Zara Cooper
speaker
200 appearances
1 recordings
1 series
first heard Sep 2017
last heard Sep 2017
Zara Cooper’s voice in public audio — every appearance, attributed to the second.
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Appearances
burn injuries, for example.
They have burn injuries because they forgot to turn off the stove.
You know?
Or they didn't you know, it's not even that they forgot.
They you know, they they didn't they didn't have awareness to turn off the stove.
Why have they fallen?
Because they've tripped over their walker.
Um, you know, uh they have um neurologic impairments like Parkinson's um that have caused them to be unsteady on their feet.
Um they have motor vehicle crashes because they syncopized because of congestive heart failure and valvular disease.
So, you know, I think it's recognizing that a lot of these injuries really have a medical etiology, which is very different than the younger trauma trauma patient population that we're used to.
You know, I one thing that, you know, the handful of us in in this uh surgical palliative care community have been doing is really been um encouraging our colleagues to use e prognosis.
Well, there are, but they're mostly focused on injury severity, which we find is less relevant in this population because um, you know, even relatively um minor injuries, you know, like a mild traumatic brain injury, um, has implications in an older patient that it may not in a younger patient.
And so um even the trauma
um scores that are typically used are not so relevant.
There are two resources specific for trauma that are very useful.
One, actually three.
One is the uh frailty, I'm sorry, the trauma specific frailty index, um, which is a modification of the Rockwood approach um to screen for fail frailty, which has been shown to be um very
Um, correlated to adverse outcomes.
The other is the geriatric trauma outcome score, um, which uses a number of physiologic variables that.
Um really can be assessed in the trauma bay and within the first twenty four hours to identify patients who are at highest risk of in hospital mortality.
Showing 101–120 of 200 · page 6 of 10
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