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Geriatric trauma

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force in the patient's external environment caused the fall to occur. However, the use of this term may result in a failure to conduct a thorough evaluation of intrinsic factors related to the fall. Even in cases of community-dwelling older adults experiencing falls related to slipping, tripping, or stumbling, the patients’ co-morbidities and health status are often involved. In addition, a proportion of patients with reported “non-mechanical falls” have been shown to have environmental factors. For this reason, it is crucial to consider the interactions between environmental hazards and increased individual susceptibility from the accumulated effects of intrinsic risk factors when evaluating why a fall occurred in an older adult.
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25-75 percent of those do not recover fully to the mobility they had prior to the fall. Of those older adults who fall, only about half are able to stand back up on their own, the other half experience a “long lie” which makes them more likely to experience a steeper decline on their activities of daily living than those who are able to stand back up on their own. Furthermore, the medical complications arising from these falls make it so that they become the leading cause of death from injury in populations over 65 years old and fifth overall cause of death.
500:. Loneliness is an indicator of social well-being and can lead to intense feelings of emptiness and serious health consequences, including depressive symptoms and cognitive decline. Importantly, when manifested in older adults, it may reflect increased vulnerability and dependency, which may provide circumstances under which elder mistreatment can occur. Isolation reduces the likelihood that abuse will be detected and stopped. Feelings of loneliness are independently associated with self-reported elder mistreatment. 29: 702:, expected declines in blood pressure may not occur, leading to misinterpretation of the geriatric patient's condition. This supports why mortality significantly increases with systolic blood pressure below 110 mmHg in older adults but not until 95 mmHg in younger patients. This is why several centers and studies support using older age as a TTA criterion as a means to reduce mortality in this population, regardless of the mechanism of injury. 489:, resulting in an increased risk of death at the end of a 13-year follow-up period in one study. According to a published uniform definition from the National Center for Injury Prevention and Control, Division of Violence Prevention, elder abuse is “an intentional act or failure to act by a caregiver or another person in a relationship involving an expectation of trust that causes or creates a risk of harm to an older adult.” 326:
interventions. This demonstrates the value in creating a more accommodating and safe home environment for a community-dwelling elder, especially if they have several intrinsic risk factors for falls. Another study found a lower risk of falls associated with wearing athletic shoes and canvas shoes compared to other types of footwear including slippers, sandals, and high heels.
201:. Another example is the decline in muscle mass, which although highly variable among individuals, rapidly speeds up in older age and can decreases up to 50% when compared to the weight of the individual. This loss of muscle mass can compromise the elderly adult's ability to maintain a straight posture. 596:
The geriatric population is at increased risk for burn injury. While geriatric burns account for less than 5% of burns in developing countries, nearly 20% of burns in developed countries are experienced by the geriatric population. These burn injuries tend to occur at home—particularly in the kitchen
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Cognitive deficits. One study used a road test in California consisting of a six-stage driving course with typical intersections, merging roads, curves, crosswalks, etc. to compare the driving capabilities of participants with cognitive impairments and healthy controls. They found significantly worse
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are the most common mechanism of injury in severely injured geriatric patients, the risk factors for geriatric trauma overlap significantly with those that predispose older adults to falls. Falls may often be described as “mechanical” or “non-mechanical.” A “mechanical fall” implies that an object or
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are key components of burn treatment. In the geriatric population, extra care must be paid to provide appropriate fluids, as age is significantly associated with increased volume requirement in the first 48 hours post-injury. Additionally, geriatric patients are often not provided with adequate pain
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processes of aging, the skin of geriatric patients has impaired mechanisms to protect against burns, including impaired neurosensory sensitivity, skin permeability, and regeneration capacity. These impairments lead to deeper wounds, prolonged wound healing, and lower potential for complete recovery.
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As a result of a fall, older adults can also experience post-fall anxiety syndrome. This fear of falling was present in 60 percent of community dwelling geriatric populations, and was demonstrated by their reduction in levels of activity; 15 percent of which severely restricted their mobility out of
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Every year, about 5 percent of falls result in hospitalizations in the geriatric population. These injuries lead to an increase in morbidity and a greater likelihood that they will be admitted to a nursing home. Approximately 95 percent of all hip fractures reported are due to an unforeseen fall and
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account for three-quarters of all trauma in this population. In one review, the estimated probability of falling at least once in any given year for individuals 65 years and older was 27%. One out of five falls causes a serious injury such as broken bones or a head injury. In the United States, over
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is increasing. By 2050, the world's population aged 60 years and older is expected to total 2 billion, up from 900 million in 2015. While this trend presents opportunities for productivity and additional experiences, it also comes with its own set of challenges for health systems. More so than ever,
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following traumatic injury. In addition, given advances in the management of chronic illnesses, more elderly adults are living active lifestyles and are at risk of traumatic injury. In the United States, this population accounts for 14% of all traumatic injuries, of which a majority are just mainly
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is another important form of treatment for burns. However, age is a risk factor for unsuccessful grafting due to the natural thinning of the skin that occurs with age. Other risk factors for failed skin relevant to the geriatric population for unsuccessful skin grafting include being over age 55,
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are the most common cause of injury in older adults. According to the Behavior Risk Factor Surveillance System in 2018, approximately 28 percent of individuals aver 65 years old reported a fall within the last year. This would account for approximately 36 million falls, of which approximately 8.4
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Lastly, in one study, home modifications like adding handrails for outside and inside stairs, grab rails for bathrooms, outdoor lighting, and slip-resistant floors was shown to cause a 26% reduction in the rate of injuries caused by falls at home per year compared to a control group without these
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Characteristics of abusers. Elders often share a living arrangement with their abuser. Relatives that are more likely to become abusive include those with mental illness, substance use disorders, dependence on the elder for financial assistance and housing, and a history of violence in contexts
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injuries continues to improve across all age groups, this improvement may be less for older burn victims. This observation may be attributable to a greater degree of co-morbidities and slow wound healing that result in an increased length of stay and higher mortality in the elderly compared to
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Studies suggest that few geriatric patients return to their previous state of health following burn injury. Long-term consequences in this population include exacerbation of pre-existing conditions, decreased mobility, loss of independence, worsened nutrition, pain, and psychological sequelae
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Importantly, geriatric patients are at increased risk for downstream complications. This is in part due to limited mobility, decreased ability to react rapidly to threats, and pre-existing medical problems such as vision impairment and medication side effects. Additionally, due to the natural
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are the second most common mechanism of injury among geriatric adults, and the most common cause of traumatic mortality. Of the possible injuries, older adults are especially at risk of chest injuries (such as rib fractures) which may negatively interact with existing cardiopulmonary
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of the brain begins to accelerate at around seventy years of age, which leads to a significant reduction in brain mass. Since the skull does not decrease in size with the brain, there is significant space between the two when this occurs which puts the elderly at a higher risk of a
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control management, in part due to a misconception that pain decreases with age (there is no evidence to support this claim). Appropriate pain management is critical for recovery, and must consider patients' co-morbidities, organ functions, and current medications.
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Functional impairment. One study demonstrated that greater functional impairment was associated with an increased risk of emotional and physical abuse. This may be related to increased vulnerability because older adults with impaired ability to perform
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are also especially dangerous in geriatric populations. Relating back to physiology, comorbidities and slow wound healing can result in an increase length of stay, and higher mortality in the elderly compared to patients less than 60 yr of age.
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Falls and motor vehicle crashes are the most common types of injuries among geriatric adults. As a whole, older populations are more vulnerable to mortality from all causes of trauma given that they are less able to compensate following injury.
673:, and mechanism of injury. However, elderly patients with severe trauma often do not meet the standard TTA criteria due to normal age-related changes and reduced physiologic capacities. For example, older adults have a less profound 151:
for control of various diseases and conditions. The side effects of some of these medications may either predispose to injury, or may cause a minor trauma to result in a much more severe condition. For example, a person taking
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caused by such medications. The combined effects of these changes greatly predisposes elderly people to traumatic injury. Both the incidence of falls and the severity of associated complications increase with advancing age.
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Hall J, Karch DL, Crosby A. Elder abuse surveillance: Uniform definitions and recommended core data elements. National Center for Injury Prevention and Control, Division of Violence Prevention. 2016. Available at:
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To prevent or identify patients who may experience elder abuse, it is crucial to identify which older adults are at an increased risk. Some findings correlated with risk of elder mistreatment are presented below:
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Fitten, L. Jaime; Perryman, Kent M.; Wilkinson, Candace J.; Little, Roderick J.; Burns, Marcelline M.; Pachana, Nancy; Mervis, J. Randolph; Malmgren, Roberta; Siembieda, Douglas W.; Ganzell, Steven (1995-05-03).
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Heffernan, Daithi S.; Thakkar, Rajan K.; Monaghan, Sean F.; Ravindran, Radhika; Adams, Charles A.; Kozloff, Matthew S.; Gregg, Shea C.; Connolly, Michael D.; Machan, Jason T.; Cioffi, William G. (October 2010).
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fear of having another fall. This further contributes to morbidity because it can contribute to cognitive impairment, depression, isolation, increase in rates of obesity, and further mobility impairment.  
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following trauma. This explains why mortality increases in the elderly above a heart rate of 90 bpm, an association not observed until heart rate of 130 bpm in younger patients. Similarly, in older adults,
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were six times more likely to have incurred one or more crashes in the last five years. Other parameters of eye function like eye health status and visual sensory function were correlated with crashes.
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Burnes, David; Pillemer, Karl; Caccamise, Paul L.; Mason, Art; Henderson, Charles R.; Berman, Jacquelin; Cook, Ann Marie; Shukoff, Denise; Brownell, Patricia; Powell, Mebane; Salamone, Aurora (2015).
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comorbidities—increasing the risk of complications like pneumonia and respiratory failure. In addition, the highest mortality rate in geriatric trauma is among older pedestrians struck by a vehicle.
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Koepsell, Thomas D.; Wolf, Marsha E.; Buchner, David M.; Kukull, Walter A.; LaCroix, Andrea Z.; Tencer, Allan F.; Frankenfeld, Cara L.; Tautvydas, Milda; Larson, Eric B. (September 2004).
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From a meta-analysis examining risk factors for falls in both community-dwelling and institutionalized populations, the most common intrinsic determinants of falls risks include:
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Motor vehicle crashes are the second most frequent mechanism of injury to explain trauma in older adults. Risk factors that affect driving performance in older adults include:
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Cawthon, Peggy M.; Harrison, Stephanie L.; Barrett-Connor, Elizabeth; Fink, Howard A.; Cauley, Jane A.; Lewis, Cora E.; Orwoll, Eric S.; Cummings, Steven R. (November 2006).
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and mortality across all age groups, however, geriatric populations are unique compared to younger counterparts in the amount of existing health issues and inherent risk of
90:. As a whole, older populations are more vulnerable to trauma from minor mechanisms of injury and less able to recover following injury. At the same time, 825:. John A. Marx, Robert S. Hockberger, Ron M. Walls, Michelle H. Biros, Daniel F. Danzl, Marianne Gausche-Hill (Eighth ed.). Philadelphia, PA. 2014. 98:
and co-morbidities may negatively affect older adults’ physiological responses to traumatic injuries and increase the risk for complications later on.
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Keall, Michael D.; Pierse, Nevil; Howden-Chapman, Philippa; Cunningham, Chris; Cunningham, Malcolm; Guria, Jagadish; Baker, Michael G. (2015-01-17).
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Wibbenmeyer, Lucy A.; Amelon, Marge J.; Morgan, Lori J.; Robinson, Bonnie K.; Chang, Phyllis X.; Lewis Ii, Robert; Patrick Kealey, G. (2001-09-01).
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Other important intrinsic risk factors for falls indicated by other studies include peripheral nerve dysfunction with postural instability, use of
1569:"Home modifications to reduce injuries from falls in the home injury prevention intervention (HIPI) study: a cluster-randomised controlled trial" 854: 3398: 1677:
Labib, Noura; Nouh, Thamer; Winocour, Sebastian; Deckelbaum, Dan; Banici, Laura; Fata, Paola; Razek, Tarek; Khwaja, Kosar (December 2011).
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Woolcott, John C.; Richardson, Kathryn J.; Wiens, Matthew O.; Patel, Bhavini; Marin, Judith; Khan, Karim M.; Marra, Carlo A. (2009-11-23).
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Labib, Noura; Nouh, Thamer; Winocour, Sebastian; Deckelbaum, Dan; Banici, Laura; Fata, Paola; Razek, Tarek; Khwaja, Kosar (December 2011).
3040:"Activity restriction induced by fear of falling and objective and subjective measures of physical function: a prospective cohort study" 577:
million resulted in injuries. These falls are often underreported and can significantly threaten the individual's independence.  
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patients less than 60 years. Therefore, it is important to recognize and address risk factors that predispose older adults to burns.
534:. Both have been demonstrated as related to elder abuse and neglect. They may cause a loss of capacity for self-care and protection. 1193: 514:. These individuals may be more likely to have unstable, conflictive family relationships that increase the risk of mistreatment. 3038:
Deshpande, Nandini; Metter, E. Jeffrey; Lauretani, Fulvio; Bandinelli, Stefania; Guralnik, Jack; Ferrucci, Luigi (April 2008).
372: 924:"Differences in mortality between elderly and younger adult trauma patients: geriatric status increases risk of delayed death" 1977:"Association between Glaucoma and At-fault Motor Vehicle Collision Involvement among Older Drivers: A Population-based Study" 1153: 1098: 1039: 830: 2783:
Wibbenmeyer, L. A.; Amelon, M. J.; Morgan, L. J.; Robinson, B. K.; Chang, P. X.; Lewis, R.; Kealey, G. P. (September 2001).
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800,000 patients a year are hospitalized because of a fall injury, most often because of a head injury or hip fracture.
2889:"Association of injurious falls with disability outcomes and nursing home admissions in community-living older persons" 649:(TTA) must be done liberally due to limited costs and resources. Therefore, the criteria for TTA is established by the 1975:
Kwon, MiYoung; Huisingh, Carrie; Rhodes, Lindsay A.; McGwin, Gerald; Wood, Joanne M.; Owsley, Cynthia (January 2016).
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person. People around the world are living longer than ever. In developed and underdeveloped countries, the pace of
3733: 3289: 2200:"House fire injury prevention update. Part I. A review of risk factors for fatal and non-fatal house fire injury" 3216:
Bardes, James M.; Benjamin, Elizabeth; Schellenberg, Morgan; Inaba, Kenji; Demetriades, Demetrios (2019-08-01).
1726:"A Preliminary Assessment of the Medical and Functional Factors Associated with Vehicle Crashes by Older Adults" 3784: 670: 455: 1725: 342:
in the past two years. This may be attributable to falling and crashing sharing highly similar risk factors.
3830: 3425: 3393: 2832:"Trends in Nonfatal Falls and Fall-Related Injuries Among Adults Aged ≥65 Years - United States, 2012-2018" 2366: 1027: 650: 3217: 2090: 1325: 244:
Lower extremity weakness due to limited physical activity and muscle atrophy, and chronic conditions like
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McGwin, Gerald; MacLennan, Paul A.; Fife, Jessaka Bailey; Davis, Gregory G.; Rue, Loring W. (June 2004).
2427:"Prevalence of and Risk Factors for Elder Abuse and Neglect in the Community: A Population-Based Study" 858: 505: 280: 2646: 2352: 1514:"Alcohol intake and its relationship with bone mineral density, falls, and fracture risk in older men" 3748: 3466: 741: 387: 128: 1144:
Peitzman AB, Rhodes M, Schwab CW, Yealy DM, Fabian TC, eds. (2008). "Chapter 48: Geriatric Trauma".
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Keller, Julie M.; Sciadini, Marcus F.; Sinclair, Elizabeth; O'Toole, Robert V. (September 2012).
161: 520:. Low economic resources may serve as a situational stressor contributing to elder mistreatment. 3789: 3598: 3435: 3430: 395: 354: 245: 112: 1724:
Sims, Richard V.; Owsley, Cynthia; Allman, Richard M.; Ball, Karlene; Smoot, Tonya M. (1998).
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Gill, Thomas M.; Murphy, Terrence E.; Gahbauer, Evelyne A.; Allore, Heather G. (2013-08-01).
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Residence in homes with substandard fire safety features, including absent or non-functional
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Virtually all organ systems experience a progressive decline in function as a result of the
3738: 3377: 3282: 3218:"Old Age With a Traumatic Mechanism of Injury Should Be a Trauma Team Activation Criterion" 2302:
Lachs, M. S.; Williams, C. S.; O'Brien, S.; Pillemer, K. A.; Charlson, M. E. (1998-08-05).
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after sustaining a closed head injury. The reduction of brain size can lead to issues with
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Ehrlich, Amy R.; Bak, Rebecca Y.; Wald-Cagan, Paulette; Greenberg, Debra F. (2008-11-01).
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Sri-on, Jiraporn; Tirrell, Gregory Philip; Lipsitz, Lewis A.; Liu, Shan Woo (March 2016).
8: 3820: 3573: 3543: 1467:"Risk factors associated with falls and injuries among elderly institutionalized persons" 699: 691: 657:. The criteria used to identify patients with a greater need for high level care include 345:
Visual deficits. One study demonstrated that older adults who possessed shrinkage in the
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Dong, XinQi; Simon, Melissa A.; Gorbien, Martin; Percak, Jeffrey; Golden, Robyn (2007).
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of the head, neck and extremities. Furthermore, elderly people frequently take multiple
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Myers, A. H.; Baker, S. P.; Van Natta, M. L.; Abbey, H.; Robinson, E. G. (1991-06-01).
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peripheral vascular disease, diabetes mellitus, and related problems of limb ischemia.
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One significant problem in the acute assessment of geriatric trauma patients is under-
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Ganz, David A.; Bao, Yeran; Shekelle, Paul G.; Rubenstein, Laurence Z. (2007-01-03).
2501: 2454: 2446: 2394: 2386: 2382: 2333: 2325: 2284: 2276: 2272: 2237: 2219: 2165: 2157: 2118: 2110: 2071: 2053: 2014: 1996: 1957: 1939: 1900: 1892: 1848: 1840: 1836: 1800: 1792: 1753: 1745: 1706: 1698: 1651: 1643: 1639: 1596: 1588: 1541: 1533: 1529: 1494: 1486: 1447: 1439: 1400: 1392: 1353: 1345: 1306: 1288: 1249: 1241: 1149: 1119: 1094: 1060: 1035: 1010: 998: 990: 951: 943: 939: 901: 893: 836: 826: 794: 786: 609: 554: 527: 424: 358: 285: 213: 209: 120: 95: 66: 58: 41: 2466: 1765: 1663: 1608: 1553: 1090: 1084: 3667: 3233: 3229: 3158: 3116: 3067: 3051: 3004: 2993:"Predictors and prognosis of inability to get up after falls among elderly persons" 2957: 2916: 2900: 2859: 2843: 2796: 2755: 2739: 2684: 2618: 2602: 2555: 2493: 2438: 2406: 2378: 2315: 2268: 2227: 2211: 2177: 2149: 2102: 2061: 2045: 2004: 1988: 1947: 1931: 1882: 1832: 1820: 1737: 1690: 1635: 1580: 1525: 1478: 1435: 1431: 1384: 1337: 1296: 1280: 1233: 982: 935: 885: 806: 778: 1779:
Ball, K.; Owsley, C.; Sloane, M. E.; Roenker, D. L.; Bruni, J. R. (October 1993).
1148:(3rd ed.). Philadelphia: Lippincott Williams & Wilkins. pp. 524–32. 3275: 2688: 2153: 2049: 1992: 1678: 1420:"Meta-analysis of the impact of 9 medication classes on falls in elderly persons" 613: 415:
Factors that increase the risk of incurring burn injury in older adults include:
221: 198: 144: 3162: 3147:"Normal presenting vital signs are unreliable in geriatric blunt trauma victims" 2647:"Important Facts about Falls | Home and Recreational Safety | CDC Injury Center" 2497: 1694: 1388: 1237: 3760: 3755: 3578: 3445: 2961: 2526: 2137: 1679:"Severely Injured Geriatric Population: Morbidity, Mortality, and Risk Factors" 1377:
The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences
1341: 1284: 1222:"Severely injured geriatric population: morbidity, mortality, and risk factors" 662: 508:
have a reduced capacity to defend themselves or escape escalating mistreatment.
420: 368: 311: 307: 190: 140: 116: 1887: 1870: 1869:
Sims, R. V.; McGwin Jr, G.; Allman, R. M.; Ball, K.; Owsley, C. (2000-01-01).
1781:"Visual attention problems as a predictor of vehicle crashes in older drivers" 1118:. Upper Saddle River, New Jersey: Brady/Prentice Hall Health. pp. 231–8. 986: 445:
Hearing impairment, resulting in an inability to hear a triggered smoke alarm.
3809: 3794: 3677: 3641: 3636: 3498: 3440: 3332: 3241: 3170: 3112: 3063: 3016: 2969: 2912: 2855: 2808: 2751: 2696: 2614: 2567: 2450: 2390: 2329: 2280: 2223: 2161: 2114: 2057: 2000: 1943: 1935: 1896: 1844: 1796: 1749: 1702: 1647: 1592: 1537: 1490: 1443: 1396: 1349: 1292: 1245: 994: 947: 897: 840: 790: 654: 620: 194: 3146: 2946:"Falls and their prevention in elderly people: what does the evidence show?" 2945: 2784: 2743: 2672: 2590: 2543: 1623: 1568: 1513: 1419: 1326:"Falls and Their Prevention in Elderly People: What Does the Evidence Show?" 1221: 970: 873: 766: 427:, and water temperature greater than the recommended maximum of 120 Â°F. 28: 3772: 3672: 3631: 3621: 3616: 3538: 3322: 3317: 3249: 3178: 3130: 3081: 2992: 2977: 2930: 2873: 2847: 2816: 2769: 2704: 2606: 2575: 2458: 2398: 2320: 2303: 2256: 2241: 2169: 2122: 2075: 2018: 1961: 1904: 1780: 1710: 1655: 1600: 1545: 1466: 1451: 1372: 1357: 1310: 1253: 1002: 923: 922:
Perdue, P. W.; Watts, D. D.; Kaufmann, C. R.; Trask, A. L. (October 1998).
905: 798: 695: 473: 315: 3024: 2632: 2559: 2525:
Dyer, Carmel Bitondo; Connolly, Marie-Therese; McFeeley, Patricia (2003).
2505: 2367:"Loneliness in Older Chinese Adults: A Risk Factor for Elder Mistreatment" 2337: 2288: 1852: 1804: 1757: 1498: 1404: 955: 820: 3743: 3682: 3528: 3450: 2904: 721: 716: 674: 658: 646: 547: 486: 431: 157: 1034:(8th ed.). Chicago: American College of Surgeons. pp. 243–74. 367:
Psychotropic medications with central nervous system effects, including
3651: 3533: 3372: 3312: 2215: 2032:
Crizzle, Alexander M.; Classen, Sherrilene; Uc, Ergun Y. (2012-11-13).
711: 666: 497: 439: 435: 169: 91: 83: 2726:
Lee, W. Y.; Yee, W. Y.; Cameron, P. A.; Bailey, M. J. (January 2006).
2442: 2257:"Reducing the burn risk to elderly persons living in residential care" 782: 3503: 1116:
Basic trauma life support for paramedics and other advanced providers
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or the bathroom—and most commonly consist of flame and scald burns.
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Mobility impairment, preventing or slowing escape from a house fire.
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Moreland, Briana; Kakara, Ramakrishna; Henry, Ankita (2020-07-10).
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https://www.cdc.gov/violenceprevention/pdf/ea_book_revised_2016.pdf
1566: 678: 531: 469: 461: 391: 303: 299: 291: 265: 261: 249: 153: 3037: 1871:"Exploratory study of incident vehicle crashes among olderdrivers" 3143: 2670: 1511: 686: 517: 511: 451: 204: 79: 62: 2301: 822:
Rosen's emergency medicine : concepts and clinical practice
143:(degenerative joint disease), which leads to a reduction in the 3487: 3327: 3298: 3215: 2944:
Rubenstein, Laurence Z.; Josephson, Karen R. (September 2006).
2782: 2088: 874:"Preexisting conditions and mortality in older trauma patients" 642: 383: 376: 182: 2138:"Risk Factors for Fires and Burns in Homebound, Urban Elderly" 1920:"Medications and Impaired Driving: A Review of the Literature" 2789:
Burns: Journal of the International Society for Burn Injuries
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The Clinical and Medical Forensics of Elder Abuse and Neglect
2261:
Burns: Journal of the International Society for Burn Injuries
2135: 1817: 87: 2424: 1417: 3626: 2785:"Predicting survival in an elderly burn patient population" 2091:"Predicting survival in an elderly burn patient population" 1676: 1324:
Rubenstein, Laurence Z.; Josephson, Karen R. (2006-09-01).
1219: 1089:. Upper Saddle River, N.J: Pearson/Prentice Hall. pp.  682: 561: 408: 136: 364:
A history of motor vehicle crashes in the past five years.
3267: 3095:
Abu-Sittah, G.S.; Chahine, F.M.; Janom, H. (2016-12-31).
2673:"Geriatric trauma: demographics, injuries, and mortality" 2541: 2034:"Parkinson disease and driving: an evidence-based review" 1621: 1143: 176: 2886: 1974: 1464: 1113: 1082: 921: 871: 2991:
Tinetti, M. E.; Liu, W. L.; Claus, E. B. (1993-01-06).
1868: 1778: 1266: 279:
Impaired functionality and loss of ability to complete
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ATLS: Advanced Trauma Life Support Program for Doctors
139:. These degenerative changes are often accompanied by 2197: 1373:"Peripheral neuropathy: a true risk factor for falls" 36:
Medical personnel attend to geriatric trauma patient.
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Alexander, B H; Rivara, F P; Wolf, M E (July 1992).
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McLean, Allan J.; Le Couteur, David G. (June 2004).
2943: 2829: 2725: 2588: 2198:Warda, L.; Tenenbein, M.; Moffatt, M. (June 1999). 1323: 1026: 767:"Aging biology and geriatric clinical pharmacology" 1624:"Footwear style and risk of falls in older adults" 1215: 1213: 3137: 1370: 1059:. New York, N.Y: Marcel Dekker. pp. 441–50. 1028:Committee on Trauma, American College of Surgeons 3807: 2031: 1785:Investigative Ophthalmology & Visual Science 917: 915: 764: 2990: 1371:Richardson, J. K.; Hurvitz, E. A. (July 1995). 1210: 1139: 1137: 1135: 1055:Grande, Christopher M.; Søreide, Eldar (2001). 3399:Focused assessment with sonography for trauma 3283: 2480:Lachs, Mark S.; Pillemer, Karl (2009-08-19). 2479: 2254: 1918:Hetland, Amanda; Carr, David B (April 2014). 1269:"Is there such a thing as a mechanical fall?" 912: 189:function caused in part by thickening of the 1132: 2836:MMWR. Morbidity and Mortality Weekly Report 1917: 975:Emergency Medicine Clinics of North America 694:is increased, which may result in baseline 361:compared to older and young control groups. 160:(Plavix) may experience a life-threatening 3290: 3276: 3044:Journal of the American Geriatrics Society 2431:Journal of the American Geriatrics Society 2371:Journal of the American Geriatrics Society 2255:Harper, R. D.; Dickson, W. A. (May 1995). 1730:Journal of the American Geriatrics Society 1628:Journal of the American Geriatrics Society 1518:Journal of the American Geriatrics Society 1273:The American Journal of Emergency Medicine 1022: 1020: 853:: CS1 maint: location missing publisher ( 487:elder physical, emotional, or sexual abuse 70:elderly populations are presenting to the 27: 3120: 3071: 2920: 2863: 2759: 2622: 2319: 2231: 2065: 2008: 1951: 1886: 1300: 968: 636: 604: 106: 1683:Journal of Trauma and Acute Care Surgery 969:Clare, Drew; Zink, Korie L. (May 2021). 329: 260:Visual deficits, which may occur due to 1078: 1076: 1030:(2008). "Chapter 10: Extremes of Age". 1017: 382:Age-associated medical conditions like 353:drive scores in participants with mild 3808: 2728:"Road traffic injuries in the elderly" 2482:"Abuse and Neglect of Elderly Persons" 177:Physiologic differences in the elderly 3271: 2420: 2418: 2416: 2304:"The mortality of elder mistreatment" 2193: 2191: 2189: 2187: 1875:The Journals of Gerontology: Series A 1864: 1862: 512:Separated and divorced marital status 185:process. One example is a decline in 3097:"Management of burns in the elderly" 2950:The Medical Clinics of North America 1107: 1073: 538: 164:after sustaining a relatively minor 3729:Acute respiratory distress syndrome 2142:Journal of Burn Care & Research 168:, as a result of the defect in the 13: 3101:Annals of Burns and Fire Disasters 2413: 2184: 1859: 1742:10.1111/j.1532-5415.1998.tb01070.x 1483:10.1093/oxfordjournals.aje.a115830 1048: 485:Geriatric trauma may be caused by 14: 3842: 3222:The Journal of Emergency Medicine 2595:American Journal of Public Health 1114:Campbell, John Creighton (2000). 1083:Campbell, John Creighton (2008). 890:10.1097/01.ta.0000089354.02065.d0 3734:Chronic traumatic encephalopathy 3056:10.1111/j.1532-5415.2007.01639.x 3009:10.1001/jama.1993.03500010075035 2893:American Journal of Epidemiology 2531:. National Academies Press (US). 2383:10.1111/j.1532-5415.2007.01429.x 1837:10.1001/jama.1995.03520410054026 1640:10.1111/j.1532-5415.2004.52412.x 1530:10.1111/j.1532-5415.2006.00912.x 1471:American Journal of Epidemiology 1330:Medical Clinics of North America 940:10.1097/00005373-199810000-00034 468:, poor sensorimotor perception, 3209: 3185: 3088: 3031: 2984: 2937: 2880: 2823: 2776: 2719: 2664: 2639: 2582: 2535: 2518: 2486:New England Journal of Medicine 2473: 2358: 2355:(Accessed on January 25, 2021). 2344: 2295: 2248: 2129: 2082: 2025: 1968: 1911: 1811: 1772: 1717: 1670: 1615: 1560: 1505: 1458: 1411: 1364: 1317: 1260: 1186: 1162: 101: 3785:Post-traumatic stress disorder 3234:10.1016/j.jemermed.2019.04.003 1436:10.1001/archinternmed.2009.357 962: 865: 813: 758: 734: 480: 407:Although the survivability of 1: 2801:10.1016/s0305-4179(01)00009-2 2677:Journal of Orthopaedic Trauma 2107:10.1016/S0305-4179(01)00009-2 1924:The Annals of Pharmacotherapy 1585:10.1016/S0140-6736(14)61006-0 1424:Archives of Internal Medicine 727: 78:Trauma is a leading cause of 3426:Advanced trauma life support 3394:Diagnostic peritoneal lavage 2689:10.1097/BOT.0b013e3182324460 2273:10.1016/0305-4179(95)80010-l 2154:10.1097/BCR.0b013e31818ba1ab 2050:10.1212/WNL.0b013e3182749e95 1993:10.1016/j.ophtha.2015.08.043 692:systemic vascular resistance 651:American College of Surgeons 127:, as well as a reduction in 115:function leads to a loss of 7: 3163:10.1097/TA.0b013e3181f41af8 2498:10.1056/nejm199502163320706 1695:10.1097/TA.0b013e31820989ed 1238:10.1097/TA.0b013e31820989ed 705: 627: 320:history of problem drinking 10: 3847: 3297: 2962:10.1016/j.mcna.2006.05.013 2732:Emergency Medicine Journal 1342:10.1016/j.mcna.2006.05.013 1285:10.1016/j.ajem.2015.12.009 588: 568: 290:Cognitive impairment from 281:activities of daily living 3721: 3696: 3660: 3609: 3486: 3479: 3467:Resuscitative thoracotomy 3459: 3418: 3411: 3386: 3355:Clinical prediction rules 3353: 3346: 3305: 1389:10.1093/gerona/50a.4.m211 987:10.1016/j.emc.2021.01.002 388:transient ischemic attack 257:Gait and balance deficits 111:A progressive decline in 40: 35: 26: 21: 3363:Abbreviated Injury Scale 1936:10.1177/1060028014520882 402: 254:A prior history of falls 227: 195:congestive heart failure 3594:Penetrating head injury 3589:Intracranial hemorrhage 2744:10.1136/emj.2005.023754 2544:"Will my patient fall?" 1888:10.1093/gerona/55.1.M22 1057:Prehospital trauma care 771:Pharmacological Reviews 663:systolic blood pressure 518:Lower income or poverty 162:intracranial hemorrhage 3790:Subcutaneous emphysema 3749:Volkmann's contracture 3599:Traumatic brain injury 3436:Early appropriate care 3431:Damage control surgery 2848:10.15585/mmwr.mm6927a5 2607:10.2105/ajph.82.7.1020 2321:10.1001/jama.280.5.428 671:level of consciousness 647:Trauma team activation 637:Trauma Team Activation 633:including depression. 605:Treatment Implications 246:cardiovascular disease 113:central nervous system 107:Biomechanics of injury 3564:Thoracic aorta injury 3524:Diaphragmatic rupture 3368:Injury Severity Score 3338:Trauma triad of death 3151:The Journal of Trauma 2560:10.1001/jama.297.1.77 1226:The Journal of Trauma 928:The Journal of Trauma 878:The Journal of Trauma 857:) CS1 maint: others ( 555:Motor vehicle crashes 330:Motor Vehicle Crashes 129:eye–hand coordination 3739:Compartment syndrome 3378:Revised Trauma Score 698:. In the setting of 347:useful field of view 270:macular degeneration 170:hemostatic mechanism 72:Emergency Department 3831:Medical emergencies 3574:Blunt kidney trauma 3544:Pulmonary contusion 742:"Ageing and health" 610:Fluid resuscitation 524:outside the family. 456:alcohol consumption 396:Parkinson's disease 355:Alzheimer's disease 193:. This can lead to 94:to manage existing 3688:Spinal cord injury 3647:Penetrating trauma 3514:Soft tissue injury 2905:10.1093/aje/kws554 2216:10.1136/ip.5.2.145 971:"Geriatric Trauma" 434:or older homes in 425:fire extinguishers 187:circulatory system 166:closed head injury 156:(Coumadin) and/or 125:motor coordination 96:chronic conditions 61:that occurs to an 47:Emergency medicine 3803: 3802: 3717: 3716: 3559:Internal bleeding 3554:Cardiac tamponade 3509:Joint dislocation 3475: 3474: 3407: 3406: 2443:10.1111/jgs.13601 2377:(11): 1831–1835. 2204:Injury Prevention 2044:(20): 2067–2074. 1831:(17): 1360–1365. 1791:(11): 3110–3123. 1579:(9964): 231–238. 1524:(11): 1649–1657. 1477:(11): 1179–1190. 1430:(21): 1952–1960. 1155:978-0-7817-6275-5 1146:The Trauma Manual 1100:978-0-13-237982-3 1041:978-1-880696-31-6 832:978-1-4557-4987-4 783:10.1124/pr.56.2.4 665:below 90 mmHg or 539:Types of Injuries 359:vascular dementia 210:subdural hematoma 52: 51: 16:Medical condition 3838: 3709:Pediatric trauma 3704:Geriatric trauma 3668:Abdominal trauma 3484: 3483: 3416: 3415: 3351: 3350: 3292: 3285: 3278: 3269: 3268: 3262: 3261: 3213: 3207: 3206: 3204: 3203: 3197:www.uptodate.com 3189: 3183: 3182: 3141: 3135: 3134: 3124: 3092: 3086: 3085: 3075: 3035: 3029: 3028: 2988: 2982: 2981: 2941: 2935: 2934: 2924: 2884: 2878: 2877: 2867: 2827: 2821: 2820: 2780: 2774: 2773: 2763: 2723: 2717: 2716: 2668: 2662: 2661: 2659: 2658: 2643: 2637: 2636: 2626: 2601:(7): 1020–1023. 2586: 2580: 2579: 2539: 2533: 2532: 2522: 2516: 2515: 2513: 2512: 2477: 2471: 2470: 2437:(9): 1906–1912. 2422: 2411: 2410: 2362: 2356: 2348: 2342: 2341: 2323: 2299: 2293: 2292: 2252: 2246: 2245: 2235: 2195: 2182: 2181: 2133: 2127: 2126: 2086: 2080: 2079: 2069: 2029: 2023: 2022: 2012: 1972: 1966: 1965: 1955: 1915: 1909: 1908: 1890: 1866: 1857: 1856: 1815: 1809: 1808: 1776: 1770: 1769: 1721: 1715: 1714: 1689:(6): 1908–1914. 1674: 1668: 1667: 1634:(9): 1495–1501. 1619: 1613: 1612: 1564: 1558: 1557: 1509: 1503: 1502: 1462: 1456: 1455: 1415: 1409: 1408: 1368: 1362: 1361: 1321: 1315: 1314: 1304: 1264: 1258: 1257: 1232:(6): 1908–1914. 1217: 1208: 1207: 1205: 1204: 1198:www.uptodate.com 1190: 1184: 1183: 1181: 1180: 1174:www.uptodate.com 1166: 1160: 1159: 1141: 1130: 1129: 1111: 1105: 1104: 1080: 1071: 1070: 1052: 1046: 1045: 1024: 1015: 1014: 966: 960: 959: 919: 910: 909: 884:(6): 1291–1296. 869: 863: 862: 852: 844: 817: 811: 810: 762: 756: 755: 753: 752: 738: 669:above 120 bpm), 472:medication, and 135:and an unsteady 67:population aging 59:traumatic injury 55:Geriatric trauma 31: 22:Geriatric trauma 19: 18: 3846: 3845: 3841: 3840: 3839: 3837: 3836: 3835: 3826:Causes of death 3806: 3805: 3804: 3799: 3713: 3692: 3656: 3605: 3480:Pathophysiology 3471: 3455: 3403: 3382: 3342: 3301: 3296: 3266: 3265: 3214: 3210: 3201: 3199: 3191: 3190: 3186: 3142: 3138: 3093: 3089: 3036: 3032: 2989: 2985: 2942: 2938: 2885: 2881: 2842:(27): 875–881. 2828: 2824: 2781: 2777: 2724: 2720: 2683:(9): e161–165. 2669: 2665: 2656: 2654: 2645: 2644: 2640: 2587: 2583: 2540: 2536: 2523: 2519: 2510: 2508: 2478: 2474: 2423: 2414: 2363: 2359: 2349: 2345: 2300: 2296: 2253: 2249: 2196: 2185: 2134: 2130: 2087: 2083: 2030: 2026: 1973: 1969: 1916: 1912: 1867: 1860: 1816: 1812: 1777: 1773: 1722: 1718: 1675: 1671: 1620: 1616: 1565: 1561: 1510: 1506: 1463: 1459: 1416: 1412: 1383:(4): M211–215. 1369: 1365: 1322: 1318: 1265: 1261: 1218: 1211: 1202: 1200: 1192: 1191: 1187: 1178: 1176: 1168: 1167: 1163: 1156: 1142: 1133: 1126: 1112: 1108: 1101: 1081: 1074: 1067: 1053: 1049: 1042: 1025: 1018: 967: 963: 920: 913: 870: 866: 846: 845: 833: 819: 818: 814: 763: 759: 750: 748: 740: 739: 735: 730: 708: 653:and individual 639: 630: 607: 591: 571: 541: 483: 421:smoke detectors 405: 369:benzodiazepines 332: 312:benzodiazepines 308:antidepressants 230: 199:pulmonary edema 179: 145:range of motion 109: 104: 17: 12: 11: 5: 3844: 3834: 3833: 3828: 3823: 3818: 3801: 3800: 3798: 3797: 3792: 3787: 3782: 3781: 3780: 3775: 3765: 3764: 3763: 3761:Rhabdomyolysis 3756:Crush syndrome 3753: 3752: 3751: 3741: 3736: 3731: 3725: 3723: 3719: 3718: 3715: 3714: 3712: 3711: 3706: 3700: 3698: 3694: 3693: 3691: 3690: 3685: 3680: 3675: 3670: 3664: 3662: 3658: 3657: 3655: 3654: 3649: 3644: 3639: 3634: 3629: 3624: 3619: 3613: 3611: 3607: 3606: 3604: 3603: 3602: 3601: 3596: 3591: 3583: 3582: 3581: 3579:Splenic injury 3576: 3568: 3567: 3566: 3561: 3556: 3548: 3547: 3546: 3541: 3536: 3531: 3526: 3518: 3517: 3516: 3511: 3506: 3501: 3492: 3490: 3481: 3477: 3476: 3473: 3472: 3470: 3469: 3463: 3461: 3457: 3456: 3454: 3453: 3448: 3446:Trauma surgery 3443: 3438: 3433: 3428: 3422: 3420: 3413: 3409: 3408: 3405: 3404: 3402: 3401: 3396: 3390: 3388: 3387:Investigations 3384: 3383: 3381: 3380: 3375: 3370: 3365: 3359: 3357: 3348: 3344: 3343: 3341: 3340: 3335: 3330: 3325: 3320: 3315: 3309: 3307: 3303: 3302: 3295: 3294: 3287: 3280: 3272: 3264: 3263: 3228:(2): 151–155. 3208: 3184: 3157:(4): 813–820. 3136: 3107:(4): 249–245. 3087: 3050:(4): 615–620. 3030: 2983: 2956:(5): 807–824. 2936: 2899:(3): 418–425. 2879: 2822: 2795:(6): 583–590. 2775: 2718: 2663: 2638: 2581: 2534: 2517: 2492:(7): 437–443. 2472: 2412: 2357: 2343: 2314:(5): 428–432. 2294: 2267:(3): 205–208. 2247: 2210:(2): 145–150. 2183: 2148:(6): 985–987. 2128: 2101:(6): 583–590. 2081: 2024: 1987:(1): 109–116. 1967: 1930:(4): 494–506. 1910: 1881:(1): M22–M27. 1858: 1810: 1771: 1736:(5): 556–561. 1716: 1669: 1614: 1559: 1504: 1457: 1410: 1363: 1336:(5): 807–824. 1316: 1279:(3): 582–585. 1259: 1209: 1185: 1161: 1154: 1131: 1124: 1106: 1099: 1072: 1065: 1047: 1040: 1016: 981:(2): 257–271. 961: 934:(4): 805–810. 911: 864: 831: 812: 777:(2): 163–184. 757: 732: 731: 729: 726: 725: 724: 719: 714: 707: 704: 655:trauma centers 638: 635: 629: 626: 606: 603: 590: 587: 570: 567: 540: 537: 536: 535: 525: 521: 515: 509: 501: 482: 479: 478: 477: 459: 449: 446: 443: 428: 404: 401: 400: 399: 380: 365: 362: 350: 343: 331: 328: 296: 295: 288: 283: 277: 272: 258: 255: 252: 229: 226: 191:cardiac muscle 178: 175: 141:osteoarthritis 117:proprioception 108: 105: 103: 100: 50: 49: 44: 38: 37: 33: 32: 24: 23: 15: 9: 6: 4: 3: 2: 3843: 3832: 3829: 3827: 3824: 3822: 3819: 3817: 3814: 3813: 3811: 3796: 3795:Wound healing 3793: 3791: 3788: 3786: 3783: 3779: 3776: 3774: 3771: 3770: 3769: 3766: 3762: 3759: 3758: 3757: 3754: 3750: 3747: 3746: 3745: 3742: 3740: 3737: 3735: 3732: 3730: 3727: 3726: 3724: 3722:Complications 3720: 3710: 3707: 3705: 3702: 3701: 3699: 3695: 3689: 3686: 3684: 3681: 3679: 3678:Facial trauma 3676: 3674: 3671: 3669: 3666: 3665: 3663: 3659: 3653: 3650: 3648: 3645: 3643: 3642:Gunshot wound 3640: 3638: 3637:Electrocution 3635: 3633: 3630: 3628: 3625: 3623: 3620: 3618: 3615: 3614: 3612: 3608: 3600: 3597: 3595: 3592: 3590: 3587: 3586: 3584: 3580: 3577: 3575: 3572: 3571: 3569: 3565: 3562: 3560: 3557: 3555: 3552: 3551: 3549: 3545: 3542: 3540: 3537: 3535: 3532: 3530: 3527: 3525: 3522: 3521: 3519: 3515: 3512: 3510: 3507: 3505: 3502: 3500: 3499:Bone fracture 3497: 3496: 3494: 3493: 3491: 3489: 3485: 3482: 3478: 3468: 3465: 3464: 3462: 3458: 3452: 3449: 3447: 3444: 3442: 3441:Trauma center 3439: 3437: 3434: 3432: 3429: 3427: 3424: 3423: 3421: 3417: 3414: 3410: 3400: 3397: 3395: 3392: 3391: 3389: 3385: 3379: 3376: 3374: 3371: 3369: 3366: 3364: 3361: 3360: 3358: 3356: 3352: 3349: 3345: 3339: 3336: 3334: 3333:Resuscitation 3331: 3329: 3326: 3324: 3321: 3319: 3316: 3314: 3311: 3310: 3308: 3304: 3300: 3293: 3288: 3286: 3281: 3279: 3274: 3273: 3270: 3259: 3255: 3251: 3247: 3243: 3239: 3235: 3231: 3227: 3223: 3219: 3212: 3198: 3194: 3188: 3180: 3176: 3172: 3168: 3164: 3160: 3156: 3152: 3148: 3140: 3132: 3128: 3123: 3118: 3114: 3110: 3106: 3102: 3098: 3091: 3083: 3079: 3074: 3069: 3065: 3061: 3057: 3053: 3049: 3045: 3041: 3034: 3026: 3022: 3018: 3014: 3010: 3006: 3002: 2998: 2994: 2987: 2979: 2975: 2971: 2967: 2963: 2959: 2955: 2951: 2947: 2940: 2932: 2928: 2923: 2918: 2914: 2910: 2906: 2902: 2898: 2894: 2890: 2883: 2875: 2871: 2866: 2861: 2857: 2853: 2849: 2845: 2841: 2837: 2833: 2826: 2818: 2814: 2810: 2806: 2802: 2798: 2794: 2790: 2786: 2779: 2771: 2767: 2762: 2757: 2753: 2749: 2745: 2741: 2737: 2733: 2729: 2722: 2714: 2710: 2706: 2702: 2698: 2694: 2690: 2686: 2682: 2678: 2674: 2667: 2652: 2648: 2642: 2634: 2630: 2625: 2620: 2616: 2612: 2608: 2604: 2600: 2596: 2592: 2585: 2577: 2573: 2569: 2565: 2561: 2557: 2553: 2549: 2545: 2538: 2530: 2529: 2521: 2507: 2503: 2499: 2495: 2491: 2487: 2483: 2476: 2468: 2464: 2460: 2456: 2452: 2448: 2444: 2440: 2436: 2432: 2428: 2421: 2419: 2417: 2408: 2404: 2400: 2396: 2392: 2388: 2384: 2380: 2376: 2372: 2368: 2361: 2354: 2347: 2339: 2335: 2331: 2327: 2322: 2317: 2313: 2309: 2305: 2298: 2290: 2286: 2282: 2278: 2274: 2270: 2266: 2262: 2258: 2251: 2243: 2239: 2234: 2229: 2225: 2221: 2217: 2213: 2209: 2205: 2201: 2194: 2192: 2190: 2188: 2179: 2175: 2171: 2167: 2163: 2159: 2155: 2151: 2147: 2143: 2139: 2132: 2124: 2120: 2116: 2112: 2108: 2104: 2100: 2096: 2092: 2085: 2077: 2073: 2068: 2063: 2059: 2055: 2051: 2047: 2043: 2039: 2035: 2028: 2020: 2016: 2011: 2006: 2002: 1998: 1994: 1990: 1986: 1982: 1981:Ophthalmology 1978: 1971: 1963: 1959: 1954: 1949: 1945: 1941: 1937: 1933: 1929: 1925: 1921: 1914: 1906: 1902: 1898: 1894: 1889: 1884: 1880: 1876: 1872: 1865: 1863: 1854: 1850: 1846: 1842: 1838: 1834: 1830: 1826: 1822: 1814: 1806: 1802: 1798: 1794: 1790: 1786: 1782: 1775: 1767: 1763: 1759: 1755: 1751: 1747: 1743: 1739: 1735: 1731: 1727: 1720: 1712: 1708: 1704: 1700: 1696: 1692: 1688: 1684: 1680: 1673: 1665: 1661: 1657: 1653: 1649: 1645: 1641: 1637: 1633: 1629: 1625: 1618: 1610: 1606: 1602: 1598: 1594: 1590: 1586: 1582: 1578: 1574: 1570: 1563: 1555: 1551: 1547: 1543: 1539: 1535: 1531: 1527: 1523: 1519: 1515: 1508: 1500: 1496: 1492: 1488: 1484: 1480: 1476: 1472: 1468: 1461: 1453: 1449: 1445: 1441: 1437: 1433: 1429: 1425: 1421: 1414: 1406: 1402: 1398: 1394: 1390: 1386: 1382: 1378: 1374: 1367: 1359: 1355: 1351: 1347: 1343: 1339: 1335: 1331: 1327: 1320: 1312: 1308: 1303: 1298: 1294: 1290: 1286: 1282: 1278: 1274: 1270: 1263: 1255: 1251: 1247: 1243: 1239: 1235: 1231: 1227: 1223: 1216: 1214: 1199: 1195: 1189: 1175: 1171: 1165: 1157: 1151: 1147: 1140: 1138: 1136: 1127: 1125:0-13-084584-1 1121: 1117: 1110: 1102: 1096: 1092: 1088: 1087: 1079: 1077: 1068: 1066:0-8247-0537-8 1062: 1058: 1051: 1043: 1037: 1033: 1029: 1023: 1021: 1012: 1008: 1004: 1000: 996: 992: 988: 984: 980: 976: 972: 965: 957: 953: 949: 945: 941: 937: 933: 929: 925: 918: 916: 907: 903: 899: 895: 891: 887: 883: 879: 875: 868: 860: 856: 850: 842: 838: 834: 828: 824: 823: 816: 808: 804: 800: 796: 792: 788: 784: 780: 776: 772: 768: 761: 747: 743: 737: 733: 723: 720: 718: 715: 713: 710: 709: 703: 701: 697: 693: 688: 684: 680: 676: 672: 668: 664: 660: 656: 652: 648: 644: 634: 625: 622: 621:Skin-grafting 618: 615: 611: 602: 598: 594: 586: 582: 578: 575: 566: 563: 559: 556: 552: 549: 545: 533: 529: 526: 522: 519: 516: 513: 510: 507: 502: 499: 496: 495: 494: 490: 488: 475: 471: 467: 463: 460: 457: 453: 450: 447: 444: 441: 437: 433: 430:Residence in 429: 426: 422: 418: 417: 416: 413: 410: 397: 393: 389: 385: 381: 378: 374: 370: 366: 363: 360: 356: 351: 348: 344: 341: 338:A history of 337: 336: 335: 327: 323: 321: 317: 313: 309: 305: 301: 293: 289: 287: 284: 282: 278: 276: 273: 271: 267: 263: 259: 256: 253: 251: 247: 243: 242: 241: 238: 235: 225: 223: 219: 215: 211: 206: 202: 200: 196: 192: 188: 184: 174: 171: 167: 163: 159: 155: 150: 146: 142: 138: 134: 133:reaction time 130: 126: 122: 118: 114: 99: 97: 93: 89: 85: 81: 76: 73: 68: 64: 60: 56: 48: 45: 43: 39: 34: 30: 25: 20: 3816:Traumatology 3703: 3673:Chest injury 3632:Crush injury 3622:Blunt trauma 3617:Blast injury 3539:Pneumothorax 3323:Traumatology 3318:Major trauma 3225: 3221: 3211: 3200:. 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Index


Specialty
Emergency medicine
traumatic injury
elderly
population aging
Emergency Department
morbidity
disability
death
medications
chronic conditions
central nervous system
proprioception
balance
motor coordination
eye–hand coordination
reaction time
gait
osteoarthritis
range of motion
medications
warfarin
clopidogrel
intracranial hemorrhage
closed head injury
hemostatic mechanism
aging
circulatory system
cardiac muscle

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