Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim
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Ann Fr Anesth Reanim · Jan 2012
Review[Out-of-hospital management of elderly patients for trauma injury].
Elderly patients should benefit from maximum care in cases of serious trauma, starting with pre-hospital care. A proper evaluation of the gravity of the trauma is an essential element in the management. The elderly are at risk of "under-triage", which can result in inappropriate hospital admission and delayed trauma care. ⋯ Locoregional anaesthesia should be used when possible in this setting, in particular the ilio-facial block. Age is not a criterion for a non-resuscitation order in trauma patients. The decisions of limitation of therapeutic, if they were not anticipated, will be discussed after admission, according to the principles of the current legislation.