Geriatric trauma

Question 1

5 key co-morbidities that increase risk of mortality from trauma

Answer 1

Cirrhosis
Coagulopathy
COPD
IHD
Diabetes

Question 2

Why do the 5 key co-morbidities increase risk of mortality in trauma

Answer 2

Significantly reduce physiological reserve

Question 3

Age related considerations for airway management

Answer 3

Edentate
Arthritic changes

Question 4

Age related considerations for breathing management

Answer 4

Increased risk of resp failure and pneumonia
Manage rib fracture pain carefully

Question 5

Age related considerations for circulation management

Answer 5

Can have fixed HR / HTN
Use other markers inc lactate for assessing shock

Question 6

Age related considerations for disability management

Answer 6

Cerebral atrophy + anticoagulants / antiplatelets
Increased risk of TBI

Question 7

Age related considerations for exposure management

Answer 7

Loss of subcutaneous fat
Reduced mobility

Increased risk of hypothermia and pressure ulcers

Question 8

Most common complication of rib fractures in elderly

Answer 8

Pneumonia

Question 9

Treatment goals of rib fractures

Answer 9

Pain control
Pulmonary hygiene and mucus clearance

Question 10

6 types of elder maltreatment

Answer 10

Physical
Sexual
Psychological
Neglect
Financial and material exploitation
Violation of rights

Question 11

Elderly patients with pelvic fractures are more likely to require what treatment?

Answer 11

Blood transfusions