Author Archives: Christina Shenvi

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 | 5 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

Pulmonary Emboli in Older Adults

Not a day goes by that an Emergency Physician doesn’t at least consider PE in a patient who presents with chest pain, dyspnea, or syncope. We have become familiar with using risk stratification tools like the Wells Score and the … Continue reading

Posted in Cardiology and Pulmonology | 2 Comments

Pearls and Pitfalls of Pain Management in Older Adults

Pain is the number one reason why people seek care in the Emergency Department (ED). One major goal of acute care is diagnosing the cause of the pain, but another is helping relieve the suffering associated with pain. In older … Continue reading

Posted in Medications and Adverse Drug Events | Leave a comment

Dangerous Med Combos in Older Adults

Look twice at the med list before you prescribe these! Two distinguished guests join me this month, David Juurlink (@DavidJuurlink) and Bryan Hayes (@PharmERToxyGuy), to discuss medication interactions. There are many medications that we commonly prescribe in the ED that … Continue reading

Posted in Medications and Adverse Drug Events | 1 Comment

Hip Fracture Management Pathways in Older Adults

Hip fractures are a common injury among older adults and have a staggering one-year mortality of 20-30%. In this episode we discuss a multi-disciplinary pathway to improve the acute care of patients with hip fractures. It can help standardize care, … Continue reading

Posted in Medications and Adverse Drug Events, Systems and Administration, Trauma | 4 Comments

Geriatric Toxicology Part 3 – Digoxin and CCBs

Digoxin and Calcium Channel Blockers are both medications that can cause unstable bradycardias. Patients who overdose on them can present extremely ill-appearing, and require rapid intervention and stabilization. In this final geri-tox episode, Dr. May Yen talks about identifying and … Continue reading

Posted in Medications and Adverse Drug Events, Toxicology | 1 Comment