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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
The Importance of Prioritizing Important Things
The goal should be to clear the spine quickly but to be suspicious, Dr. Tillman says. Older patients who are in C-spine callers can develop pressure ulcers, pneumonia, respiratory failure and all sorts of complications with prolonged cervical mobilization. A serum lactate or base deficit will help you figure out if this patient has occult shock from a bleed somewhere. In many trauma centers they pan scan pretty much all polytrauma patients.
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