Author Archives: Christina Shenvi

Trauma in Older Adults

Older adults who suffer traumatic injuries have worse outcomes than younger patients. In this episode Dr. Zara Cooper (acute care and trauma surgeon at Brigham and Women’s hospital) and I discuss some of the reasons for this, and also ways … Continue reading

Posted in Medications and Adverse Drug Events, Trauma | 3 Comments

New Geriatric ED Accreditation – and why you should care

The way we currently provide geriatric emergency care is not sustainable. With the growing aging population, the dwindling medicare dollars, and the recognition that we need to improve the quality of geriatric care, we have to find ways to transform … Continue reading

Posted in Systems and Administration | 2 Comments

Preventing Falls in the Elderly: An EMS Story

The risk of falls increases as we age. Unfortunately, so does the risk of injury, morbidity, and mortality following a fall. Falls risk is considered a geriatric syndrome, with multi-factorial causes. Falls are a the #1 cause of trauma-related mortality … Continue reading

Posted in Medications and Adverse Drug Events, Systems and Administration, Trauma | 2 Comments

Practical Tips for Providing Palliative Care in the ED

ACEP’s 2013 Choosing Wisely campaign identified engaging palliative care or hospice services in the ED as one of their 10 recommendations. Palliative care can help with symptom management, support families and patients, and help clarify their goals of care. Most … Continue reading

Posted in Palliative Care | Leave a comment

Eye Emergencies in the Elderly – Part 2

This is a continuation of our discussion of Eye Emergencies in the elderly with ophthalmologist and retina specialist, Dr. Bryan Hong. Many thanks to the Life in the Fast Lane blog for including eye emergencies part 1 in their LITFL … Continue reading

Posted in Ophthalmology | Tagged , | 2 Comments

Eye Emergencies in the Elderly – Part 1

Eye concerns are a common reason for elderly patients to visit the ED. Their causes can range from benign to serious, time-sensitive, vision-threatening entities. In this episode, ophthalmologist and retina-specialist Dr. Bryan Hong talks us through his approach and initial … Continue reading

Posted in Ophthalmology | 4 Comments

How to Reverse Oral Anticoagulants

The number of new oral anticoagulants has grown dramatically in the last few years. And with that growth has come the need for new reversal agents. Reversing anticoagulation in patients with acute intra-cranial hemorrhages can be complex and dependent on … Continue reading

Posted in Medications and Adverse Drug Events, Neurology and Psychiatry, Trauma | 3 Comments

How to Identify and Intervene in Cases of Elder Abuse

Elder abuse is a common and under-recognized problem among older adults. In the Emergency Department, we are uniquely positioned to identify patients who may be at risk. In this episode, Tony Rosen (https://weillcornell.org/anthonyrosen), an Emergency Physician and researcher with fellowship … Continue reading

Posted in Trauma | Leave a comment

The Atypical is Typical for ACS in Older Adults

Chest pain is one of the most common reasons why people present to the ED. The chief complaint of “Chest Pain” typically triggers an automatic EKG, and potentially a workup for acute coronary syndrome (ACS). However, many patients who are … Continue reading

Posted in Cardiology and Pulmonology | 2 Comments

5 Ways to Geriatricize Your ED

Geriatric EDs, or Senior EDs, have been popping up around the country. The idea behind them is that having a separate space, a distinct staff, and specialized protocols, can help provide better care to older adults. However, for many EDs … Continue reading

Posted in Systems and Administration | 2 Comments