Multidiasciplinary Approach to Geriatric Trauma Care

In America today, more people are 65 years of age or older. It is noteworthy that it is the fastest growing segment of the population. This group accounts for about 13% of the total population or 1 out of 8 people. The group is projected to increase to nearly 20% by 2030. (Aging management) People are aware that with aging, people have special needs and worries due to physiological changes. Due to these physiological changes, older patients have a higher risk of trauma.

Recently, people are increasingly paying attention to worrying about maximizing the use of older trauma. In 2012, the Eastern Trauma Surgery Association announced a comprehensive review of over 400 articles on management of elderly trauma patients, including several specific care recommendations (Calland et al., 2012). Firstly, unless there are additional contraindications to the trauma surgeon's decision, it is recommended that older trauma patients be actively categorized into appropriate care centers and aggressive initial treatment (Calland et al., 2012 ). Due to the risk of bleeding after injury in elderly patients secondary to physiologically and medically derived anticoagulant therapy, evidence supporting absolute parameters and time frames is inadequate, but early evaluation and coagulopathy Modifications are recommended (Calland et al., 2012).

In this article, we will describe the usually associated difficulties with elderly trauma, emphasizing epidemiology and age-related trauma assessment. Trauma patients over the age of 65 have few unique decisions based on data, as they have many unique characteristics such as comorbidities, medications, physiology due to age, and so on. Over the past two decades, the elderly population in the US has steadily increased and is expected to continue this trend. Although patient performance is different, it is necessary to always use standard guidelines to support care of elderly patients, especially patients not receiving treatment at trauma centers. In this review, a case study on elderly women with multiple comorbidities was used, followed by a comprehensive discussion of aging traumas, and the issue of lack of guidance by direct management has been pointed out.

There are limited data to guide healthcare providers in classifying decisions for elderly trauma patients. Therefore, elderly patients should be examined as much as possible at the trauma center (Caterino, Valasek, & Werman, 2010). Data indicating the American College of Surgeons Advanced Trauma Life Support (ATLS) course is based on information from the mid-1980s (Caterino et al., 2010). Past and current guidelines for age-related trauma do not include new data or up-to-date data on care and outcome of elderly patients (Calland et al., 2012). Guidance to improve the mortality and prognosis of elderly patients must be used to guide the care of these patients. The urgent task in the current dialogue is to make the trauma patient "old age trauma" by age (Kozar et al., 2015).