Geriatric Trauma and Critical Care

Description

With the expertise of an author panel of leading clinicians in the field of surgery, trauma, critical care and geriatrics the new edition of this text addresses the explosion in knowledge on the impact aging has on injury, acute illness and critical care management. The text covers the physiologic changes associated with aging, as well as the clinical assessment, stratification, and management of acute illness and injury. Furthermore, the new edition discusses the full spectrum of critical care management of the elderly. Part I explores the impact of aging on health and the healthcare system. There will be detailed discussion on the physiologic effects of aging and the impact on clinical management. The management of common surgical emergencies in the elderly is addressed in Part II. Part III addresses the evaluation and management of trauma and injury. Finally, Part IV explores the specific challenges of critical care management, including end-of-life and ethics, in the geriatric population. Updated information, reflective of the expansive literature, is addressed in all sections. New to the second edition are chapters on prehospital care, burns, nursing concerns, and abdominal solid organ injury. Appropriate chapters will include case vignettes and clinical algorithms. All chapters include a bullet-point summary. Geriatric Trauma and Critical Care, 2nd Edition will be of great value to trauma surgeons, acute care surgeons, critical care specialists, emergency medicine physicians, geriatricians, general surgeons, and trainees in surgery, critical care, and emergency medicine. Advanced practice nurses, critical care nurses, and physician assistants will also find this a useful and practical resource. Front Matter ....Pages i-xiii Changing Demographics of the American Population (Stephanie Gordy)....Pages 1-8 Effect of Aging on Cardiac Function Plus Monitoring and Support (Martin D. Avery, R. Shayn Martin, Michael C. Chang)....Pages 9-16 Pulmonary Anatomy (Joseph S. Hanna, Marissa DeFreese, Vicente H. Gracias)....Pages 17-26 Renal Function in the Elderly (Randi Smith, Lewis J. Kaplan)....Pages 27-33 The Gastrointestinal Tract (Young Kim, Timothy A. Pritts)....Pages 35-43 Skin, Soft Tissue, and Wound Healing in the Elderly (David G. Greenhalgh)....Pages 45-55 Immunologic (Jeffrey A. Claridge, Brenda M. Zosa)....Pages 57-68 Hematological Changes with Aging (Peter E. Fischer, Thomas G. DeLoughery, Gail Gesin, Martin A. Schreiber)....Pages 69-76 Geriatric Psychology and the Injured Elderly (Robert D. Barraco, Joseph J. Stirparo)....Pages 77-88 Frailty (Cynthia L. Talley, Andrew C. Bernard)....Pages 89-97 Health-Care Economics and the Impact of Aging on Rising Health-Care Costs (Preston B. Rich, Noran Barry)....Pages 99-105 Operative Risk Stratification of the Geriatric Patient (Jason A. Luciano, Brian S. Zuckerbraun, Andrew B. Peitzman)....Pages 107-120 Appendicitis (Dirk C. Johnson, Kimberly A. Davis)....Pages 121-130 Biliary (Marko Bukur, Ali Salim)....Pages 131-151 Diverticulitis (Chasen Croft, Frederick Moore)....Pages 153-159 Intestinal Obstruction (Andrew H. Stephen, Charles A. Adams Jr., William G. Cioffi)....Pages 161-168 Intestinal Hemorrhage in the Elderly (Leslie Kobayashi, Todd W. Costantini, Raul Coimbra)....Pages 169-179 Acute Abdomen (David A. Spain)....Pages 181-185 Necrotizing Soft Tissue Infections (D. Dante Yeh, George Velmahos)....Pages 187-200 Acute Vascular Insufficiency in the Elderly (Michael J. Sise)....Pages 201-221 Thoracic Diseases in the Elderly for Geriatric Trauma and Emergency Care (Matthew Benns, J. David Richardson)....Pages 223-238 Prehospital Care (Eric Campion, Lance Stuke)....Pages 239-246 Epidemiology of Injury in the Elderly (Steven R. Allen, Nicole Krumrei, Patrick M. Reilly)....Pages 247-253 Injury Prevention (Jeffrey Nicastro)....Pages 255-260 Outcomes for Surgical Care in the Elderly (Michael D. Grossman)....Pages 261-271 Geriatric Neurotrauma (Jack Wilberger)....Pages 273-283 Chest Wall Injury: In Geriatric Trauma and Emergency Care (Eileen M. Bulger)....Pages 285-290 Solid Organ Injury (Cherisse Berry, Rosemary Kozar)....Pages 291-296 Pelvic Fracture (Sharon Henry, Jay A. Yelon)....Pages 297-303 Extremity Injury (Charles Cassidy)....Pages 305-325 Penetrating Injury in the Elderly (Elizabeth Benjamin, Kenji Inaba, Demetrios Demetriades)....Pages 327-331 The Elderly Burn Patient (Tina L. Palmieri)....Pages 333-337 Geriatric Medicine (Tatyana Kemarskaya, Catherine M. Glew)....Pages 339-354 Critical Care Epidemiology and Outcomes/Resource Use in the Elderly (Samantha L. Tarras, Lena M. Napolitano)....Pages 355-366 Cardiovascular/Invasive Monitoring (Jay Menaker, Thomas M. Scalea)....Pages 367-373 Pulmonary Critical Care and Mechanical Ventilation (Ajai K. Malhotra)....Pages 375-382 Renal Replacement Therapy (Brian K. Yorkgitis, Zara R. Cooper)....Pages 383-394 Nutrition Support (Michael Pasquale, Robert D. Barraco)....Pages 395-404 Common Pharmacologic Issues (Jason P. Hecht, Wendy L. Wahl)....Pages 405-414 Nursing Consideration (Alice Gervasini)....Pages 415-422 Rehabilitation Concerns in Geriatric Trauma (Bellal Joseph, Ahmed Hassan)....Pages 423-429 End-of-Life Care (Mary Condron, Karen Brasel)....Pages 431-441 Ethics in Geriatric Trauma (Christine S. Cocanour, Kathleen S. Romanowski)....Pages 443-451 Back Matter ....Pages 453-464