The purpose of this book is to give providers of all levels a simple and essential source of practical information in treating the elderly trauma and emergency surgery patient. The Introduction instructs practitioners how to evaluate and assess risk including frailty and use this information in Goals of Care discussions to facilitate shared decision making so crucial to this population.
The individual chapters consist of best practices and care guidelines from some of the most well-known thought leaders and best trauma centers in the country across the spectrum from geriatricians to trauma and acute care surgeons and nurses. Each chapter contains easy-to-read algorithms and references that the readers can use and adapt for their own setting. Chapters on Pre-hospital care will help guide EMS organizations and even systems in the right care and triage of the elderly. Each chapter also contains a Nursing Focus section for helpful nursing tips in caring for the elderly with those injuries and problems. These sections make this book a must-have for any center looking to improve its care of the elderly patient or just trying to be sure its care is already the best it can be.
A special section on Post Acute Care will introduce the provider to the common issues surrounding particular disposition destinations for the elderly patient. This will facilitate discussions with families, case managers and facilities to help improve time to disposition.
Section I: Introduction
2 Systems Impact
4 Goals of Care
Section II: Trauma
6 Prehospital Care
7 Head Injury
8 Spine Injury
9 Orthopedic Injury
10 Cardiothoracic Injury
11 Abdominal Injury
12 Urologic Injury
13 Plastics/Skin and Soft Tissue Injury
14 Thermal Injury
Section III: Acute Care Surgery
16 Common Abdominal Emergencies
Section IV: Post-Acute Care
17 Considerations in Disposition