Fig. 18.1 Symptoms and signs of acute respiratory failure Age-related changes of the cardiorespiratory system should be taken into account in the assessment and management of dyspnoea. Figure 18.2 shows…
Chronic or acute kidney failure Heart failure—acute or chronic Hypertensive crisis Tachy- or bradyarrhythmias Lung arterial embolism, pulmonary hypertension Critical ill patients with respiratory insufficiency and septic condition Acute neurological…
Fig. 15.1 Algorithm for acute abdominal pain management in older patients (Adapted from [16]) A recent study showed that emergent gastrointestinal surgical procedures in older patients did not differ from…
Patient Underreporting, stoicism Concerns about the meaning of pain, of the diagnostic tests and hospitalisation Difficulties to use some assessment tools Multiple problems making treatment more difficult Polypharmacy—side effects of…
The altering of the body as a result of the ageing process also leads to unexpected observations. For instance, whereas in middle age high blood pressure is associated with an…
System Score 0 Score 1 Score 2 Score 3 Score 4 Respiration PaO2/FiO2 mmHg (kPa) ≥400 <400 <300 <200 with respiratory support <100 with respiratory support Coagulation platelets (× 103/μL)…
Test Time to complete Training required? Sensitivity (95% CIs) (%) Specificity (95% CIs) (%) AMT10 Minutes Yes 86.6 63.5 AMT4 Seconds No 92.7 53.7 MOTYB Seconds No 91.3 49.7 4AT…
© Springer International Publishing Switzerland 2018Christian Nickel, Abdelouahab Bellou and Simon Conroy (eds.)Geriatric Emergency Medicinehttps://doi.org/10.1007/978-3-319-19318-2_27 27. Ethical Issues of Emergency Medical Care for Older Patients Helen Askitopoulou1, 2 , Katrin Singler3, 4 , Thomas Frühwald5 and Monique Weissenberger-Leduc6 (1) Faculty of Medicine,…
© Springer International Publishing Switzerland 2018Christian Nickel, Abdelouahab Bellou and Simon Conroy (eds.)Geriatric Emergency Medicinehttps://doi.org/10.1007/978-3-319-19318-2_26 26. Palliative and End of Life Care for the Older Person in the Emergency Department Mary Dawood1 (1) Imperial College NHS Trust,…
Typical illness trajectories for people with progressive chronic illness [7] The Gold Standards Framework [8] has produced guidelines to support accurate identification of end of life in the population, and…
