Category Archives: Medications and Adverse Drug Events

Dangerous Med Combos in Older Adults

Posted on March 30, 2016 by Christina Shenvi, MD, PhD, MBA

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

Posted on March 1, 2016 by Christina Shenvi, MD, PhD, MBA

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

Posted on February 11, 2016 by Christina Shenvi, MD, PhD, MBA

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

Geriatric Toxicology Part 2 – Acetaminophen

Posted on January 11, 2016 by Christina Shenvi, MD, PhD, MBA

Acetaminophen overdoses can be deadly if they are not rapidly identified and treated. While the treatment is relatively simple, there are still subtleties and ambiguities. How do you identify who needs treatment? Which patients should be transferred to a facility … Continue reading →

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

Geriatric Toxicology Part 1 – Salicylates

Posted on December 15, 2015 by Christina Shenvi, MD, PhD, MBA

Toxicologic emergencies can present differently in older adults compared with younger patients. The physiologic changes of aging make older patients more prone to accidental overdoses because of a narrowed therapeutic window. In this podcast, toxicology-trained Emergency Physician, Dr. May Yen, … Continue reading →

Posted in Medications and Adverse Drug Events, Toxicology | 2 Comments

High Risk Medications and Adverse Drug Events

Posted on November 11, 2015 by Christina Shenvi, MD, PhD, MBA

Adverse drug events (ADEs) are a major problem among older adults who present to the Emergency Department. ADEs come in 5 types. 1 in 6 hospitalizations among older adults involves an ADE, and half of the hospitalizations for ADEs are … Continue reading →

Posted in Medications and Adverse Drug Events, Toxicology | Tagged , , , | 2 Comments