Emergency Medicine Cases

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

Aug 24, 2021

01:15:27

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Episode notes

Introduction

3min

The Importance of Vital Signs in the Elderly

4min

The Cardiovascular Physiology of an Old Adult Trauma Patient

2min

The Different Cardiovascular Systems of Older Adults

4min

The Importance of Sedation in Emergency Medicine

4min

How to Triage an Older Trauma Patient

2min

The Difference Between Transfer and Trauma Center Care

4min

The Benefits of Trauma Center Care

2min

The Problem of Under-Triage in Older Adults

4min

10.

The Paradigm of Trauma in the Elderly

3min

11.

The Differences in Physiology and Injury Patterns in Older Adults

3min

12.

How to Give Crystalloid to a Trauma Patient

5min

13.

How to Resuscitate an Older Adult Who Is Critically Ill

2min

14.

How to Modify Your RSI in an 85 Year Old Trauma Patient

5min

15.

Metricade: The Experts on Scheduling Systems

4min

16.

The Importance of Prioritizing Important Things

6min

17.

The Importance of Head and C Spine Scanning

5min

18.

The Importance of Clearing the C Spine Collar

5min

19.

How to Clear Spine Slips Without Further Clinical or Radiographic Exams

5min

20.

Geriatric Trauma: Part Two

3min

21.

The Future of Trauma Care for Older Adults

2min

Just as pediatric patients are not small adults, geriatric patients are not just old adults. In this Part 1 of our 2-part EM Cases podcast series on Geriatric Trauma, Dr. Barbara Haas, Dr. Camilla Wong and Dr. Bourke Tillman answer questions such as: why are older patients under-triaged to trauma centers and how does that affect outcomes? What is the utility of the Shock Index in older patients? How should we adjust airway management for the older trauma patient? Which older patients do not require head or c-spine imaging after a ground level fall? Why is it challenging, yet of utmost importance, to clear the c-spine of a geriatric trauma patient as soon as possible? When can anticoagulation medications be safely resumed after an older person has sustained a minor head injury? and many more...