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'G-60' Program Helps Older Trauma Patients Survive and Thrive

G-60 Trauma Program Team
Led by Dr. Mangram, seated, in lab coat, the G-60 program team includes physicians, nurse practitioners, physical medicine and rehabilitation specialists, floor nurse supervisors, physical/occupational/speech/respiratory therapists, nutritionists, pharmacists, social workers and case managers.

Retired Prescott police officer William Bradshaw really appreciated all that John C. Lincoln's new G-60 program for older trauma patients has done to expedite and intensify his hospital care.

But the truth is that while he was recovering in the special G-60 unit at John C. Lincoln North Mountain Hospital, he just wanted to get home to his 8-year-old Pekinese, Angel, and his buddies with whom he trades tales about — among other things — the Louis L'Amour characters in Arizona's history who populate his own family tree.

While recovering in the G-60 unit from a leg shattered in a freak accident, Bradshaw was happy to entertain visitors with those campfire yarns of days of yore, along with stories from his own colorful life as a police officer, detective and intensive probation officer.

Trauma Patient William Bradshaw
Retired Prescott police officer, detective and intensive probation officer William Bradshaw spends his days with Angel, his Pekinese pet, while recovering in his home that scenically overlooks the Bradshaw Mountains named for one of his ancestors.

Trauma surgeon Alicia Mangram, MD, medical director for John C. Lincoln Trauma Services and G-60 developer, believes that Bradshaw's recovery was expedited by the rapid, intensified care her program provides.

Dubbed "G-60" because it is for patients aged 60 or over, the program is designed to improve outcomes and reduce mortality and morbidity for older trauma patients. G-60 includes a multidisciplinary medical team, expedited treatment plans and a specially designed inpatient unit at John C. Lincoln North Mountain Hospital.

"Research shows that older trauma patients — those over age 60 — sustain more serious injuries than younger trauma patients with similar mechanism of injury," Dr. Mangram said.

"Additionally," Dr. Mangram said, "in most cases, trauma injuries in the elderly are compounded by chronic medical conditions. That means older patients often experience more complications than their younger counterparts and trauma care needs to be distinct from care received for similar injuries incurred by younger trauma patients."

The G-60 program includes the following components:

  • Rapid identification and triage of potential G-60 patients in the Emergency Department and Trauma Center.
  • Expedited admission — within two hours — to the hospital and assignment of the patient to a special G-60 inpatient unit.
  • Private rooms have special geriatric accommodations including more appropriate lighting, larger clocks, built in handles and fixtures for safer movement, and specially designed beds to ease comfort.
  • Activation of a specially trained multidisciplinary G-60 clinical team — trauma surgeons, trauma nurse practitioners and coordinators, hospitalists, physical medicine and rehabilitation specialists, floor nurse supervisors, physical/occupational/speech/respiratory therapists, nutritionists, pharmacists, social workers and case managers — whenever a G-60 patient is identified.
  • Aggressive and expedited clinical care, including surgery, by the G-60 team that continues throughout the G-60 patients' hospitalization.

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"We know we need to get G-60 trauma patients with orthopedic injuries into surgery within 48 hours of arrival at the hospital," Dr. Mangram said, "because research has documented a four-fold increase in morbidity and mortality for the older patient when that 48-hour standard was not met."

"The trained and committed multidisciplinary team approach results in expedited triage, optimized chronic illness management and safe preplanned discharge," Dr. Mangram said.

And speaking of discharge, Bradshaw can't wait to get back to Prescott Valley where he can walk his dog, go shooting at the indoor range with his buddies and spend time with family.

"I was pleasantly surprised when I was visited by the entire trauma team," Bradshaw said. "But I miss my dog."

Learn more about the G-60 program at JCL.com/G60.

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