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Senior Trauma Patients

Author : Hans-Christoph Pape
Publisher : Springer Nature
Page : 352 pages
File Size : 11,15 MB
Release : 2022-03-15
Category : Medical
ISBN : 3030914836

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This book describes a fully integrated approach to the management of elderly patients who are at risk of or suffer trauma, drawing on up-to-date knowledge from multiple specialties in recognition of the fact that the number and severity of comorbidities in this population requires expertise in many fields. Readers will find comprehensive and detailed coverage of the prevention of complications related to aging, geriatric care concepts, specific treatments in acute care, including fracture stabilization and diagnostic procedures, and the surgical management of different types of fracture and soft tissue trauma. Intensive care management of the geriatric patient is also extensively addressed. Information is provided on diverse aspects of the physiology of ageing, and the coverage is completed by discussion of fracture care service models and specific models of rehabilitation and aftercare designed to prevent further falls and adverse late outcomes. The authors are a group of renowned experts from each of the relevant fields, and the book will be a valuable asset for surgeons, intensivists, geriatricians, gerontologists, and rehabilitation specialists.

Geriatric Trauma and Acute Care Surgery

Author : Aurelio Rodriguez
Publisher : Springer
Page : 453 pages
File Size : 13,86 MB
Release : 2018-03-21
Category : Medical
ISBN : 3319574035

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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.

Surgical Palliative Care

Author : Anne C. Mosenthal
Publisher : Oxford University Press, USA
Page : 385 pages
File Size : 38,54 MB
Release : 2019-11-12
Category : Medical
ISBN : 0190858362

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Palliative care has become increasingly important across the spectrum of healthcare, and with it, the need for education and training of a broad range of medical practitioners not previously associated with this field of care. Part of the Integrating Palliative Care series, this volume on surgical palliative care guides readers through the core palliative skills and knowledge needed to deliver high value care for patients with life-limiting, critical, and terminal illness under surgical care. Chapters explore the historical, philosophical, and spiritual principles of surgical palliative care, and follow the progression of the seriously ill surgical patient's journey from the pre-operative encounter, to the invasive procedure, to the post-operative setting, and on to survivorship. An overview of the future of surgical palliative care education and research rounds out the text. Surgical Palliative Care is an ideal resource for surgeons, surgical nurses, intensivists, and other practitioners who wish to learn more about integrating palliative care into the surgical field.

Geriatric Trauma and Critical Care

Author : Fred A. Luchette
Publisher : Springer
Page : 456 pages
File Size : 49,83 MB
Release : 2017-07-30
Category : Medical
ISBN : 331948687X

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With the expertise of an author panel of leading clinicians in the field of surgery, trauma, critical care and geriatrics the new edition of this text addresses the explosion in knowledge on the impact aging has on injury, acute illness and critical care management. The text covers the physiologic changes associated with aging, as well as the clinical assessment, stratification, and management of acute illness and injury. Furthermore, the new edition discusses the full spectrum of critical care management of the elderly. Part I explores the impact of aging on health and the healthcare system. There will be detailed discussion on the physiologic effects of aging and the impact on clinical management. The management of common surgical emergencies in the elderly is addressed in Part II. Part III addresses the evaluation and management of trauma and injury. Finally, Part IV explores the specific challenges of critical care management, including end-of-life and ethics, in the geriatric population. Updated information, reflective of the expansive literature, is addressed in all sections. New to the second edition are chapters on prehospital care, burns, nursing concerns, and abdominal solid organ injury. Appropriate chapters will include case vignettes and clinical algorithms. All chapters include a bullet-point summary. Geriatric Trauma and Critical Care, 2nd Edition will be of great value to trauma surgeons, acute care surgeons, critical care specialists, emergency medicine physicians, geriatricians, general surgeons, and trainees in surgery, critical care, and emergency medicine. Advanced practice nurses, critical care nurses, and physician assistants will also find this a useful and practical resource.

Evidence-Based Neurology

Author : Livia Candelise
Publisher : John Wiley & Sons
Page : 288 pages
File Size : 47,46 MB
Release : 2008-04-15
Category : Medical
ISBN : 9780470994054

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In Evidence-based Neurology: Management of Neurological Disorders a carefully selected group of clinically experienced collaborators use the best available evidence to answer more than 100 clinical questions about the treatment and management of neurological disorders. Divided into three sections and 24 chapters, this book fills the gap between guidelines and primary studies as well as between primary and secondary scientific medical literature summarizes the most recent and important findings on treatments for neurological patients measures the benefit and, when applicable, the risk of harm inherent in specific neurological interventions. This unique, evidence-based text, edited by members of the Cochrane Neurological Network will be an essential resource for all general neurologists, from the novice to the most experienced, in their everyday clinical practice.

Care for the Elderly Trauma Patient

Author : Max Auerbach
Publisher :
Page : 54 pages
File Size : 20,14 MB
Release : 2014
Category :
ISBN :

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Problem: The geriatric population is quickly on the rise. Healthcare is improving and elderly people are more active than ever before. These two factors combine to create a rise in the number of geriatric patients seen in trauma centers. This study will evaluate the need for geriatric-specific trauma centers guided by geriatric protocols. Methods: A medical literature review was performed using Medline, searching for articles published between 2000 and 2013. The search criterion for this research project was entered as "geriatric trauma consultation" and "interdisciplinary elderly trauma patients". The study was limited to articles dealing with elderly populations in developed countries. Literature reviews, editorials, as well as other non-research articles were not included. References from selected articles were also reviewed for additional information on the subject matter. Results: Using the specifications above, a total of 182 articles were identified. Eleven articles of various designs were then selected and used: 7 retrospective, 2 prospective cohort, 2 clinically controlled trial (1 randomized). The 9 articles were selected based on their relevance to the subject matter, strength and design of this study. Conclusion: Geriatric trauma patients treated in specialized geriatric trauma centers with early geriatric team involvement can greatly improve the long term outcomes and length of stay as well as reduce complications in this group of patients. More research needs to be done to better identify at which age trauma patients would begin to benefit from specialized geriatric trauma protocols.

A National Trauma Care System

Author : National Academies of Sciences, Engineering, and Medicine
Publisher : National Academies Press
Page : 531 pages
File Size : 33,5 MB
Release : 2016-10-12
Category : Medical
ISBN : 0309442850

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Advances in trauma care have accelerated over the past decade, spurred by the significant burden of injury from the wars in Afghanistan and Iraq. Between 2005 and 2013, the case fatality rate for United States service members injured in Afghanistan decreased by nearly 50 percent, despite an increase in the severity of injury among U.S. troops during the same period of time. But as the war in Afghanistan ends, knowledge and advances in trauma care developed by the Department of Defense (DoD) over the past decade from experiences in Afghanistan and Iraq may be lost. This would have implications for the quality of trauma care both within the DoD and in the civilian setting, where adoption of military advances in trauma care has become increasingly common and necessary to improve the response to multiple civilian casualty events. Intentional steps to codify and harvest the lessons learned within the military's trauma system are needed to ensure a ready military medical force for future combat and to prevent death from survivable injuries in both military and civilian systems. This will require partnership across military and civilian sectors and a sustained commitment from trauma system leaders at all levels to assure that the necessary knowledge and tools are not lost. A National Trauma Care System defines the components of a learning health system necessary to enable continued improvement in trauma care in both the civilian and the military sectors. This report provides recommendations to ensure that lessons learned over the past decade from the military's experiences in Afghanistan and Iraq are sustained and built upon for future combat operations and translated into the U.S. civilian system.

Orthogeriatrics

Author : Paolo Falaschi
Publisher : Springer Nature
Page : 355 pages
File Size : 21,98 MB
Release : 2021
Category : Anesthesiology
ISBN : 3030481263

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This new open access edition supported by the Fragility Fracture Network aims at giving the widest possible dissemination on fragility fracture (especially hip fracture) management and notably in countries where this expertise is sorely needed. It has been extensively revised and updated by the experts of this network to provide a unique and reliable content in one single volume. Throughout the book, attention is given to the difficult question of how to provide best practice in countries where the discipline of geriatric medicine is not well established and resources for secondary prevention are scarce. The revised and updated chapters on the epidemiology of hip fractures, osteoporosis, sarcopenia, surgery, anaesthesia, medical management of frailty, peri-operative complications, rehabilitation and nursing are supplemented by six new chapters. These include an overview of the multidisciplinary approach to fragility fractures and new contributions on pre-hospital care, treatment in the emergency room, falls prevention, nutrition and systems for audit. The reader will have an exhaustive overview and will gain essential, practical knowledge on how best to manage fractures in elderly patients and how to develop clinical systems that do so reliably.