2017 Trauma University: Geriatric Trauma: Anticoagulants-Geriatric Trauma Handout

Geriatric Trauma Handout

Pdf Summary

The document titled "Geriatric Trauma 2017" discusses the challenges faced by trauma centers when managing anticoagulant medications in geriatric patients. The presentation aims to provide strategies for reversing anticoagulant medications and coagulopathy in geriatric trauma patients.<br /><br />The main focus of the document is on the different types of anticoagulants commonly used in geriatric patients, such as warfarin and novel oral anticoagulants (NOACs). It discusses the advantages and disadvantages of these medications, as well as their mechanisms of action and duration of action.<br /><br />The document also covers the potential reversal strategies for anticoagulants, including the use of vitamin K, fresh frozen plasma, and prothrombin complex concentrate. It provides information on the indications, advantages, and disadvantages of these reversal agents.<br /><br />Additionally, the document discusses laboratory studies and tests that can be useful in assessing coagulation status in geriatric trauma patients. It explains the role of tests such as activated partial thromboplastin time (aPTT), prothrombin time (PT), and thrombin time in evaluating the coagulation cascade.<br /><br />The use of thromboelastography (TEG) as a comprehensive test to assess clot formation, clot kinetics, clot strength, and clot lysis is also discussed in detail. The document highlights the importance of TEG in providing a more complete picture of the coagulation cascade.<br /><br />Overall, the document provides an overview of the challenges and strategies involved in managing anticoagulant medications and coagulopathy in geriatric trauma patients. It emphasizes the need for tailored approaches and close monitoring to ensure optimal outcomes in this population.

Keywords

Geriatric Trauma 2017

anticoagulant medications

geriatric patients

reversing anticoagulant medications

coagulopathy

warfarin

novel oral anticoagulants

reversal strategies

laboratory studies

thromboelastography