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Specialized Care Centers and Settings-II01:30

Specialized Care Centers and Settings-II

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Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
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Assessing the Need for Transfer to a Trauma Center for Isolated Craniofacial Injury in a Rural State.

Luciano A Ciraulo1, Katharine A Connolly2, Carolyne R Falank1

  • 1Maine Medical Center, Portland, ME, USA.

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Elderly patients with craniofacial trauma may not need transfer. Pre-transfer consultation with surgical specialists can determine the necessity of care for these complex facial injuries.

Keywords:
plastic surgerytraumatrauma acute care

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Area of Science:

  • Trauma Surgery
  • Geriatric Medicine
  • Plastic Surgery

Background:

  • Craniofacial injury management often involves multiple surgical subspecialties.
  • Transferring elderly patients with craniofacial injuries may strain resources and is not always necessary.

Purpose of the Study:

  • To evaluate the frequency and type of craniofacial injuries in elderly trauma patients (≥65 years).
  • To assess the need for transfer and surgical intervention in this demographic.

Main Methods:

  • A 5-year retrospective study of elderly trauma patients with craniofacial injuries.
  • Analysis of consultation patterns and surgical interventions performed.

Main Results:

  • Eighty-one percent of patients consulted plastic surgeons; 28% consulted ophthalmology.
  • Twenty percent underwent craniofacial surgery, primarily for soft tissue, mandible, and Le Fort III injuries.
  • Injury severity scores (ISS) and neurological status did not significantly impact repair decisions.

Conclusions:

  • Elderly patients with isolated craniofacial trauma may benefit from specialist consultation prior to transfer.
  • Optimizing care pathways can improve resource allocation for geriatric trauma patients.