Developing a Geriatric Trauma Program

Trauma in the elderly population is increasing compared to younger patients and is associated with higher mortality and morbidity. Reduced abundance, increased risk of various complications, and senile complications such as sputum require special attention and programs for the elderly. Adopting better risk assessment, incorporating preventive strategies, improving monitoring and identifying complications will reduce mortality and morbidity in elderly trauma patients

I. Objective: A multidisciplinary approach is used to improve the care of elderly trauma patients and to reduce morbidity and mortality

B. traumatic injury requiring hospitalization (the initial diagnosis of first-time admission must be an acute identifiable injury requiring hospitalization itself, regardless of age)

A. Within 24 hours after hospitalization, all patients must receive pre-planned treatment, patient's consent, and / or family physician or hospitalized doctor

1. ACS TQIP guidelines for trauma management of the elderly. It is available at https://www.facs.org/~/media/files/quality%20programs/trauma/tqip/geriatric% 20guide% 20tqip.ashx. I visited on March 8, 2016

Managura, A. J. G 60 - senile trauma. It is available from https://intermountainphysician.org/intermountaincme/Documents/02_Sat_Mangram_G60%20Trauma.pdf. I visited on March 8, 2016

4. Managram, A. J. , Shiflet, V. K. , Mitchell, C. D. , Johnson, V .; A., Lorenzo, M .; , Truitt, M ​​S .. Dan, E L. (2011). The elderly trauma unit "G-60" was produced. American surgeon, 77 (9), 1144

The Eastern Trauma Trauma Association (Calland et al., 2012) and the American Surgery University Trauma Quality Improvement Program (TQIP) have developed guidelines for the management of elderly trauma patients. Since TQIP agrees that gerontological medicine is frequent, we propose the lower limit of traumatic activation (ACSCT, 2015). This type of activation also requires taking care of the patient at the trauma center. Many facilities do not have the same resources in the trauma center, and these guidelines do not help other facilities when accepting elderly trauma patients.

In 2015, in collaboration with the American Gerontological Society, the AAST Geriatric Trauma Committee and GeriTrac, supported by the American Gerontological Society, compiled a group of stakeholders to improve the care of elderly patients. Under the guidance of doctor. Robert Barraco, Zara Cooper, and Alliance's Bellal Joseph outline a series of initiatives below. Provide information on physiological and anatomical changes affecting the health of the elderly, in particular the occurrence and recovery of injuries, and based on evidence-based guidelines on general injuries and acute surgical diseases that affect the health of the elderly Create and develop the greatest function of the elderly. Recovery guide

In this article, we describe the difficulties normally associated with aged trauma, emphasizing the evaluation of epidemiology and age-related trauma. Trauma patients over the age of 65 years have many unique features such as comorbidities, medication, physiology due to age, so there is little data-based decision making. Over the past two decades, the population of the elderly in the United States has steadily increased and is expected to continue this trend. Although patient performance is different, it is necessary to always use standard guidelines to help care for elderly patients, especially those not receiving treatment at the trauma center. This review uses a case study of elderly women with multiple comorbidities, following a comprehensive discussion of old age trauma and following the issue of lack of direct management guidance.