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Management Strategies in Geriatric Trauma Care

  • Maurice F. Joyce
  • Justin Benoit
  • Ruben J. AzocarEmail author
Chapter

Abstract

The geriatric population is rapidly growing, and they are leading an increasingly active lifestyle resulting in a brisk and continuing increase in the incidence of traumatic injury in this population. Due to normal physiologic changes associated with aging and an increased prevalence of coexisting disease, it is expected that traumatic injuries in geriatric patients would be associated with a higher morbidity and mortality. However, the current statistics are dismal, and the economic impact is enormous. It is imperative that we improve. This chapter will provide a brief overview of the normal physiologic changes associated with aging and then discuss a geriatric-specific approach to the triaging, evaluation, and management of these patients with a particular focus on orthopedic and neurologic traumatic injuries. It will conclude with a brief discussion of the concept of clinical momentum as it relates to the management of traumatic injuries in the geriatric population.

Keywords

Trauma Elderly Geriatric Frailty Orthogeriatrics Clinical momentum 

Abbreviations

CSE

Combined spinal-epidural

GCS

Glasgow coma scale

ISS

Injury severity score

NOAC

Novel oral anticoagulant

TBI

Traumatic brain injury

TLS

Advanced Trauma Life Support

Notes

Acknowledgement

Disclosure: No.

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2019

Authors and Affiliations

  • Maurice F. Joyce
    • 1
  • Justin Benoit
    • 2
  • Ruben J. Azocar
    • 2
    Email author
  1. 1.Department of AnesthesiologyThe Warren Alpert Medical School of Brown UniversityProvidenceUSA
  2. 2.Department of AnesthesiologyTufts Medical CenterBostonUSA

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