Geriatric Patient Trauma Flashcards
history to obtain concerning mechanism of injury
mechanical fall
syncope
elder abuse
medication information to obtain
must obtain accurate medication list
polypharmacy common
anticoagulation medications important for surgical planning
radiographs to obtain
joint above and below fracture
emergency room labs/tests to obtain
EKG
CXR
U/A
labs
optimization on the floor:
coagulopathy
heart failure
sepsis
prevention on the floor:
avoid overly sedating medications
avoid anticholinergics
ulcer prophylaxis
non op indications
medical comorbidities
low functioning patients
family desires
fractures in the elderly that warrant acute arthroplasty
comminuted distal humerus fracture
proximal humerus
femoral neck fracture
acetabulum
intra-articular distal femur
goals of operative management
early mobilization
return to preoperative functional status
pain control
hip fracture mortality rate in the hospital
6%
hip fracture mortality rate at one year
30%
decreased postoperative complications, pain, length of stay, and mortality if treated within ____ hours
48
increased mortality associated with:
need for mechanical ventilation at admission
higher injury severity scores
head injury
delirium incidence ______% postoperatively in elderly orthopedic patients
13-50
delirium risk factors
dementia
polypharmacy
narcotics
dehydration
restraints
foley catheters
frequent awakenings
