גירייטריה - האיגוד הישראלי לרפואה דחופה

גירייטריה - האיגוד הישראלי לרפואה דחופה

By גירייטריה – האיגוד הישראלי לרפואה דחופהMedicineHealth & Fitness
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גירייטריה - האיגוד הישראלי לרפואה דחופה episodes

  • PODCAST: Geriatric Emergency Medicine
    Hosts:
    Ula Hwang, MD
    Brian Gilberti, MD
    Key Topics Discussed
    • Importance and impact of geriatric emergency departments.
    • Optimizing care strategies for geriatric patients in ED settings.
    • Practical approaches for non-geriatric-specific EDs.
      • Challenges in Geriatric Emergency Care
      • Geriatric patients often present with:
        • Multiple chronic conditions
        • Polypharmacy
        • Functional decline (mobility issues, cognitive impairments, social isolation)
          • Adapting Clinical Approach
          • Core objective remains acute issue diagnosis and treatment.
          • Additional considerations for geriatric patients:
            • Review and caution with medications to prevent adverse reactions.
            • Address functional limitations and cognitive impairments.
            • Emphasize safe discharge and care transitions to prevent unnecessary hospitalization.
              • Identifying High-Risk Geriatric Patients
              • Screening tools:
                • Identification of Seniors at Risk (ISAR)
                • Frailty screens
                • Alignment with the “Age-Friendly Health Systems” initiative focusing on:
                  • Mentation
                  • Mobility
                  • Medications
                  • Patient preferences (what matters most)
                  • Mistreatment (elder abuse awareness)
                    • Minimizing Hospital-Related Harms
                    • Involvement of multidisciplinary teams:
                      • Social workers and care managers for care transitions
                      • Geriatric-certified pharmacists for medication review
                      • Coordination with outpatient services post-discharge
                        • Implementing Geriatric Care in All EDs
                        • Basic geriatric care achievable even in resource-limited or rural EDs.
                        • Level 3 Geriatric ED Accreditation can be achieved through:
                          • Improved care transitions
                          • Staff education enhancements
                          • Age-friendly environments (comfort, nutrition, hydration)
                            • Future of Geriatric Emergency Medicine
                            • Vision: Universal integration of geriatric-focused care.
                            • Goals:
                              • Enhanced patient experience
                              • Improved care transitions
                              • Alignment of treatments with patient goals
                              • Broader enhancement of emergency care quality for all patient populations

                                • The post PODCAST: Geriatric Emergency Medicine first appeared on האיגוד הישראלי לרפואה דחופה.

                                10 min
                              • PODCAST: Geriatric Fever

                                You are working at Clerkship General when you hear an EMS call on the base command radio. “Clerkship General. We are bringing you a minimally responsive 79 year-old female found lying on the floor inside her apartment. ETA 5 minutes”

                                Initial Vitals:

                                HR: 143

                                BP: 160/105

                                Temp: 106.3F

                                RR: 22

                                O2: 99% Room Air

                                Critical Actions:

                                1. Blood glucose
                                2. Obtain core temperature
                                3. Rapidly cool the patient
                                4. Diagnose rhabdomyolysisYou are working at Clerkship General when you hear an EMS call on the base command radio. “Clerkship General. We are bringing you a minimally responsive 79 year-old female found lying on the floor inside her apartment. ETA 5 minutes”

                                  5. Initial Vitals:

                                  HR: 143

                                  BP: 160/105

                                  Temp: 106.3F

                                  RR: 22

                                  O2: 99% Room Air

                                  Critical Actions:

                                  1. Blood glucose
                                  2. Obtain core temperature
                                  3. Rapidly cool the patient
                                  4. Diagnose rhabdomyolysis

                                    5. The post PODCAST: Geriatric Fever first appeared on האיגוד הישראלי לרפואה דחופה.

                                    43 min
                                  5. PODCAST CASE: Nursing Home Transfer

                                    You are working at Clerkship General when the nurse comes up to you and says, “Hey doc, EMS dropped off this guy named Randy from the memory care unit at the nursing home down the street. He’s in the hall bed outside of room 7. EMS says he’s here for confusion, we will get him in a room once we can get one clean.

                                    Initial Vitals:

                                    HR: 118

                                    BP: 109/55

                                    Temp: 102.5 F

                                    RR: 22

                                    O2: 99% Room Air

                                    Critical Actions:

                                    1. Check a blood glucose
                                    2. Obtain a full set of vitals
                                    3. Diagnose necrotizing soft tissue infection
                                    4. Consult surgery before a CT scan
                                    5. Correct antibiotic coverage

                                      6. The post PODCAST CASE: Nursing Home Transfer first appeared on האיגוד הישראלי לרפואה דחופה.

                                      41 min
                                    6. PODCAST: GERIATRIC EM

                                      It’s no secret that the U.S. population is aging. We are fully aware of this in the ED, where many of our sickest patients are older adults. But what many general EM providers don’t realize is just how different our elderly patients’ needs may be. In this episode, we talk with Geriatric Emergency Medicine specialist, Dr. Jennifer Kristjansson, about some health concerns that predominantly affect our geriatric patients. She highlights key areas we should we aware of and offers advice for optimizing ED care for older adults.  

                                      Send us your questions and feedback on social media, @empulsepodcast, via email [email protected], or through our website, ucdavisem.com. Head over to ITunes and leave us a review – it helps us reach more people. And please pass the word along to your friends and colleagues!

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                                      Hosts:

                                      Dr. Sarah Medeiros, Associate Professor of Emergency Medicine at UC Davis

                                      Guest:

                                      Dr. Jennifer Kristjansson, Assistant Professor of Emergency Medicine at UC Davis; fellowship trained in Geriatric Emergency Medicine

                                      Resources:

                                      ACEP Geriatric Emergency Department Guidelines

                                      The post PODCAST: GERIATRIC EM first appeared on האיגוד הישראלי לרפואה דחופה.

                                      25 min

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                                    The Israel Association for Emergency Medicine