GEMCAST

GEMCAST

Welcome to GEMCAST! Shownotes and more info are available on https://gedcollaborative.com/resources/?type=podcast. GEMCAST is a Geriatric Emergency Medicine Podcast created to help clinicians, nurses, or paramedics who take care of older adults, particularly in the Emergency Department setting. Welcome! I'm your host, Christina Shenvi. You can connect with me on twitter @clshenvi Disclaimer: By listening to this podcast, you agree not to use this podcast or website as medical advice to treat any medical condition in either yourself or others, including but not limited to patients that you are treating. Consult your own physician for any medical issues that you may be having. This entire disclaimer also applies to any guests or contributors to the podcast or website. Under no circumstances shall this podcast, website, or any contributors to it be responsible for damages arising from use of the podcast. Furthermore, this podcast should not be used in any legal capacity whatsoever, including but not limited to establishing “standard of care” in a legal sense or as a basis for expert witness testimony. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast.

Episodes

Getting ED Specific with Medication Safety

July 7, 2025 • 28 mins
Getting ED Specific with Medication Safety by Christina Shenvi
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Precision Relief: Nerve Blocks for Pain in Older Patients

May 16, 2025 • 46 mins
In today’s episode host Dr. Christina Shenvi is joined by Dr. Robert Sternberg, Ultrasound Director at Akron General to discuss ultrasound-guided nerve blocks for precise pain relief in older patients. Ultrasound-guided nerve blocks provide relief from one of the most common emergency department complaints: pain. In addition to their use in acute pain management, nerve blocks can help reduce the use of opioids, reduce hospital leng...
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Postmenopausal Problems - Geriatric Gynecology in the ED

March 21, 2025 • 33 mins
Postmenopausal Problems - Geriatric Gynecology in the ED by Christina Shenvi
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Creating A Generational Health Program

February 24, 2025 • 26 mins
In this episode learn about how the Generational Health Program at Sharp Memorial Hospital in San Diego was developed and expanded to create an extensive care program that provides specialised care for older adults. What started as a pilot program in 2019 is now a multidisciplinary age-friendly collaboration that begins right at admission.   Host Christina Shenvi is joined by 3 experts from Sharp Memorial Hospital who provide insi...
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High-Yield Overview Of The CMS Age-Friendly Measures

January 7, 2025 • 33 mins
Today’s episode provides an introduction and overview of the 5 domains of the CMS Age-Friendly Hospital Measure. Host Dr. Christina Shenvi is joined by Dr. Marcia Russell to help clarify what each of these domains entail and how they may be carried out in the ED. They also discuss concerns that may be brought about following the implementation of this measure on January 1, 2025, and how these issues might be addressed and minimised...
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Why Less Is More: Strategies For Deprescribing In The ED

September 26, 2024 • 21 mins
With the upcoming implementation of the new CMS age-friendly hospital measure, hospitals will be required to attest that they review medications to identify potentially inappropriate medications (PIMS) for older adults. Dr. Martin Casey, MD, MPH is an Assistant Professor in the Department of Emergency Medicine at UNC School of Medicine. Dr. Caseys’ work has focused on the identifying PIMS and finding opportunities to reduce the use...
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Global Perspectives On Geriatric EM Care

September 20, 2024 • 25 mins
Dr. Cristina Shenvi is joined today by a panel to explore Geriatric Emergency Medicine (GEM) from a global perspective. As the global population ages, the importance of GEM and its continued development as a subspecialty becomes increasingly evident. This episode will examine the unique challenges that arise as GEM evolves and how different healthcare systems are adapting to meet these challenges. The panel will also discuss innova...
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Preventing Dementia

August 23, 2024 • 38 mins
Alzheimer's disease (AD) begins developing in the brain 20-30 years before symptoms start to present in patients. Recent evidence suggests that up to 40% of AD cases could potentially be prevented by addressing modifiable risk factors such as insufficient education, hearing loss, hypertension, obesity, smoking, depression, social isolation, physical inactivity, diabetes, excessive alcohol consumption, air pollution, and traumatic b...
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Revive And Survive- Pearls For Resuscitation Of Older Adults In The ED

August 23, 2024 • 53 mins
Resuscitation of older adults in the emergency department poses unique challenges for physicians. Understanding the differences between a typical resuscitation process compared to a resuscitation of an older adult is essential to appropriately manage and treat this population. In this episode Dr. Cliff Reid joins Dr. Christina Shenvi to explore these differences and the associated challenges, and highlight some tools he uses in his...
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Constipation: What To Do Between a Rock and a Hard Place

July 22, 2024 • 36 mins
In 2021 constipation related visits to the ED reached over 1 million.The prevalence of constipation in elderly individuals in the community is between 15-30% and for those living in nursing homes or long-term care facilities it ranges between 50-75%. While constipation itself is not usually life-threatening, it can be indicative of life-threatening diseases or disorders and therefore a comprehensive history and physical assessment ...
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Why Hospital at Home May be the Best Option for Your Next Patient

June 20, 2024 • 47 mins
Dr. Christina Shenvi and Dr. Mike Craig discuss the "Home Hospital" model and its potential to transform the way we care for older adults, by bringing hospital-level care to patients' homes.
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What ED Physicians need to know about Amyloid Targeting Treatments Part 1

May 27, 2024 • 25 mins
What ED Physicians need to know about Amyloid Targeting Treatments Part 1 by Christina Shenvi
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What ED Physicians need to know about Amyloid Targeting Treatments Part 2

May 27, 2024 • 33 mins
What ED Physicians need to know about Amyloid Targeting Treatments Part 2 by Christina Shenvi
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An Outcome Comparison Between Geriatric and Nongeriatric Emergency Departments

February 20, 2024 • 24 mins
Join Dr. Christina Shenvi and Dr. Cameron Gettel as they talk about a paper that provides the first benchmarks for emergency care process outcomes in geriatric EDs compared with nongeriatric EDs.
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How to Create Safe Transitions of Care for Older Patients

January 22, 2024 • 37 mins
Any transition of care has risks, especially for older patients. In this episode of GEMCast, Dr. Shenvi and Dr. Magidson talk about the importance of thoughtful and deliberate transitions of care for older adults.
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How Paramedics Can Make a Difference in Geriatric Care

November 28, 2023 • 31 mins
How Paramedics Can Make a Difference in Geriatric Care by Christina Shenvi
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The Winding Road to Geriatric EM

July 28, 2023 • 40 mins
Join Dr. Christina Shenvi and Dr. Teresita Hogan as they walk through the history of geriatric emergency medicine. Learn about the challenges, changes, and breakthroughs that have shaped this field over the past 40 years.
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Dementia Research in ED Settings

May 17, 2023 • 21 mins
In this episode of GEMCast Dr. Christina Shenvi is joined by Dr. Chris Carpenter to discuss GEAR 2.0-Advancing Dementia Care. Learn how GEAR 2.0 identified and prioritized research gaps in emergency care for persons living with dementia and their care partners.
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Geriatric Transitional Care Nurses and How They Could Help Your ED

February 24, 2023 • 31 mins
In this episode of GEMCast Dr. Christina Shenvi is joined by Pamela Martin and Dr. Ula Hwang to learn about Geriatric transitional care nurses and how they can be incorporated into an ED to improve care for older patients.
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How Can We Improve the Patient Experience for Older Adults?

January 13, 2023 • 18 mins
Dr. Christina Shenvi is joined by Dr. Lucas Da Silva for a conversation about the concept of patient experience and why it is important to older adult care in the emergency department.
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