NOTARZT 2012; 28(04): 171-180
DOI: 10.1055/s-0032-1305168
CME-Fortbildung
© Georg Thieme Verlag KG Stuttgart · New York

Geriatrische Notfälle

Geriatric Emergency Medicine
K. Delport
1   Notfallstation, Universitätsspital Basel
,
M. Lüthy
2   Departement Anästhesie, Universitätsspital Basel
,
R. Bingisser
1   Notfallstation, Universitätsspital Basel
,
M. Jakob
3   Klinik für Traumatologie, Universitätsspital Basel
,
C. H. Nickel
1   Notfallstation, Universitätsspital Basel
› Institutsangaben
Weitere Informationen

Publikationsverlauf

Publikationsdatum:
14. August 2012 (online)

Zusammenfassung

Trotz höherer Morbidität und Mortalität ist eine initial aggressive Therapie bei geriatrischen Notfallpatienten gerechtfertigt. Dieser Beitrag beschäftigt sich mit den wichtigsten Problemen geriatrischer Notfallmedizin und gibt hierfür praktische Tipps. Außerdem werden physiologische Besonderheiten des Alterns, besondere Verletzungsmuster und Krankheitspräsentation, Untertriage, Polypharmazie und Komorbiditäten abgehandelt.

Abstract

An initial aggressive management strategy is appropriate in geriatric emergencies, despite higher morbidity and mortality. This review presents some of the problems and pitfalls and offers practical management tips for geriatric emergency care. Physiological changes of ageing, unique patterns of injury and disease presentation, as well as undertriage, polypharmacy and comorbidities are discussed.

 
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