Resuscitating the Critically Ill Geriatric Emergency Department Patient - 28/06/19

Doi : 10.1016/j.emc.2019.04.002

Danya Khoujah, MBBS ^a,^⁎ , Ashley N. Martinelli, PharmD, BCCCP ^b, Michael E. Winters, MD, MBA ^a
^a Department of Emergency Medicine, University of Maryland School of Medicine, 110 South Paca Street, 6th Floor, Suite 200, Baltimore, MD 21201, USA
^b Emergency Medicine, University of Maryland Medical Center, 22 South Greene Street, Baltimore, MD 21201, USA

^∗Corresponding author.

Résumé

The emergency department resuscitation of the critically ill geriatric patient is challenging and can be fraught with peril. The anatomic and physiologic changes that occur with aging can significantly influence the recognition of critical illness and the logistics of resuscitation itself. This article discusses the relevant physiologic changes with aging, the effect of these changes on clinical manifestations of critical illness in older adults, and the core principles of resuscitation in this population, with specific attention to sepsis and trauma care. In addition, end-of-life care is also discussed.

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Keywords : Sepsis, Trauma, Cardiopulmonary resuscitation, Triage, End of life, Airway

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Disclosure Statement: The authors have no financial conflicts of interest to disclose.

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Vol 37 - N° 3

P. 569-581 - août 2019 Retour au numéro

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Resuscitating the Critically Ill Geriatric Emergency Department Patient - 28/06/19

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