End-of-Life Care
Surgical ICU characteristics Barrier to palliative care Structure and process “Open” ICU No leadership to drive change Multiple consultants No standard processes in place No interdisciplinary team rounds or processes…
Renal Function in the Elderly
In general, FeNa is < 1 % with plasma volume depletion, congestive heart failure, and acute glomerulonephritis but is > 1 % with bilateral ureteric obstruction and ATN; values commonly exceed 3 % with…
Ethics in Geriatric Trauma
Principle Ethical imperative Autonomy Respect the capacity of individuals to make their own choices and act accordingly Beneficence Relieve pain and suffering; foster the interests and well-being of other persons…
Operative Risk Stratification
Test Indications and implications BUN and Cr Recommended for all geriatric patients [12, 13] Should be used for all elderly patients to determine creatinine clearance for dosage adjustment of medications…
Pharmacology
Mechanism of action Elimination half-life (h) Clotting factors affected Laboratory alterations Potential treatment Oral agents Warfarin Vitamin K antagonist 20–60 II, VII, IX, X, proteins C and S PT/INR…
Pulmonary Critical Care and Mechanical Ventilation
Jay A. Yelon and Fred A. Luchette (eds.)Geriatric Trauma and Critical Care201410.1007/978-1-4614-8501-8_31 © Springer Science+Business Media New York 2014 31. Pulmonary Critical Care and Mechanical Ventilation Stephanie R. Goldberg1 and Ajai K. Malhotra2 (1) Department of Surgery, Virginia Commonwealth…
Cardiovascular/Invasive Monitoring
Jay A. Yelon and Fred A. Luchette (eds.)Geriatric Trauma and Critical Care201410.1007/978-1-4614-8501-8_30 © Springer Science+Business Media New York 2014 30. Cardiovascular/Invasive Monitoring Jay Menaker1 and Thomas M. Scalea1 (1) Division of Trauma/Surgical Critical Care, Department of Surgery, University…
Pelvic Fracture
Fig. 26.1 Distribution of pelvic fracture cases and controls by age and gender [10] (Reprinted, with permission, from Oxford University Press) A 2009 retrospective review found the mechanism of injury…
Thoracic
Jay A. Yelon and Fred A. Luchette (eds.)Geriatric Trauma and Critical Care201410.1007/978-1-4614-8501-8_25 © Springer Science+Business Media New York 2014 25. Thoracic Robert K. Parker1 and David T. Harrington1 (1) Department of Surgery, Rhode Island Hospital, Providence, RI 02903, USA …
Chest Wall Injury
Jay A. Yelon and Fred A. Luchette (eds.)Geriatric Trauma and Critical Care201410.1007/978-1-4614-8501-8_24 © Springer Science+Business Media New York 2014 24. Chest Wall Injury Eileen M. Bulger1 (1) Department of Surgery, Harborview Medical Center, University of Washington, 325…
