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Geriatric Trauma

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Geriatric Trauma Powered By Docstoc
					Geriatric Trauma
          Temple College
         EMS Professions
Trauma
 Increased   injury risk
  Falls
  Criminal   acts
Head Injury
 More prone, even from minor trauma
 Increased ICP signs develop slowly
 Patient may have forgotten injury
Cervical Injury
 Osteoporosis
   Increased   injury risk with trivial accidents
 Arthritic   changes
   Narrow  spinal canal
   Increased injury risk
   Sudden movement may cause cord injury
    without fracture
 Decreased  pain sensation may mask
 pain of fracture
Respiratory System
 Aging  decreases chest movement,
  ventilation capacity
 Respiratory reserve decreases
 Organs have less tolerance of anoxia
Respiratory System
 COPD   may be present
  Positivepressure ventilation may cause
   pneumothorax
  Hypoperfusion may cause severe tissue
   hypoxia
Cardiovascular System
 Decreased   cardiovascular reserve
   Move  to decompensated, irreversible
    shock very rapidly
   Tolerate hypoperfusion poorly, even for a
    short periods
Cardiovascular System
 Hypoperfusion       may:
   Occur  at “normotensive” pressures
   Lead to CVA, MI, bowel infarcts, renal failure, adult
    respiratory distress syndrome
        BP medications (beta blockers)
 Cardiac,
 may mask signs of shock
Musculoskeletal System
 Positioning/packaging may have to
  be modified to accommodate
  physical deformities
 Ask about preexisting conditions
  when splinting, packaging
Environmental Emergencies
 Toleratetemperature extremes poorly
 Develop hypo/hyperthermia rapidly

				
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posted:4/12/2008
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