Turkiye Klinikleri Journal of Gerontology

.: REVIEW
Yaşlılarda Bireylerde Travma ve Hastane Öncesinde Acil Müdahale: Geleneksel Derleme
Trauma and Prehospital Emergency Management in the Elderly: Traditional Review
Songül DEMİRa, İlknur KARAKAYAb, Abdullah DADAKc, İlyas KÜÇÜKb
aHatay Mustafa Kemal Üniversitesi Hatay Sağlık Hizmetleri Meslek Yüksekokulu, İlk ve Acil Yardım Programı, Hatay, Türkiye
bHatay Mustafa Kemal Üniversitesi Hatay Sağlık Hizmetleri Meslek Yüksekokulu, Yaşlı Bakımı Programı, Hatay, Türkiye
cHatay Mustafa Kemal Üniversitesi Hatay Sağlık Hizmetleri Meslek Yüksekokulu, Anestezi Programı, Hatay, Türkiye
Turkiye Klinikleri J Gerontol. 2022;1(1):20-30
doi: 10.5336/jgeront.2022-88893
Article Language: TR
Full Text
ÖZET
 Dünya genelinde olduğu gibi ülkemizde de yaşlı nüfus giderek artmaktadır. Bilim, teknoloji ve tıp alanlarındaki gelişmelere paralel olarak, yaşam standartları artmakta ve yaşlı bireyler geçmişe göre daha aktif ve bağımsız yaşamaktadırlar. Yaşlı bireyler; daha aktif olmalarına, yaşlanmaya bağlı anatomik ve fizyolojik değişikliklere bağlı olarak travmaya daha yatkın olmaktadırlar. Ayrıca yaşlı bireylerde görülen travmalarda yaş, başlı başına bir risk faktörü olabilmektedir. Travma yaşlı bireylerde morbidite ve mortalitenin önde gelen nedenlerinden biridir. Yaşlı bireylerde travma, tıbbi sorunların bir nedeni olabileceği gibi tıbbi sorunların bir sonucu da olabilmektedir. Yaşlanmaya bağlı olarak görülen anatomik ve fizyolojik değişiklikler nedeniyle travmaya maruziyetlerde yaşlı bireylerde travmanın şiddeti genç bireylere göre daha fazla olabilmektedir. Travmalara maruziyet sonrasında yaşlı bireylerde hastanede kalma süresi uzamakta ve hareketlilik daha fazla azalabilmekte ve yatağa ve başka bireylere bağımlılık artabilmektedir. Bu gibi nedenlerle yaşlı bireylerde travma bireylerin ve toplumların ekonomilerini daha fazla olumsuz olarak etkileyebilmektedir. Yaşlı nüfusun artmasıyla yaşlı travma vakalarıyla hastane öncesi acil sağlık hizmetlerinde daha da fazla karşılaşılacaktır. Hastane öncesi acil sağlık hizmeti çalışanları, yaşlı bireylerdeki yaş grubuna özgü değişiklikleri bilerek yaşlı travma vakasının yönetimini yapabilmelidirler. Hastane öncesi sağlık çalışanları, yaşlı bireylerdeki travma yönetiminin erişkin travma yönetiminden farklılıklar gösterdiğini bilmelidirler. Biz bu derlememizde, yaşlı bireylerde görülen travmalardaki değişiklikleri ve hastane öncesi yönetimindeki farklılıkları belirtmeyi amaçladık.

Anahtar Kelimeler: Yaşlı; hastane öncesi acil bakım; travma
ABSTRACT
 As in the whole world, the elderly population is gradually increasing in our country. In parallel with the developments in science, technology and medicine, living standards increase and older individuals live more actively and independently than in the past. Older people are more prone to trauma due to being more active and anatomical and physiological changes due to aging. In addition, age itself can be a risk factor for trauma in older people. Trauma is one of the leading causes of morbidity and mortality in older people. Trauma in older people can be a cause of medical problems as well as a result of medical problems. Due to the anatomical and physiological changes seen due to aging, the severity of trauma in older people may be higher than in young people when exposed to trauma. After exposure to traumas, the hospital stay is prolonged in older people, mobility may decrease further, and dependence on the bed and other people may increase. For such reasons, trauma in older people may have a more negative impact on the economies of individuals and societies. With the increase in the elderly population, elderly trauma cases will be encountered more and more in pre-hospital emergency health services. Pre-hospital emergency health care workers should be able to manage the elderly trauma case by knowing the age-specific changes in older people. Pre-hospital health workers should know that trauma management in elderly people differs from adult trauma management. In this review, we aimed to determine the changes in traumas seen in older people and the differences in prehospital management.

Keywords: Elderly; prehospital emergency care; trauma
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5. PROPRIETARY RIGHTS

5.1. The information accessed through this "SITE" or provided by the users legally and all the elements (including but not limited to design, text, image, html code and other codes) of the "SITE" (all of them will be called as studies tied to "Turkiye Klinikleri"s copyrights) belongs to "Turkiye Klinikleri". Users do not have the right to resell, process, share, distribute, display or give someone permission to access or to use the "Turkiye Klinikleri" services, "Turkiye Klinikleri" information and the products under copyright protection by "Turkiye Klinikleri". Within hereby "Terms of Use" unless explicitly permitted by "Turkiye Klinikleri" nobody can reproduce, process, distribute or produce or prepare any study from those under "Turkiye Klinikleri" copyright protection.

5.2. Within hereby "Terms of Use", "Turkiye Klinikleri" reserves the rights for "Turkiye Klinikleri" services, "Turkiye Klinikleri" information, the products associated with "Turkiye Klinikleri" copyrights, "Turkiye Klinikleri" trademarks, "Turkiye Klinikleri" trade looks or its all rights for other entity and information it has through this website unless it is explicitly authorized by "Turkiye Klinikleri".

6. CHANGES IN THE TERMS OF USE

"Turkiye Klinikleri" in its sole discretion may change the hereby "Terms of Use" anytime announcing within the "SITE". The changed terms of the hereby "Terms of Use" will become valid when they are announced. Hereby "Terms of Use" cannot be changed by unilateral declarations of users.

7. FORCE MAJEURE

"Turkiye Klinikleri" is not responsible for executing late or never of this hereby "Terms of Use", privacy policy and "USER Contract" in any situation legally taken into account as force majeure. Being late or failure of performance or non-defaulting of this and similar cases like this will not be the case from the viewpoint of "Turkiye Klinikleri", and "Turkiye Klinikleri" will not have any damage liability for these situations. "Force majeure" term will be regarded as outside of the concerned party's reasonable control and any situation that "Turkiye Klinikleri" cannot prevent even though it shows due diligence. Also, force majeure situations include but not limited to natural disasters, rebellion, war, strike, communication problems, infrastructure and internet failure, power cut and bad weather conditions.

8. LAW AND AUTHORISATION TO FOLLOW

Turkish Law will be applied in practicing, interpreting the hereby "Terms of Use" and managing the emerging legal relationships within this "Terms of Use" in case of finding element of foreignness, except for the rules of Turkish conflict of laws. Ankara Courts and Enforcement Offices are entitled in any controversy happened or may happen due to hereby contract.

9. CLOSING AND AGREEMENT

Hereby "Terms of Use" come into force when announced in the "SITE" by "Turkiye Klinikleri". The users are regarded to agree to hereby contract terms by using the "SITE". "Turkiye Klinikleri" may change the contract terms and the changes will be come into force by specifying the version number and the date of change on time it is published in the "SITE".

 

30.03.2014

Privacy Policy

We recommend you to read the terms of use below before you visit our website. In case you agree these terms, following our rules will be to your favor. Please read our Terms of Use thoroughly.

www.turkiyeklinikleri.com website belongs to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. and is designed in order to inform physicians in the field of health

www.turkiyeklinikleri.com cannot reach to user’s identity, address, service providers or other information. The users may send this information to the website through forms if they would like to. However, www.turkiyeklinikleri.com may collect your hardware and software information. The information consists of your IP address, browser type, operating system, domain name, access time, and related websites. www.turkiyeklinikleri.com cannot sell the provided user information (your name, e-mail address, home and work address, phone number) to the third parties, publish it publicly, or keep it in the website. Gathered information has a directing feature to be a source for the website’s visitor profile, reporting and promotion of the services.

www.turkiyeklinikleri.com uses the taken information:

-To enhance, improve and maintain the quality of the website

-To generate visitor’s profile and statistical data

-To determine the tendency of the visitors on using our website

-To send print publications/correspondences

-To send press releases or notifications through e-mail

-To generate a list for an event or competition

By using www.turkiyeklinikleri.com you are considered to agree that;

-Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. cannot be hold responsible for any user’s illegal and immoral behavior,

-Terms of use may change from time to time,

-It is not responsible for other websites’ contents it cannot control or the harms they may cause although it uses the connection they provided.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. may block the website to users in the following events:

-Information with wrong, incomplete, deceiving or immoral expressions is recorded to the website,

-Proclamation, advertisement, announcement, libelous expressions are used against natural person or legal identity,

-During various attacks to the website,

-Disruption of the website because of a virus.

Written, visual and audible materials of the website, including the code and the software are under protection by legal legislation.

Without the written consent of Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. the information on the website cannot be downloaded, changed, reproduced, copied, republished, posted or distributed.

All rights of the software and the design of the website belong to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. will be pleased to hear your comments about our terms of use. Please share the subjects you think may enrich our website or if there is any problem regarding our website.

info@turkiyeklinikleri.com