ArticleScandinavian journal of trauma, resuscitation and emergency medicine2021
Challenges in the PREHOSPITAL emergency management of geriatric trauma patients - a scoping review.
Article in Scandinavian journal of trauma, resuscitation and emergency medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
What it found
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Who cites it
24 citing papers in PubMed, 40 citations in OpenAlex.
- Factors Influencing Operational Delays in Prehospital Trauma Interventions: Evidence from a Romanian Cohort.Medicina (Kaunas, Lithuania) · 2026Article
- Pain has limited predictive value for fractures following falls in older people: insight from a retrospective study.BMC emergency medicine · 2026Article
- Article
- Criteria for the qualification of geriatric patients to the trauma center.World journal of emergency surgery : WJES · 2026Article
- Chinese expert consensus on the prehospital management of major trauma.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2026Article
- Geographic distribution of EMS missions and patient conditions in suburban and rural Sweden: a retrospective observational study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026Observational
- Trauma-related mortality in a European region with an intermediately mature trauma system: a comprehensive population-based analysis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Observational
- Prehospital pain management in older adults with proximal Femur fractures: current practices and implications for delirium prevention.SAGE open medicine · 2026Article
- Emergency Medical Service Responses for Older Adults: A Retrospective Observational Study Comparing Nursing Homes and the Community.Healthcare (Basel, Switzerland) · 2025Article
- Characteristics and outcomes of trauma patients with unplanned intensive care unit admissions: Bounce backs and upgrades comparison.World journal of critical care medicine · 2025Article
- Cognitive biases in clinical decision-making in prehospital critical care; a scoping review.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025Article
- Pain assessment and management of adult patients in the Swedish EMS: a nationwide registry study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025Observational
- Inter-facility transfers to an urban level 1 trauma center and rates of secondary overtriage.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- Paramedics and emergency medical technicians' perceptions of geriatric trauma care in Saudi Arabia.BMC emergency medicine · 2025Article
- The older the injured, the worse the outcomes: A comparison of injury patterns and in-hospital outcomes between younger and older adult trauma patients at a tertiary hospital in Northern Tanzania.PLOS global public health · 2025Article
- Perceptions of pre-hospital emergency personnel regarding trauma patient care.BMC research notes · 2024Article
- Addition of the clinical frailty scale to triage tools and early warning scores improves mortality prognostication at 30 days: A prospective observational multicenter study.Journal of the American College of Emergency Physicians open · 2024Article
- Traumatic Brain Injury as an Independent Predictor of Futility in the Early Resuscitation of Patients in Hemorrhagic Shock.Journal of clinical medicine · 2024Review
- Prognostic Association between Injury Severity Score and the Outcomes of Elderly Patients with Trauma in South Korea.Journal of personalized medicine · 2024Article
- Resource Deployment in Response to Trauma Patients.Cureus · 2023Article
Corrections and comments
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Authors and funding
6 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDespite a widely acknowledged increase in older people presenting with traumatic injury in western populations there remains a lack of research into the optimal prehospital management of this vulnerable patient group. Research into this cohort faces many uniqu1e challenges, such as inconsistent definitions, variable physiology, non-linear presentation and multi-morbidity. This scoping review sought to summarise the main challenges in providing prehospital care to older trauma patients to improve the care for this vulnerable group. METHODS AND
findingsA scoping review was performed searching Google Scholar, PubMed and Medline from 2000 until 2020 for literature in English addressing the management of older trauma patients in both the prehospital arena and Emergency Department. A thematic analysis and narrative synthesis was conducted on the included 131 studies. Age-threshold was confirmed by a descriptive analysis from all included studies. The majority of the studies assessed triage and found that recognition and undertriage presented a significant challenge, with adverse effects on mortality. We identified six key challenges in the prehospital field that were summarised in this review.
conclusionsTrauma in older people is common and challenges prehospital care providers in numerous ways that are difficult to address. Undertriage and the potential for age bias remain prevalent. In this Scoping Review, we identified and discussed six major challenges that are unique to the prehospital environment. More high-quality evidence is needed to investigate this issue further.
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