Ep 159 Geriatric Trauma Part 1: The Under-Triaging Problem, Resuscitation, Airway, Head and C-spine Imaging, Clearing the C-spine
Emergency Medicine Cases
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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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