Category Archives: Uncategorized

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 Uncategorized | 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 Uncategorized | Leave a comment

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 Uncategorized | 4 Comments

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 Uncategorized | 1 Comment

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 Uncategorized | Leave a comment

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 Uncategorized | 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 Uncategorized | Leave a 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 Uncategorized | 4 Comments