Increasing The Sensitivity Of Trauma Triage Guidelines For Older Adults

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Increasing the Sensitivity of Trauma Triage Guidelines for Older Adults

Author : Maureen R. Murphy
Publisher :
ISBN 13 : 9781267662583
Total Pages : pages
Book Rating : 4.6/5 (625 download)

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Book Synopsis Increasing the Sensitivity of Trauma Triage Guidelines for Older Adults by : Maureen R. Murphy

Download or read book Increasing the Sensitivity of Trauma Triage Guidelines for Older Adults written by Maureen R. Murphy and published by . This book was released on 2012 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: The older adult is often undertriaged and is susceptible to serious injury from low level falls. Age-related physiologic changes and co-morbidities contribute to increased complication and mortality rates. Objective: The overarching goal of this study was to identify additional criteria that may increase the sensitivity of trauma triage guidelines for older adults who have fallen. The purpose was to examine associations between frequently used triage criteria (fall height, Glasgow Coma Scale "GCS" scores, blood pressure, heart rate, and age) and commonly used outcomes (Injury Severity Score "ISS", hospital length of stay "LOS", and hospital mortality) in older adults who have fallen. Method: This study used a cross-sectional retrospective review of a level 1 trauma center database and electronic medical record. The study sample included 1,088 patients age 50 years and older who had fallen from any height and experienced injury requiring admission to a level I trauma center between June 2006 and December 2010. Age, fall height, heart rate, blood pressure, GCS score, ISS, LOS, and hospital mortality data were collected. All study variables were analyzed for statistically significant relationships using Pearson's r correlation coefficient. Results: Seventy-nine percent of the sample fell five feet or less and ground level falls were the most common type of fall. There was a moderate negative correlation between fall height and age (p .01). A GCS of 14 was the most common score less than 15 and occurred 17% of the time. There was a moderate positive correlation between GCS and mortality (p .01). Hypotension and tachycardia rarely occurred. Conclusions: The findings from this study may provide insight into ways to increase the sensitivity of current trauma triage guidelines to more clearly identify the injured older adult, including adjustments to current triage variables, and/or combinations of triage criteria.

Resources for Optimal Care of the Injured Patient

Author : American College of Surgeons. Committee on Trauma
Publisher :
ISBN 13 :
Total Pages : 90 pages
Book Rating : 4.3/5 (277 download)

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Book Synopsis Resources for Optimal Care of the Injured Patient by : American College of Surgeons. Committee on Trauma

Download or read book Resources for Optimal Care of the Injured Patient written by American College of Surgeons. Committee on Trauma and published by . This book was released on 1990 with total page 90 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Current Therapy of Trauma and Surgical Critical Care

Author : Juan A. Asensio
Publisher : Elsevier Health Sciences
ISBN 13 : 0323846416
Total Pages : 1391 pages
Book Rating : 4.3/5 (238 download)

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Book Synopsis Current Therapy of Trauma and Surgical Critical Care by : Juan A. Asensio

Download or read book Current Therapy of Trauma and Surgical Critical Care written by Juan A. Asensio and published by Elsevier Health Sciences. This book was released on 2023-03-18 with total page 1391 pages. Available in PDF, EPUB and Kindle. Book excerpt: Drawing on the experience and knowledge of master world-renowned trauma surgeons, Current Therapy of Trauma and Surgical Critical Care, 3rd Edition, offers a comprehensive summary of optimal treatment and post-operative management of traumatic injuries. Ideally suited for everyday use, this practical, concise reference highlights the most important aspects of urgent surgical care, from damage control to noninvasive techniques to chemical and biological injuries. A focus on the surgical techniques required to manage even the most complex injuries makes it both an excellent resource for quick review before entering the operating room and a valuable review tool for board certification or recertification. Covers the entire spectrum of Trauma Surgery and Surgical Critical Care—from initial evaluation, military and civilian field and trauma center evaluation and resuscitation, to diagnosis, operative, and postoperative critical care and outcomes—in nearly 100 print and 39 online-exclusive chapters, all newly streamlined to emphasize frontline procedural treatment. Features extensive new data and updates to Cardiac, Thoracic, Vascular, and Military Surgery chapters, plus numerous new intraoperative photographs and high-quality line drawings that highlight the most important aspects of urgent surgical care. Contains 14 new chapters, including Innovations in Trauma Surgery Simulation; Air Evacuation and Critical Care in Military Casualties; REBOA: Indications and Controversies; Penetrating Extracranial Vertebral Artery; Penetrating Arterio-Venous Fistulas; The Genomics of Profound Shock and Trauma; ECMO; and newer strategies, such as nerve blocks for pain management to combat the opioid epidemic. Incorporates a wealth of military knowledge from both recent and past military conflicts, as well as from asymmetric warfare; many of the authors and co-authors have extensive past and present military experience. Uses a consistent, easy-to-follow chapter format throughout, for quick and easy reference and review. Reviews the essential principles of diagnosis and treatment, as well as the specifics of surgical therapy, making it useful for surgeons across all specialties. Integrates evidence-based practice guidelines into the text whenever possible, as well as comprehensive utilization of the American Association for the Surgery of Trauma – Organ Injury Scales (AAST-OIS). Contains such a wealth of operative photographs and line drawings, both in the printed version and many more in the electronic version, that it could be considered an Atlas of Trauma Surgery.

Trauma Emergencies, An Issue of Emergency Medicine Clinics of North America, E-Book

Author : Christopher Hicks
Publisher : Elsevier Health Sciences
ISBN 13 : 0323939708
Total Pages : 241 pages
Book Rating : 4.3/5 (239 download)

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Book Synopsis Trauma Emergencies, An Issue of Emergency Medicine Clinics of North America, E-Book by : Christopher Hicks

Download or read book Trauma Emergencies, An Issue of Emergency Medicine Clinics of North America, E-Book written by Christopher Hicks and published by Elsevier Health Sciences. This book was released on 2022-11-24 with total page 241 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this issue of Emergency Medicine Clinics, guest editors Drs. Kimberly A. Boswell and Christopher Hicks bring their considerable expertise to Trauma Emergencies. Top experts in the field cover key topics such as management of the complex airway in the trauma setting; neck trauma; trauma in the aging population; pediatric trauma; trauma patients in shock; minor procedures in trauma; and more. - Contains 15 relevant, practice-oriented topics including neurotrauma update; the Big Five: heroic procedures in the trauma bay; new approaches to pain management in trauma; new uses for ultrasound in trauma; intimate partner violence and human trafficking; and more. - Provides in-depth clinical reviews on trauma emergencies, offering actionable insights for clinical practice. - Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

Patient Safety and Quality

Author : Ronda Hughes
Publisher : Department of Health and Human Services
ISBN 13 :
Total Pages : 592 pages
Book Rating : 4.:/5 (318 download)

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Book Synopsis Patient Safety and Quality by : Ronda Hughes

Download or read book Patient Safety and Quality written by Ronda Hughes and published by Department of Health and Human Services. This book was released on 2008 with total page 592 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/

Emergency Medical Services, 2 Volumes

Author : Jane H. Brice
Publisher : John Wiley & Sons
ISBN 13 : 1119756243
Total Pages : 1187 pages
Book Rating : 4.1/5 (197 download)

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Book Synopsis Emergency Medical Services, 2 Volumes by : Jane H. Brice

Download or read book Emergency Medical Services, 2 Volumes written by Jane H. Brice and published by John Wiley & Sons. This book was released on 2021-11-08 with total page 1187 pages. Available in PDF, EPUB and Kindle. Book excerpt: The two-volume Emergency Medical Services: Clinical Practice and Systems Oversight delivers a thorough foundation upon which to succeed as an EMS medical director and prepare for the NAEMSP National EMS Medical Directors Course and Practicum. Focusing on EMS in the 'real world', the book offers specific management tools that will be useful in the reader's own local EMS system and provides contextual understanding of how EMS functions within the broader emergency care system at a state, local, and national level. The two volumes offer the core knowledge trainees will need to successfully complete their training and begin their career as EMS physicians, regardless of the EMS systems in use in their areas. A companion website rounds out the book's offerings with audio and video clips of EMS best practice in action. Readers will also benefit from the inclusion of: A thorough introduction to the history of EMS An exploration of EMS airway management, including procedures and challenges, as well as how to manage ventilation, oxygenation, and breathing in patients, including cases of respiratory distress Practical discussions of medical problems, including the challenges posed by the undifferentiated patient, altered mental status, cardiac arrest and dysrhythmias, seizures, stroke, and allergic reactions An examination of EMS systems, structure, and leadership

Reducing the Burden of Injury

Author : Committee on Injury Prevention and Control
Publisher : National Academies Press
ISBN 13 : 0309593468
Total Pages : 336 pages
Book Rating : 4.3/5 (95 download)

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Book Synopsis Reducing the Burden of Injury by : Committee on Injury Prevention and Control

Download or read book Reducing the Burden of Injury written by Committee on Injury Prevention and Control and published by National Academies Press. This book was released on 1999-01-04 with total page 336 pages. Available in PDF, EPUB and Kindle. Book excerpt: Injuries are the leading cause of death and disability among people under age 35 in the United States. Despite great strides in injury prevention over the decades, injuries result in 150,000 deaths, 2.6 million hospitalizations, and 36 million visits to the emergency room each year. Reducing the Burden of Injury describes the cost and magnitude of the injury problem in America and looks critically at the current response by the public and private sectors, including: Data and surveillance needs. Research priorities. Trauma care systems development. Infrastructure support, including training for injury professionals. Firearm safety. Coordination among federal agencies. The authors define the field of injury and establish boundaries for the field regarding intentional injuries. This book highlights the crosscutting nature of the injury field, identifies opportunities to leverage resources and expertise of the numerous parties involved, and discusses issues regarding leadership at the federal level.

The Emergency Medicine Trauma Handbook

Author : Alex Koyfman
Publisher : Cambridge University Press
ISBN 13 : 1108450288
Total Pages : 369 pages
Book Rating : 4.1/5 (84 download)

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Book Synopsis The Emergency Medicine Trauma Handbook by : Alex Koyfman

Download or read book The Emergency Medicine Trauma Handbook written by Alex Koyfman and published by Cambridge University Press. This book was released on 2019-10-17 with total page 369 pages. Available in PDF, EPUB and Kindle. Book excerpt: Resource added for the Emergency Medical Technician program 305313.

Emergency Medical Services

Author : Jane H. Brice
Publisher : John Wiley & Sons
ISBN 13 : 111975626X
Total Pages : 1184 pages
Book Rating : 4.1/5 (197 download)

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Book Synopsis Emergency Medical Services by : Jane H. Brice

Download or read book Emergency Medical Services written by Jane H. Brice and published by John Wiley & Sons. This book was released on 2021-08-12 with total page 1184 pages. Available in PDF, EPUB and Kindle. Book excerpt: The two-volume Emergency Medical Services: Clinical Practice and Systems Oversight delivers a thorough foundation upon which to succeed as an EMS medical director and prepare for the NAEMSP National EMS Medical Directors Course and Practicum. Focusing on EMS in the 'real world', the book offers specific management tools that will be useful in the reader's own local EMS system and provides contextual understanding of how EMS functions within the broader emergency care system at a state, local, and national level. The two volumes offer the core knowledge trainees will need to successfully complete their training and begin their career as EMS physicians, regardless of the EMS systems in use in their areas. A companion website rounds out the book's offerings with audio and video clips of EMS best practice in action. Readers will also benefit from the inclusion of: A thorough introduction to the history of EMS An exploration of EMS airway management, including procedures and challenges, as well as how to manage ventilation, oxygenation, and breathing in patients, including cases of respiratory distress Practical discussions of medical problems, including the challenges posed by the undifferentiated patient, altered mental status, cardiac arrest and dysrhythmias, seizures, stroke, and allergic reactions An examination of EMS systems, structure, and leadership

Morbidity and Mortality Weekly Report

Author :
Publisher :
ISBN 13 :
Total Pages : 44 pages
Book Rating : 4.:/5 (319 download)

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Book Synopsis Morbidity and Mortality Weekly Report by :

Download or read book Morbidity and Mortality Weekly Report written by and published by . This book was released on 2009 with total page 44 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Hazzard's Geriatric Medicine and Gerontology, 7E

Author : Jeffrey B. Halter
Publisher : McGraw Hill Professional
ISBN 13 : 0071833463
Total Pages : 2097 pages
Book Rating : 4.0/5 (718 download)

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Book Synopsis Hazzard's Geriatric Medicine and Gerontology, 7E by : Jeffrey B. Halter

Download or read book Hazzard's Geriatric Medicine and Gerontology, 7E written by Jeffrey B. Halter and published by McGraw Hill Professional. This book was released on 2016-11-18 with total page 2097 pages. Available in PDF, EPUB and Kindle. Book excerpt: The gold-standard text on the diagnosis and treatment of disorders affecting the elderly – completely updated with a new full-color presentation A Doody's Core Title for 2021! The definitive treatise on the subject of geriatrics, this comprehensive text combines gerontology principles with clinical geriatrics, offering a uniquely holistic approach to this ever-expanding area of medicine. Written by some of the world’s most respected geriatricians, Hazzard’s Geriatric Medicine and Gerontology, Seventh Edition presents up-to-date, evidence-based information in a rich new full-color design. Unmatched as a textbook, this classic is also valuable to fellows in geriatric medicine. Hazzards’s Geriatric Medicine and Gerontology, Seventh Edition is logically divided into five parts: Principles of Gerontology, Principles of Geriatrics, Geriatric Syndromes, Principles of Palliative Medicine, and Organ Systems and Diseases. Within its pages, you will find balanced, authoritative coverage of every essential topic – from evaluation and management to nutrition and palliative medicine. Here’s why the Seventh Edition is the best edition ever: NEW full-color design with hundreds of color photographs NEW chapters: Quality of Care in Older Adults, Common Non-Pain Symptoms in Older Adults, Strategies of Effective Communication Around Advanced Illness, Palliative Medicine in the Continuum of Care Including Hospice, Coagulation Disorders, and Plasma Cell Disorders MORE chapters on Palliative Medicine NEW Learning Objectives and Key Points added to each chapter MORE tables, drawings, and clinical algorithms EVIDENCE-BASED through the use of the latest clinical practice guidelines , references to systemic reviews, and critically appraised topics UPDATED to reflect the most current clinical breakthroughs and advances for managing older adults in various settings

Encyclopedia of Trauma Care

Author : Peter Papadakos
Publisher : Springer
ISBN 13 : 9783642362002
Total Pages : 1200 pages
Book Rating : 4.3/5 (62 download)

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Book Synopsis Encyclopedia of Trauma Care by : Peter Papadakos

Download or read book Encyclopedia of Trauma Care written by Peter Papadakos and published by Springer. This book was released on 2021-01-14 with total page 1200 pages. Available in PDF, EPUB and Kindle. Book excerpt: This encyclopedia is an authoritative compilation of practical information on major topics in trauma management. Its encyclopedic format will allow the reader to rapidly find up-to-date information on a specific topic of interest. The book is organized in an organ-based manner for ease of use when a practitioner is confronted with a particular injury. Each chapter takes the form of a clearly structured review of the subject in question and includes informative illustrations and tables as well as lists of classic references. In addition to the full range of organ-specific injuries, a number of important further topics are covered, including critical care of the trauma patient, trauma system organization, mass injury scenarios, the impact of new technologies, complications in trauma care, and ethical issues. All of the authors are leading experts, and the encyclopedia will provide an excellent source of information for both basic and clinical scientists and trainees in various fields.

National Automotive Sampling System, Crashworthiness Data System

Author :
Publisher :
ISBN 13 :
Total Pages : 176 pages
Book Rating : 4.:/5 (319 download)

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Book Synopsis National Automotive Sampling System, Crashworthiness Data System by :

Download or read book National Automotive Sampling System, Crashworthiness Data System written by and published by . This book was released on 1995 with total page 176 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Geriatric Trauma and Critical Care

Author : Jay A. Yelon
Publisher : Springer Science & Business Media
ISBN 13 : 1461485010
Total Pages : 382 pages
Book Rating : 4.4/5 (614 download)

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Book Synopsis Geriatric Trauma and Critical Care by : Jay A. Yelon

Download or read book Geriatric Trauma and Critical Care written by Jay A. Yelon and published by Springer Science & Business Media. This book was released on 2013-12-21 with total page 382 pages. Available in PDF, EPUB and Kindle. Book excerpt: Geriatric Trauma and Critical Care provides a multidisciplinary overview of the assessment and management of the elderly patient presenting with surgical pathology. By utilizing current literature and evidence-based resources, the textbook elucidates the unique nature of caring for the elderly population. The structure of the volume provides the reader with an overview of the physiologic and psychological changes, as well as the impact on the healthcare system, associated with the aging process. Emphasis is placed on the impact of aging, pre-existing medical problems, effects of polypharmacy, advanced directives and end-of-life wishes on acute surgical problems, including trauma and surgical critical care. Special attention is given to the ethical implications of management of the aged. The multidisciplinary contributors provide a unique point of view not common to surgical texts. The textbook is the definitive resource for practicing surgeons, emergency medicine physicians, intensivists, anesthesiologists, hospitalists, geriatricians, as well as surgical residents, nurses and therapists, all who care for elderly patients with surgical emergencies.

Geriatric Trauma and Critical Care

Author : Fred A. Luchette
Publisher : Springer
ISBN 13 : 331948687X
Total Pages : 456 pages
Book Rating : 4.3/5 (194 download)

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Book Synopsis Geriatric Trauma and Critical Care by : Fred A. Luchette

Download or read book Geriatric Trauma and Critical Care written by Fred A. Luchette and published by Springer. This book was released on 2017-07-30 with total page 456 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Essentials of Trauma Anesthesia

Author : Albert J. Varon
Publisher : Cambridge University Press
ISBN 13 : 1107602564
Total Pages : 325 pages
Book Rating : 4.1/5 (76 download)

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Book Synopsis Essentials of Trauma Anesthesia by : Albert J. Varon

Download or read book Essentials of Trauma Anesthesia written by Albert J. Varon and published by Cambridge University Press. This book was released on 2012-06-07 with total page 325 pages. Available in PDF, EPUB and Kindle. Book excerpt: A concise review of the essential elements in the anesthetic care of the severely injured trauma patient.

Guidelines for Clinical Practice

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309045894
Total Pages : 441 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis Guidelines for Clinical Practice by : Institute of Medicine

Download or read book Guidelines for Clinical Practice written by Institute of Medicine and published by National Academies Press. This book was released on 1992-02-01 with total page 441 pages. Available in PDF, EPUB and Kindle. Book excerpt: Guidelines for the clinical practice of medicine have been proposed as the solution to the whole range of current health care problems. This new book presents the first balanced and highly practical view of guidelinesâ€"their strengths, their limitations, and how they can be used most effectively to benefit health care. The volume offers: Recommendations and a proposed framework for strengthening development and use of guidelines. Numerous examples of guidelines. A ready-to-use instrument for assessing the soundness of guidelines. Six case studies exploring issues involved when practitioners use guidelines on a daily basis. With a real-world outlook, the volume reviews efforts by agencies and organizations to disseminate guidelines and examines how well guidelines are functioningâ€"exploring issues such as patient information, liability, costs, computerization, and the adaptation of national guidelines to local needs.