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Prehospital care of the elderly patient 

Prehospital care of the elderly patient
Chapter:
Prehospital care of the elderly patient
Author(s):

Ross J. Moy

and Jeremy Henning

DOI:
10.1093/med/9780199604999.003.0016
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date: 20 August 2019

This chapter discusses the various presentations that the prehospital carer will encounter, with special regard to the elderly, and focuses on the issues of providing quality anaesthetic care outside the hospital. It reviews the more common presentations that may occur with elderly patients including stroke, chest pain, hypothermia pulmonary oedema, abdominal pain, exacerbations of chronic pulmonary disease, and confusional episodes. It describes in detail the prehospital management of trauma patients and the assessment of their airway, breathing, circulation, risk of disability, and exposure. Prehospital anaesthesia is reviewed and clearly summarized. Management of the airway is discussed and postintubation care of the patient is clearly emphasized. Finally, the ethical issues of potential elder abuse and futility are explored.

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