ATLS Module 11 - Geriatric Trauma
What factors play a part in placing older adults at high risk from trauma? - ANS -senescence of
organ systems (both anatomically and physiologically)
-preexisting disease states
-frailty
*depression, substance abuse, maltreatment are additional risk factors to consider
What is the condition of decreased physiologic reserve in the elderly? - ANS declining cellular
function, eventually leading to organ failure, is part of the aging process.... it is characterized by
impaired adaptive and homeostatic mechanisms that cause an increased susceptibility to the
stress of injury
What are the 5 preexisting conditions that impact the outcomes in trauma patients? - ANS
-cirrhosis
-coagulopathy
-COPD
-ischemic heart disease
-diabetes mellitus
What is the most common mechanism of fatal injury in the elderly population? - ANS falls
*the risk of falling increases with age
*nonfatal falls are more common in women & fractures are more common in women who fall
What is the MCC of TBIs in elderly? - ANS falls
What are risk factors for falls? - ANS -advanced age
-physical impairments
-history of a previous falls
-medication use
-dementia
-unsteady gait
-visual, cognitive, neurological impairments
What are the risk factors for MVC in elderly? - ANS -slower reaction times
-larger blind spot
-limited cervical mobility
-decreased hearing
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