Turner White CommunicationsAbout TWCSubscribeContact TWCHomeSearch
Hospital PhysicianJCOMSMPBRMsCart
Current Contents
Past Issue Archives
Self-Assessment Questions
Review of
Clinical Signs
Clinical Review
Pediatric Rounds
Resident Grand Rounds
Article Archives
Case Reports
Clinical Practice
Pediatric Rounds
Resident Grand Rounds
Review of
Clinical Signs

Guide to Reading
Hospital Physician
Editorial Board
Information for Authors

Reprints, Permissions, & Copyright
Site Map
Self-Assessment Questions

Emergency Medicine

Answer 1
  1. Diminished physiologic reserve capacities of the heart and lungs contribute considerably to the unexpectedly high morbidity and mortality rates associated with geriatric trauma. Injured elderly patients lack the physiologic reserve capacities that youth provides and are less tolerant of delays in diagnosis or treatment. Employed as a scale to calculate anticipated outcome from trauma, the Injury Severity Score proves erratic when applied to older patients. Likewise, usual parameters like blood pressure measurements are also unreliable, as many older patients suffer from baseline hypertension. Regardless of advances in burn care management, the death rate for older burn patients still remains disproportionately high, with mortality rates in geriatric patients twice those observed in younger patients with similar total body surface area involvement. Although aging beyond 65 years increases susceptibility to death and disability, the prognosis for geriatric trauma patients is not as dismal as once projected, and over half of elderly trauma patients will resume independent living.

Click here to return to the questions


Hospital Physician     JCOM     Seminars in Medical Practice
Hospital Physician Board Review Manuals
About TWC    Subscribe    Contact TWC    Home    Search   Site Map

Copyright © 2009, Turner White Communications
Updated 1/04/08 • kkj