Category Archives: Systems and Administration

Week one in the COVID ICU

Dr. Kusum Mathews is a pulmonary and critical care physician and researcher at Mt. Sinai in NYC. She staffed the first week of her hospital’s COVID ICU. The week started off with only a few COVID-19 positive patients and escalated … Continue reading

Posted in Cardiology and Pulmonology, Infections, Systems and Administration | 3 Comments

Four Models of Care for Geriatric EDs

Many EDs around the world are working to become Geriatric EDs or geriatric-friendly EDs. Dr. Lauren Southerland led a group that looked at what models of care different EDs were using to become accredited geriatric EDs. They found four basic … Continue reading

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Ten Commandments of Geriatric EM Care

Christian Nickel, an Emergency Physician in Basel, Switzerland, has developed 10 commandments (or suggestions) for providing high quality geriatric EM care. This is a dense, high-yield episode in which we cover a wealth of practical tips for improving the care … Continue reading

Posted in General Principles, Medications and Adverse Drug Events, Systems and Administration, Trauma | 1 Comment

How to Do a Discharge Risk Assessment in the ED

For older patients, there are risks of being discharged home, but also risks of being admitted to the hospital. In some cases in the ED the decision to admit or discharge a patient is not cut and dry. In this … Continue reading

Posted in Systems and Administration, Transitions of Care | Leave a comment

Retiring the Term “Mechanical Fall” for Older Patients

ED physicians and APPs see older patients in the ED for falls every. single. shift. On this episode, geriatric EM expert Shan Liu talks about preventing future falls from the ED, and the fact that we should retire the term “mechanical … Continue reading

Posted in Systems and Administration, Trauma | 1 Comment

Be ADEPT: An approach to the older patient with confusion or agitation

Older adults often present to the ED for or with confusion or agitation. It is important to have a framework for assessing these patients, diagnosing the presence of delirium or dementia, looking for underlying causes, preventing worsening, treating the underlying … Continue reading

Posted in Medications and Adverse Drug Events, Neurology and Psychiatry, Systems and Administration | Leave a comment

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

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

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