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Geriatric Trauma, Emergency Medicine

Reviewed 06/2017
 


Basics

Description

  • Geriatric specific considerations and approach to the elderly trauma patient

  • Should be used in conjunction with the accepted standard treatment of traumatic injuries (see trauma, mult...

Diagnosis

  • Triage to major trauma center is determined by local protocols

  • Injured patients with potential need for surgical, neurosurgical, or orthopedic intervention should be transferred to major trau...

Treatment

Pre-Hospital

  • Emphasis should be placed on airway maintenance, control of external bleeding and shock, immobilization, and immediate transfer to appropriate facility

Initial Stabilization/Therapy

Follow-Up

Disposition

Admission Criteria

  • Most major trauma patients should be admitted for observation, monitoring, and further evaluation

  • Lower threshold for admitting geriatric patients to ward, monito...

Pearls and Pitfalls

  • Minor mechanisms of injury can produce serious injury and complication because of the effect of limited physiologic reserve, medication effects, and unrecognized hypoperfusion

  • Frequ...

Additional Reading

  • Legome  E, Shockley  LW, eds. Trauma: A Comprehensive Emergency Medicine Approach. Cambridge, UK: Cambridge University Press; 2011.

  • Heffernan  DS, Thakkar  RK, Monaghan  SF, et al....

Codes

ICD9

  • V15.88 History of fall

  • 797 Senility without mention of psychosis

  • 995.81 Adult physical abuse

ICD10

  • R54 Age-related physical debility

  • T74.11XA Adult physical abuse, confirmed, initial encounter

  • Z91...

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