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Medical emergencies in trauma

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Nathani, Naz, Perkins, Gavin D. and Thickett, David R. (2004) Medical emergencies in trauma. Trauma, 6 (2). pp. 135-142. doi:10.1191/1460408604ta307oa ISSN 1477-0350.

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Official URL: http://dx.doi.org/10.1191/1460408604ta307oa

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Abstract

Increasing elderly population means an increasing proportion of elderly trauma patients. This group commonly have associated chronic medical disorders which can influence the presentation and outcome of trauma. The common medical causes of trauma include falls, syncope, obstructive sleep apnoea and diabetes mellitus. Comorbid medical conditions mean poor physiological reserve and therefore the importance of timely medical intervention by early identification of a deteriorating patient. Modified Early Warning Score (MEWS) is one such tool which can help early idenfication of a deteriorating patient. Elderly trauma patients frequently develop medical complications while in the hospital and the trauma surgeon should be alert to this and initiate appropriate early management. The Acute Life-threatening Events Recognition and Treatment (ALERTTM) course assessment algorithm (Figure 1) helps in this by providing a system for the comprehensive review of a critically ill patient. Trauma in elderly calls for a multidisciplinary approach and close cooperation between the elderly care physician and the trauma surgeon.

Item Type: Journal Article
Subjects: R Medicine > R Medicine (General)
Divisions: Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Clinical Trials Unit
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Journal or Publication Title: Trauma
Publisher: Sage Publications, Inc.
ISSN: 1477-0350
Official Date: 1 April 2004
Dates:
DateEvent
1 April 2004Published
Volume: 6
Number: 2
Page Range: pp. 135-142
DOI: 10.1191/1460408604ta307oa
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Restricted or Subscription Access

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