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EMTGeriatricTrauma - Geriatric Trauma Geriatric Temple...

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Unformatted text preview: Geriatric Trauma Geriatric Temple College EMS Professions Trauma Trauma s Increased injury risk ®Falls ®Criminal acts Head Injury Head s More prone, even from minor trauma s Increased ICP signs develop slowly s Patient may have forgotten injury Cervical Injury Cervical s Osteoporosis ®Increased s Arthritic injury risk with trivial accidents changes ®Narrow spinal canal ®Increased injury risk ®Sudden movement may cause cord injury Sudden without fracture without s Decreased Decreased pain sensation may mask pain of fracture pain Respiratory System Respiratory s Aging Aging decreases chest movement, ventilation capacity ventilation s Respiratory reserve decreases s Organs have less tolerance of anoxia Respiratory System Respiratory s COPD may be present ®Positive Positive pressure ventilation may cause pneumothorax pneumothorax ®Hypoperfusion may cause severe tissue Hypoperfusion severe hypoxia hypoxia Cardiovascular System Cardiovascular s Decreased ®Move Move cardiovascular reserve to decompensated, irreversible shock very rapidly shock ®Tolerate hypoperfusion poorly, even for a Tolerate short periods short Cardiovascular System Cardiovascular s Hypoperfusion may: ® Occur at “normotensive” pressures ® Lead to CVA, MI, bowel infarcts, renal failure, adult Lead respiratory distress syndrome respiratory s Cardiac, Cardiac, BP medications (beta blockers) may mask signs of shock may Musculoskeletal System Musculoskeletal s Positioning/packaging Positioning/packaging may have to be modified to accommodate physical deformities physical s Ask about preexisting conditions Ask when splinting, packaging when Environmental Emergencies Environmental s Tolerate temperature extremes poorly s Develop hypo/hyperthermia rapidly ...
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