Episode 208: Geriatric Emergency Medicine

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Episode 208: Geriatric Emergency Medicine

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About this listen

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)

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