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- Pamela Bourg, Melissa Richey, Kristin Salottolo, and Charles W Mains.
- Trauma Services Department and Trauma Research Department, St Anthony Central Hospital, Denver, CO 80228, USA. pamelabourg@centura.org
- J Trauma Nurs. 2012 Jan 1; 19 (1): 50-6.
AbstractInconsistent application of trauma service resources and underevaluation of risk and resuscitation status in elderly trauma patients are problematic. We describe a geriatric protocol that includes initial lactate determination and trauma surgery admission. Protocol compliance rates were initial lactate determination, 67.9%; trauma service admission for overt or compensated (elevated lactate) shock, 73.6%; and trauma service consultation for nonshock patients, 67.8%. Implementation of this protocol resulted in a trend toward reduced mortality and reduced potentially preventable deaths.
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