Podcasts · Core EM - Emergency Medicine Podcast
Episode 208: Geriatric Emergency Medicine
· Episode 208
Episode Episode 208: Geriatric Emergency Medicine
We explore the expanding field of Geriatric Emergency Medicine.
Hosts: Ula Hwang, MD Brian Gilberti, MD
https://media.blubrry.com/coreem/content.blubrry.com/coreem/Geriatric_Emergency_Medicine.mp3
Download One Comment Tags: Geriatric
Show Notes
Key Topics Discussed
• Importance and impact of geriatric emergency departments. • Optimizing care strategies for geriatric patients in ED settings. • Practical approaches for non-geriatric-specific EDs.
Challenges in Geriatric Emergency Care
• Geriatric patients often present with:
• Multiple chronic conditions • Polypharmacy • Functional decline (mobility issues, cognitive impairments, social isolation)
Adapting Clinical Approach
• Core objective remains acute issue diagnosis and treatment. • Additional considerations for geriatric patients:
• Review and caution with medications to prevent adverse reactions. • Address functional limitations and cognitive impairments. • Emphasize safe discharge and care transitions to prevent unnecessary hospitalization.
Identifying High-Risk Geriatric Patients
• Screening tools:
• Identification of Seniors at Risk (ISAR) • Frailty screens
• Alignment with the “Age-Friendly Health Systems” initiative focusing on:
• Mentation • Mobility • Medications • Patient preferences (what matters most) • Mistreatment (elder abuse awareness)
Minimizing Hospital-Related Harms
• Involvement of multidisciplinary teams:
• Social workers and care managers for care transitions • Geriatric-certified pharmacists for medication review
• Coordination with outpatient services post-discharge
Implementing Geriatric Care in All EDs
• Basic geriatric care achievable even in resource-limited or rural EDs. • Level 3 Geriatric ED Accreditation can be achieved through:
• Improved care transitions • Staff education enhancements • Age-friendly environments (comfort, nutrition, hydration)
Future of Geriatric Emergency Medicine
• Vision: Universal integration of geriatric-focused care. • Goals:
• Enhanced patient experience • Improved care transitions • Alignment of treatments with patient goals • Broader enhancement of emergency care quality for all patient populations
Read More
Links in the notes 4
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