Body of evidence: A geriatric trauma case study

Auteurs-es

  • Margaret Dymond

DOI :

https://doi.org/10.29173/cjen487

Mots-clés :

geriatric trauma, older adult falls, effects of anticoagulants, hypotension in older adults

Résumé

Geriatric trauma patients presenting to emergency departments have special needs to be considered during all phases of the assessment, planning, intervention, and evaluation phases of the trauma process. Considerations to the normal physiologic process of aging, pre-existing medical conditions, and medication use will influence the geriatric patient’s response to care and treatment. This case presents some interesting issues during the trauma resuscitation and how the care plan required adaptation to the usual trauma interventions. Reassessments are key to determining the problem area and understanding the physiology of aging. The case discusses a frequent type of mechanism of injury in the geriatric population but a not so common injury.

Références

Alberta Centre for Injury Control and Research. (2011). Seniors’ injuries in Alberta. Edmonton: Author.

American College of Surgeons. (2012). Geriatric trauma. In Advance Trauma Life Support Student Course Manual (pp. 272–285).

Aschkenasy, M. et al. (2006). Trauma and falls in the elderly. Emergency Medicine Clinics of North America, 24, 413–432.

Bourg, P. et al. (2012). Development of a geriatric resuscitation protocol, utilization compliance, and outcomes. Journal of Trauma Nursing, 19(1).

Calland, J. et al. (2012). Geriatric Trauma Practice Management Guideline (Update). Eastern Association for the Surgery of Trauma. Journal of Trauma, 73(5), S345–S350.

Callaway, D. et al. (2009). Serum lactate and base deficit as predictors of mortality in normotensive elderly blunt trauma patients. Journal of Trauma, Injury, Infection, and Critical Care, 66, 1040–1044.

Cutugno, C. (2011). The graying of trauma care: Addressing traumatic injury in older adults. American Journal of Nursing, 111(11), 40–48.

Heffernan, D. et al. (2010). Normal presenting vital signs are unreliable in geriatric blunt trauma victims. The Journal of Trauma, Injury, Infection, and Critical Care, 69(4), 813–820.

Jagos, C. (2014). Special populations: The older adult trauma patient. Trauma Nurse Core Course Provider Manual (7th ed., pp. 259–268). Emergency Nurses Association.

Labib, N. et al. (2011). Severely injured geriatric population: Morbidity, mortality, and risk factors. Journal of Trauma Injury, Infection, and Critical Care, 71(6), 1908–1914.

Mikhail, J. (1999). The trauma triad of death: Hypothermia, acidosis, and coagulopathy. AACN Clinical Issues, 10(1), 85–94.

Stevenson, J. (2004). When the trauma patient is elderly. Journal of PeriAnesthesia Nursing, 19(6), 392–400.

Williams, B. (2003). Ventilation and gas transport course in Advanced Trauma Nursing (2nd ed., p. 62). Emergency Nurses Association.

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Publié-e

2015-01-01

Comment citer

Dymond, M. (2015). Body of evidence: A geriatric trauma case study. Canadian Journal of Emergency Nursing, 38(1), 24–29. https://doi.org/10.29173/cjen487

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