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Standard Operating Procedures in Geriatric Polytrauma

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Senior Trauma Patients

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Abstract

Due to the ever-increasing elderly population worldwide, the incidence of geriatric (poly-) trauma patients will continue to rise for many years to come. In contrast to younger patients, low-energy trauma, such as a fall from standing height, may lead to severe injury in geriatric patients. Outcomes in geriatric patients differ significantly from those of younger patients due to reduced physiological compensation mechanisms and increased frailty. The current ATLSĀ® guidelines do not discern between the initial management of elderly and young trauma patients. Further, most geriatric standard operating procedures (SOPs) address isolated, minor injuries such as femoral neck fractures or osteoporotic spine injuries. Other SOPs such as delirium prophylaxis, osteoporosis therapy and nutrition address geriatric inpatient care after the patient reaches the medical ward However, in the setting of multiple injured geriatric patients, treatment protocols are lacking. Geriatric SOPs addressing triage to the ICU and optimized treatment in the ICU should be developed.

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Authors and Affiliations

  1. Department of Trauma, University Hospital Zurich, Zurich, Switzerland

    F. Ziegenhain,Ā H. TeuberĀ &Ā K. O. Jensen

Authors
  1. F. Ziegenhain
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  2. H. Teuber
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  3. K. O. Jensen
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Corresponding author

Correspondence to K. O. Jensen .

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Editors and Affiliations

  1. Department of Trauma Surgery, University Hospital Zurich, ZĆ¼rich, Switzerland

    Hans-Christoph Pape

  2. Department of Orthopaedic Surgery, Virginia Commonwealth University, Richmond, VA, USA

    Stephen L. Kates

  3. Department of Trauma Surgery, University Hospital Zurich, ZĆ¼rich, Switzerland

    Christian Hierholzer

  4. Department of Aging Medicine and Aging Research, City Hospital Zurich-Waid Zurich University, ZĆ¼rich, Switzerland

    Heike A. Bischoff-Ferrari

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Ziegenhain, F., Teuber, H., Jensen, K.O. (2022). Standard Operating Procedures in Geriatric Polytrauma. In: Pape, HC., Kates, S.L., Hierholzer, C., Bischoff-Ferrari, H.A. (eds) Senior Trauma Patients . Springer, Cham. https://doi.org/10.1007/978-3-030-91483-7_33

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  • DOI: https://doi.org/10.1007/978-3-030-91483-7_33

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-91482-0

  • Online ISBN: 978-3-030-91483-7

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