UMEM Educational Pearls

Title: Trauma patients have medical problems too

Category: Trauma

Keywords: primary care, hypertension, diabetes, trauma (PubMed Search)

Posted: 11/4/2025 by Robert Flint, MD (Updated: 11/9/2025)
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These authors followed 250 consecutive trauma activation patients over a one year period. In hospital elevated blood pressure and glucose level correlated with a new diagnosis of hypertension and diabetes respectively over that 1 year time line.  Some of these patients also had a new diagnosis of HIV, substance use disorder and hepatitis C.  Using their contact with the health system due to trauma can be a way to screen for undiagnosed medical problems such as diabetes and hypertension. Assuring outpatient follow up for these patients will have an effect on their long term morbidity and mortality.

References

Trauma Activation Touchpoints as an Opportunity to Detect Undiagnosed Comorbidities in Vulnerable Populations

Banks, Kian C. et al.

Journal of Emergency Medicine, Volume 0, Issue 0