Gemcast

Dr. Lauren Southerland describes her recent work in defining the four main models of geriatric ED care used by Geriatric EDs in the U.S. This is a practical blueprint for anyone interested in pursuing Geriatric ED Accreditation. See the reference and more at: gempodcast.com/2020/02/04/ged-models/

Christian Nickel describes and explains the 10 "commandments" of geriatric EM care. See www.gempodcast.com for references and more.

Paul Deknoing and Lauren Bailey run this session with fast-paced, high-yield principles of geriatric EM care. See www.gempodcast.com for more info and references.

Dr. Lauren Southerland and I discuss her recent paper on the importance of and how to do a discharge risk assessment in elderly patients in the ED. For more, go to www.gempodcast.com

Leah Hatfield and I discuss the potential benefits of clevidipine for management of Hypertensive Emergencies. Learn more about indications, dosing, titration, and potential contra-indications. For full shownotes, credits, and references, see www.gempodcast.com

Drs. Ferdinando Mirarchi and Marie-Carmelle Elie explain the meaning and ramifications of different types of advance care planning orders and what they mean to physicians, APPs, or nurses caring for patients. Image credit: pixabay.com/photos/business-signature-contract-962355/ Sound credit:www.freesound.org/people/HerbertBoland/sounds/128544/

Shan Liu talks about why we should avoid the term "mechanical fall" and how we can help prevent future falls from the ED. See www.gempodcast.com for references and more.

Dr. Sandy Schneider and I discuss a new toll released by ACEP for assessing and managing older adults with agitation and confusion. See the full show notes at www.gempodcast.com. The tool is available at www.acep.org/adept

Maura Kennedy discusses a recent paper on orthostatic vital signs. The conclusions may surprise you! See www.gempodcast.com for more info and the paper reference.

Sergey Motov discusses his recent paper on subdissociative ketamine in older adults. See www.gempodcast.com for more info and the full reference.

Mary Mulcare and I talk about how to diagnose and treat UTIs, the dangers of catheters, and how to protocolize catheter reduction. See https://gempodcast.com/2018/02/02/utis-in-older-adults/ for show notes, more info, and references.

Zara Cooper is an acute care and trauma surgeon at the Brigham and Women's hospital. See www.gempodcast.com for full details and show notes. This podcast uses sounds from freesound.org by Jobro and HerbertBoland. Image is from: https://pixabay.com/en/heart-first-aid-medical-medicine-2730784/

Chris Carpenter discusses the new ACEP accreditation of Geriatric EDs and what your ED would need to do to become accredited. See www.gempodcast.com for full shownotes and more info or to leave a comment. Music credit: Bob Dylan, The Times They Are Changing, 1964, Columbia Records

David Silfen, an EMS provider describes a program he has helped initiate to intervene with older adults who have a high falls risk. See www.gempodcast.com for full details and show notes. This podcast uses sounds from freesound.org by Jobro and HerbertBoland. Image credit: https://pixabay.com/en/step-falling-tripping-danger-98822/

Dr. Alisha Benner discusses tips for palliative care in the ED. see www.gempodcast.com for show notes, references, information, and to leave comments! Follow @gempodcast on twitter. This podcast uses sounds from freesound.org by Jobro and HerbertBoland. Image credit: https://commons.wikimedia.org/wiki/File:Dante_Gabriel_Rossetti_-_Study_of_Dante_holding_the_hand_of_Love.jpg

Ophthalmologist Dr. Bryan Hong continues to discuss his approach to some of the common eye emergencies that bring older adults to the Emergency Department. see www.gempodcast.com for show notes and information and to leave comments. This podcast uses sounds from freesound.org by Jobro and HerbertBoland. Image credit: https://pixabay.com/en/eye-black-reds-female-red-color-1574829/

Ophthalmologist Dr. Bryan Hong talks about his approach to some of the common eye emergencies that bring older adults to the Emergency Department. see www.gempodcast.com for show notes and information and to leave comments. This podcast uses sounds from freesound.org by Jobro and HerbertBoland. Image credit: https://commons.wikimedia.org/wiki/File:A_selection_of_glass_eyes_from_an_opticians_glas_eye_case._Wellcome_L0036581.jpg

Leah Hatfield discusses the new oral anticoagulants, and how to reverse them in cases of life threatening bleeds. To leave a comment and for the shownotes, see https://gempodcast.com/2016/09/30/how-to-reverse-oral-anticoagulants/

Tony Rosen discusses how to identify elder abuse and ways to intervene. 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, an Emergency Physician and researcher with fellowship training in Geriatric Emergency Medicine, who works at Cornell in NYC discusses what constitutes elder abuse, its prevalence, how to identify it, and what to do when you suspect it. For State requirements, see here: http://www.napsa-now.org/wp-content/uploads/2014/11/Mandatory-Reporting-Chart-Updated-FINAL.pdf Please see https://gempodcast.com/2016/08/26/how-to-identify-and-intervene-in-cases-of-elder-abuse/ for the full show notes and references.

Amal Mattu talks about ACS presentations, workup, and management in older adults, and why the atypical is typical! For the full shownotes and references, and to leave a comment, see: https://gempodcast.com 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. However, many patients who are having ACS do not present with chest pain. Instead, they may have dyspnea, diaphoresis, nausea, vomiting, abdominal pain, or other non-specific symptoms. Which patients are most likely to present this way? Older adults. And the older the patient, the more likely they are to be chest-pain free when they present with an NSTEMI or STEMI. So it is up to the medical provider to be vigilant, consider possible angina equivalents, and order the right workup. Dr. Mattu talks us through some of the statistics of how often MIs occur without chest pain with age, how EKG interpretation may