Geriatric Trauma Service: What is so Special?

Abstract

This is a review for the establishment and management of a geriatric trauma service. As our population ages, the geriatric trauma population increases. Our review shows these patients are unique and challenging in their medical management. We explain changes seen in trauma patients as we age. Undertriage of these patients should be specifically avoided. Evidence supports the development of a specialized team and unit for managing the older trauma patients for improved outcomes. However, the evidence is lacking a true comparison on the most effective way to best stratify these patients into higher risk groups based on baseline status. Also, more evidence is needed to describe the post-discharge follow-up care needed for these patients. A geriatric trauma service will support the trauma center by improving data acquisition needed for research programs and promoting the continuous development of prevention programs that will cater to the needs of this population.