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Geriatric Trauma

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Osteoporosis. Increased injury risk with trivial accidents. Arthritic changes. Narrow spinal canal ... Sudden movement may cause cord injury without fracture ... – PowerPoint PPT presentation

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Title: Geriatric Trauma


1
Geriatric Trauma
  • Temple College
  • EMS Professions

2
Trauma
  • Increased injury risk
  • Falls
  • Criminal acts

3
Head Injury
  • More prone, even from minor trauma
  • Increased ICP signs develop slowly
  • Patient may have forgotten injury

4
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

5
Respiratory System
  • Aging decreases chest movement, ventilation
    capacity
  • Respiratory reserve decreases
  • Organs have less tolerance of anoxia

6
Respiratory System
  • COPD may be present
  • Positive pressure ventilation may cause
    pneumothorax
  • Hypoperfusion may cause severe tissue hypoxia

7
Cardiovascular System
  • Decreased cardiovascular reserve
  • Move to decompensated, irreversible shock very
    rapidly
  • Tolerate hypoperfusion poorly, even for a short
    periods

8
Cardiovascular System
  • Hypoperfusion may
  • Occur at normotensive pressures
  • Lead to CVA, MI, bowel infarcts, renal failure,
    adult respiratory distress syndrome
  • Cardiac, BP medications (beta blockers) may mask
    signs of shock

9
Musculoskeletal System
  • Positioning/packaging may have to be modified to
    accommodate physical deformities
  • Ask about preexisting conditions when splinting,
    packaging

10
Environmental Emergencies
  • Tolerate temperature extremes poorly
  • Develop hypo/hyperthermia rapidly
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