Prehospital care in geriatric emergencies: EMS, health informatics, and nursing approaches to age-related conditions

Saleh AbdulLatif Al-Jasser; Nawaf Subhi Dobayan Alenazi; Fares Khalid Mohammed Alhazmi; Ahmad Mohammed Isa Gaddourah; Alaa Saud Aleiid; Alaa Musaad Alsayyari

doi:10.53730/ijhs.v2nS1.15210

Authors

Saleh AbdulLatif Al-Jasser KSA, National Guard Health Affairs
Nawaf Subhi Dobayan Alenazi KSA, National Guard Health Affairs
Fares Khalid Mohammed Alhazmi KSA, National Guard Health Affairs
Ahmad Mohammed Isa Gaddourah KSA, National Guard Health Affairs
Alaa Saud Aleiid KSA, National Guard Health Affairs
Alaa Musaad Alsayyari KSA, National Guard Health Affairs

Keywords:

Geriatric emergencies, EMS, nursing, trauma, under-triage, frailty, anticoagulants

Abstract

Background: The aging population poses significant challenges in emergency medical services (EMS) and nursing care, particularly for patients aged 65 and older who experience geriatric emergencies. This demographic shift necessitates tailored management strategies for age-related conditions, especially regarding trauma. Aim: This study aims to explore the approaches of paramedics, EMS, health informatics, and nursing in managing geriatric emergencies, focusing on age-related physiological changes, mechanisms of injury, and effective triage strategies. Methods: A comprehensive review of current literature and clinical guidelines was conducted, analyzing factors contributing to under-triage in older patients, the impact of frailty, and the complexities introduced by medications. Results: Findings indicate that elderly patients are often under-triaged due to age-related biases and physiological changes, resulting in worse outcomes. Geriatric trauma patients frequently present with multifactorial injuries that complicate clinical assessments and necessitate specialized care protocols. The study also highlights the increasing prevalence of traumatic brain injuries exacerbated by anticoagulant therapies. Conclusion: Enhanced training for EMS and nursing staff on the unique needs of geriatric patients, combined with evidence-based triage protocols, is crucial for improving outcomes. Developing and implementing specialized assessment tools can mitigate the risks associated with geriatric trauma and optimize care delivery.

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