EM Cases · Geriatric trauma
Geriatric trauma — occult shock and rib fractures
Resus station on relative hypotension, liberal CT, DOAC ICH risk, rib fracture severity.
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Study tools
Target exams
ACEMFRCEMABEM
Prompt
84-year-old ground-level fall on metoprolol and apixaban; HR 68, BP 108/70, chest wall crepitus.
Stem
All persons, presentations and observations in this station are fictional and invented for teaching assessment; they do not describe a real person.
References4ShowHide
- [1]Bulger EM, Arneson MA, Mock CN, Jurkovich GJ. Rib fractures in the elderly J Trauma, 2000.PMID 10866248
- [2]Connolly SJ, Milling TJ Jr, Eikelboom JW, et al. Andexanet Alfa for Acute Major Bleeding Associated with Factor Xa Inhibitors N Engl J Med, 2016.PMID 27573206
- [3]Rockwood K, Song X, MacKnight C, et al. A global clinical measure of fitness and frailty in elderly people CMAJ, 2005.PMID 16129869
- [4]Jacobs DG, Plaisier BR, Barie PS, et al. Practice management guidelines for geriatric trauma: the EAST Practice Management Guidelines Work Group J Trauma, 2003.PMID 12579072