Bookedited by Jay A. Yelon, Fred A. Luchette.
Summary: Geriatric Trauma and Critical Care provides a multidisciplinary overview of the assessment and management of the elderly patient presenting with surgical pathology. By utilizing current literature and evidence-based resources, the textbook elucidates the unique nature of caring for the elderly population. The structure of the volume provides the reader with an overview of the physiologic and psychological changes, as well as the impact on the healthcare system, associated with the aging process. Emphasis is placed on the impact of aging, pre-existing medical problems, effects of polypharmacy, advanced directives and end-of-life wishes on acute surgical problems, including trauma and surgical critical care. Special attention is given to the ethical implications of management of the aged. The multidisciplinary contributors provide a unique point of view not common to surgical texts. The textbook is the definitive resource for practicing surgeons, emergency medicine physicians, intensivists, anesthesiologists, hospitalists, geriatricians, as well as surgical residents, nurses and therapists, all who care for elderly patients with surgical emergencies.
Contents:
SECTION I: IMPACT OF AGING ON HEALTH
1. Changing Demographics of the American Population
2. Cardiovascular Physiology
3. Pulmonary Artery
4. Renal Function in the Elderly
5. Skin, Soft Tissue, and Wound Healing in the Elderly
6. Immunologic
7. Hematological Changes with Aging
8. Geriatric Psychology and the Injured Elderly
9. Health Care Economics and the Impact of Aging on Rising Health Care Costs
10. Operative Risk Stratification
SECTION II: SURGICAL EMERGENCIES IN THE ELDERLY
11. Appendicitis
12. Biliary
13. Diverticulitis
14. Intestinal Obstruction
15. Intestinal Hemorrhage in the Elderly
16. Acute Abdomen
17. Necrotizing Soft Tissue Infections
18. Acute Vascular Insufficiency in the Elderly
19. Thoracic Diseases in the Elderly
SECTION III: TRAUMATIC INJURY IN THE ELDERLY
20. Epidemiology of Injury in the Elderly
21. Geriatric Trauma and Injury Prevention
22. Outcomes for Surgical Care in the Elderly
23. Geriatric Neurotrauma
24. Chest Wall Injury
25. Thoracic
26. Pelvic Fracture
27. Extremity Injury
28. Penetrating Injury in the Elderly
29. Critical Care Epidemiology and Outcomes/Resource Use in the Elderly
30. Cardiovascular/Invasive Monitoring
SECTION IV: CRITICAL CARE MANAGEMENT OF THE ELDERLY PATIENT
31. Pulmonary Critical Care and Mechanical Ventilation
32. Renal Replacement Therapy (RRT)
33. Nutrition Support
34. Pharmacology
35. Rehabilitation Concerns in Geriatric Trauma
36. End-of-Life Care
37. Ethics in Geriatric Trauma.