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Emerg Med Clin North Am. 2010 Nov;28(4):927-49. doi: 10.1016/j.emc.2010.06.005.

Emergency orthogeriatrics: concepts and therapeutic alternatives.

Author information

  • 1Division of Emergency Medicine, Barnes Jewish Hospital, Washington University in St Louis, Campus Box 8072, 660 South Euclid Avenue, St Louis, MO 63110, USA. carpenterc@wusm.wustl.edu

Abstract

Multidisciplinary orthogeriatric care can enhance prompt ED diagnosis, optimal pre- and postoperative care, and functional recovery in older adults with bony injuries. Emergency care providers should be cognizant of prevalent geriatric syndromes including delirium and standing level falls to minimize fracture-related morbidity. Recognizing the implications of aging physiology, acute care physicians should be aware of effective alternatives to analgesia, procedural sedation, and definitive imaging to promote early surgical management and postoperative recovery.

Copyright © 2010 Elsevier Inc. All rights reserved.

PMID:
20971398
[PubMed - indexed for MEDLINE]
PMCID:
PMC3217215
Free PMC Article
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