GERİATRİK TRAVMA OLGULARINA HASTANE ÖNCESİ YAKLAŞIMIN GÖZDEN GEÇİRİLMESİ

Öz

Yirminci yüzyılın ortalarından itibaren yaşlı nüfus sayısal olarak artmaya başlamış ve bu artış 21. yüzyılda daha da hızlanmıştır. Yaşlılıktaki fizyolojik değişiklikler ve bunlara ilave olan hastalıklar onları travmalara açık hale getirmektedir. Travma sonrası hastayı ilk görenler paramedikler olup ciddi sorumluluk yüklenmektedirler. Bu derlemede onlara yardımcı olmak, oldukça karmaşık durumda karşılarına çıkan bu hasta grubunda olası hataları en aza indirmek için yaklaşımlar literatür bilgileri ışığı altında tekrar gözden geçirilmiştir. Yaşlanma fizyolojisi, beraberindeki hastalıklar ve kullandıkları ilaçların yan etkileri ele alınmış, bunların ilk muayene bulgularını nasıl etkiledikleri irdelenmiştir. Ayrıca travma mekanizmaları tanımlanmış, hastanın stabilizasyonu ve transportu esnasında yapılması gerekenler gözden geçirilmiştir. Bu yaş grubundaki travma olgularına yaklaşırken dikkat edilmesi gereken noktalar son bölümde özet olarak bildirilmiştir.

Anahtar Kelimeler

• Geriatri,Travma,Hastane Öncesi Bakım,Paramedik

Kaynakça

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