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Rib and pelvic fractures are common findings in geriatric trauma patients, even in low impact trauma such as falls from standing. Pain management is vital for improving morbidity and mortality. The IFEM White Paper suggests:
“Use multimodal pain management strategies, including regional anesthesia and non-opioid analgesics, to control pain without compromising recovery.
Monitor closely for complications such as pneumonia or hemodynamic instability, intervening promptly to mitigate risks.
Collaborate with physiotherapists to implement early mobility programs, reducing the risk of deconditioning and promoting recovery.”
A multidisciplinary team proficient in geriatric trauma care leads to better outcomes. This may require transfer to a trauma center.
References
Trauma in Older Adults: Evidence-Based Guidelines for Optimized Care White Paper
Trauma Special Interest Group and Geriatric Emergency Medicine Special Interest Group
https://assets.nationbuilder.com/ifem/pages/1768/attachments/original/1740084007/IFEM_Trauma_in_Older_Adults_Evidence-Based_Guidelines_for_Optimized_Care_White_Paper_December_2024.pdf?1740084007
Published: December 2024