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Introduction Introduction
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Incidence Incidence
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Evaluation Evaluation
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Impact of complications and comorbidities Impact of complications and comorbidities
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Age-related changes in physiology and intensive care management Age-related changes in physiology and intensive care management
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Cardiovascular system Cardiovascular system
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Pulmonary Pulmonary
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Renal Renal
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Neurocognitive function Neurocognitive function
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Metabolic and endocrine changes Metabolic and endocrine changes
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Management of traumatic injuries Management of traumatic injuries
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Traumatic brain injury Traumatic brain injury
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Thoracic trauma Thoracic trauma
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Solid organ injury Solid organ injury
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Pelvic fractures Pelvic fractures
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Key references Key references
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25 Geriatric trauma critical care
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Published:May 2013
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Abstract
The declines in motor and cognitive functionassociated with aging have combined to create an ever enlarging group of geriatricpatients experiencing trauma. As such, the ICU population is made up of anenlarging proportion of injured, elderly patients requiring specially tailored care.The injury severity is often disproportionate to an apparentlybenign mechanism of injury.Mortality is increased at all phases of the death curve in geriatric trauma patients:prehospital, early, and late. Early mortality can be reduced by early, aggressiveresuscitation, thorough radiographic evaluation, monitoring, and operation. Late death in the elderly is reduced by meticulous attention to detail and subtlechanges in patient status.
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