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Geriatric Trauma Myths and Misperceptions: Part 1

By Anton Helman, MD, CCFP(EM), FCFP | on October 19, 2021 | 0 Comment
EM Cases
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References

  1. Sciubba JD. Population aging as a global issue. Oxford Research Encyclopedias International Studies website. Accessed Sept. 9, 2021.
  2. Victorino GP, Chong TJ, Pal JD. Trauma in the elderly population. Arch Surg. 2003;138(10):1093-1098.
  3. Currie L. Fall and injury prevention. In: Hughes RG, ed. Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Rockville, MD: Agency for Healthcare Research and Quality; 2008:Chapter 10.
  4. Lenartowicz M, Parkovnick M, McFarlan A, et al. An evaluation of a proactive geriatric trauma consultation service. Ann Surg. 2012;256(6):1098-1101.
  5. Bach JA, Leskovan JJ, Scharschmidt T, et al. The right team at the right time—multidisciplinary approach to multi-trauma patient with orthopedic injuries. Int J Crit Illn Inj Sci. 2017;7(1):32-37.
  6. Cheung A, Haas B, Ringer TJ, et al. Canadian study of health and aging clinical frailty scale: does it predict adverse outcomes among geriatric trauma patients? J Am Coll Surg. 2017;225(5):658-665.e3.
  7. Rickard F, Ibitoye S, Deakin H, et al. The Clinical Frailty Scale predicts adverse outcome in older people admitted to a UK major trauma centre. Age Ageing. 20215;50(3):891-897.
  8. Thompson A, Gida S, Nassif Y, et al. The impact of frailty on trauma outcomes using the Clinical Frailty Scale [published online ahead of print March 8, 2021]. Eur J Trauma Emerg Surg.
  9. Poulton A, Shaw JF, Nguyen F, et al. The association of frailty with adverse outcomes after multisystem trauma: a systematic review and meta-analysis. Anesth Analg. 2020;130(6):1482-1492.
  10. Joseph B, Pandit V, Zangbar B, et al. Validating trauma-specific frailty index for geriatric trauma patients: a prospective analysis. J Am Coll Surg. 2014;219(1):10-17.e1.
  11. Zhao FZ, Wolf SE, Nakonezny PA, et al. Estimating geriatric mortality after injury using age, injury severity, and performance of a transfusion: the Geriatric Trauma Outcome Score. J Palliat Med. 2015;18(8):677-681.
  12. Sun H, Lingsma HF, Steyerberg EW, et al. External validation of the international mission for prognosis and analysis of clinical trials in traumatic brain injury: prognostic models for traumatic brain injury on the study of the neuroprotective activity of progesterone in severe traumatic brain injuries trial. J Neurotrauma. 2016;33(16):1535-1543.
  13. Schlanger LE, Bailey JL, Sands JM. Electrolytes in the aging. Adv Chronic Kidney Dis. 2010;17(4):308-319.
  14. Mohanty K, Musso D, Powell JN, et al. Emergent management of pelvic ring injuries: an update. Can J Surg. 2005;48(1):49-56.
  15. O’brien DP, Luchette FA, Pereira SJ, et al. Pelvic fracture in the elderly is associated with increased mortality. Surgery. 2002;132(4):710-714; discussion 714-715. 
  16. Coccolini F, Stahel PF, Montori G, et al. Pelvic trauma: WSES classification and guidelines. World J Emerg Surg. 2017;12:5.
  17. Keene DD, Rea WE, Aldington D. Acute pain management in trauma. Trauma. 2011;13(3):167-179.
  18. Sampson EL, West E, Fischer T. Pain and delirium: mechanisms, assessment, and management. Eur Geriatr Med. 2020;11(1):45-52.

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Explore This Issue
ACEP Now: Vol 40 – No 10 – October 2021

Pages: 1 2 3 4 | Single Page

Topics: ElderlyGeriatric CareTrauma & Injury

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About the Author

Anton Helman, MD, CCFP(EM), FCFP

Dr. Helman is an emergency physician at North York General Hospital in Toronto. He is an assistant professor at the University of Toronto, Division of Emergency Medicine, and the education innovation lead at the Schwartz/Reisman Emergency Medicine Institute. He is the founder and host of Emergency Medicine Cases podcast and website (www.emergencymedicinecases.com).

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