This class discusses the age-related physiologic changes that occur to our geriatric population and how this relates to trauma in a prehospital and emergency setting. It covers occult hypoperfusion, frailty, the use of in-the-field shock index, appropriate methods for triaging these patients, and the importance of geriatric-specific protocols. This is a rapidly growing population that has needs and demands that differ from our usual trauma patients. It is important that we as providers realize this and adjust our assessments and treatments appropriately.'