Geriatric Trauma: Parameters for Resuscitation

Published 2003

Level 1

A. Level I:

There are insufficient data to support a Level I recommendation for the method and end-points of resuscitation in the elderly patient as a standard of care.

Level 2

B. Level II:

  1. Any geriatric patient with physiologic compromise, significant injury (Abbreviated Injury Scale [AIS] score > 3), and high-risk mechanism of injury, uncertain cardiovascular status, or chronic cardiovascular or renal disease should undergo invasive hemodynamic monitoring using a pulmonary artery catheter.
  2. There are insufficient data to support a Level II recommendation for the method and end-points of resuscitation in the elderly patient as a standard of care.

Level 3

C. Level III:

  1. Attempts should be made to optimize to a cardiac index ≥ 4 L/min/m[2] and/or an oxygen consumption index of 170 mL/min/m[2].
  2. Base deficit measurements may provide useful information in determining status of resuscitation and risk of mortality.