We explore the expanding field of Geriatric Emergency Medicine.
Hosts:
Ula Hwang, MD
Brian Gilberti, MD
April 15, 2025
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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