration & dosage Anticoagulants - adverse effects Blood Coagulation Disorders - physiopathology Continuity of Patient Care - organization & administration Craniocerebral Trauma Frail Elderly Geriatric Assessment - methods Humans Injury Severity Score Palliative Care - organization & administration Risk Assessment Terminal Care - organization & administration Triage - methods Wounds and Injuries - epidemiology Wounds and Injuries - physiopathology |
| title | Geriatric trauma |
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