Niquille M, Ardigo S
Service des urgences, Département de médecine communautaire, de premier recours et des urgences, HUG, 1211 Genève 14.
Rev Med Suisse. 2012 Aug 15;8(350):1554-8.
Older patients can suffer severe trauma, especially in home environment. In Switzerland, falls are the main cause of trauma mortality in patients older than 65. Low kinetics mecanisms can cause severe trauma. Undertriage is frequent in emergency rooms and could result in delayed mortality. Except for hip fractures and simple fractures of extremities, age more then 65 should be a criteria for admitting the patient in a trauma center and activating the trauma team.
老年患者可能遭受严重创伤，尤其是在家庭环境中。在瑞士，跌倒 是 65 岁以上患者创伤死亡的主要原因。低动力学机制可导致严重创伤。急诊室经常出现分诊不足的情况，这可能导致死亡延迟。除髋部骨折和四肢单纯骨折外，65 岁以上的患者应作为入住创伤中心并启动创伤团队的标准。
