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Ep 159 Geriatric Trauma Part 1: The Under-Triaging Problem, Resuscitation, Airway, Head and C-spine Imaging, Clearing the C-spine
Emergency Medicine Cases
Geriatric Trauma: Part Two
For identifying occult shock, you can look at the age adjusted shock index that may help. Consider drawing a lactate and a VBG even for older patients who aren't obviously in shock. Clearing the C spine early is of utmost importance since a delay is associated with a whole host of morbidities. For fluids, it's not the end of the world if you give a bit of crystalloid because many of these patients are volume depleted before their injury happened.
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