Emergencies In The Older Adult An Issue Of Emergency Medicine Clinics Of North America

This issue of Emergency Medicine Clinics, guest edited by Drs. Robert Anderson, Phil Magidson and Danya Khoujah, focuses on Emergencies in the Older Adult. This is one of four issues each year selected by the series consulting editor, Dr. Amal Mattu. Articles in this issue include, but are not limited to: Trends in Geriatric Emergency Medicine, Pharmacologic Considerations in Older Adults, Geriatric Trauma, Resuscitation of Older Adults, Acute Brain Failure, Chronic Brain Failure, Cardiopulmonary Emergencies, ACS in Older Adults, Abdominal Emergencies, Genitourinary Emergencies, Infections in Older Adults and Elder Abuse.

This issue of Emergency Medicine Clinics focuses on Geriatric Emergencies. Articles include: Recent Trends in Geriatric Emergency Medicine, Resuscitation of the Elderly, Pharmacology in the Geriatric Patient, Trauma and Falls in the Elderly, Sepsis and Infectious Emergencies in the Elderly, Evaluation of the Geriatric Patient with Chest Pain, Evaluation of Dyspnea in the Elderly, Abdominal Pain in the Geriatric Patient, Neurologic Emergencies in the Elderly, Evaluation of Syncope, Altered Mental Status and Delirium, and more!

This issue of Clinics in Geriatric Medicine, guest edited by Drs. Michael Malone and Kevin Biese, is devoted to Care for the Older Adult in the Emergency Department. Articles in this outstanding issue include: Approach to the Older Patient in the Emergency Department; Ten Best Practices for Older Adults in the Emergency Department; Delirium and Dementia; Falls and Geriatric Trauma; Older Adults in the Emergency Department with Frailty; Communication Strategies to Better Care for Older Individuals in the Emergency Department; Systems-based Practice to Improve Care Within and Beyond the Emergency Department; Common Medication Management Approaches for Older Adults in the Emergency Department; Elder Abuse and Neglect; Care of those with end-of-life needs / Advanced illnesses in the Emergency Department; Behavioral Health Needs of Older Adults in the Emergency Department; and Pain Management Strategies for Older Adults.

This issue of Emergency Medicine Clinics focuses on Geriatric Emergencies. Articles include: Recent Trends in Geriatric Emergency Medicine, Resuscitation of the Elderly, Pharmacology in the Geriatric Patient, Trauma and Falls in the Elderly, Sepsis and Infectious Emergencies in the Elderly, Evaluation of the Geriatric Patient with Chest Pain, Evaluation of Dyspnea in the Elderly, Abdominal Pain in the Geriatric Patient, Neurologic Emergencies in the Elderly, Evaluation of Syncope, Altered Mental Status and Delirium, and more!

Care for older adults in Emergency Departments (EDs) has historically been focused on acute medical conditions with little emphasis on geriatric-specific issues. In 2010, emergency departments (EDs) throughout the nation saw almost 130 million patients, 15% of whom were 65 or older. The number of older adults who visit an ED has doubled in the last decade and continues to grow rapidly. Older adults receiving care in an ED are highly likely to be admitted to the hospital, much more so than their younger counterparts. Preventing a hospital admission saves older adults from frequently encountered adverse events, including hospital-acquired delirium, functional status impairment, cognitive loss, and nursing home admission. It is unknown how many older adults are hospitalized for reasons other than acute medical illness, such as functional decline, polypharmacy, progressive dementia, caregiver stress, or unstable living situation. These non-emergent conditions are rarely addressed during a typical ED visit due to lack of resources, significant patient volumes, and the need for rapid turnover of care spaces. The predominant management strategy of emergency physicians to handle these important but not imminently life-threatening geriatric issues is to recommend hospital admission. Northwestern has pioneered the Geriatric Emergency Department through the creation of the Geriatric Emergency Department Innovation model (GEDI), with goals to prevent admissions for older adults by assessing and meeting their geriatric-specific, non-acute care needs in the ED. The GEDI model at Northwestern centers on a multi-disciplinary curriculum composed of clinical, didactic, and practical arms developed by emergency medicine and geriatrics educational experts. In this title, we will present case studies of older adults seen in the Emergency Department through the GEDI model and discuss means of identifying/screening for, diagnosing, and treating geriatric syndromes seen in the emergent care of the older adult patient. In addition, there will be a set of concise “take-home points” for each case study that will be easy to commit to memory and implement in clinical care of older adults. As the number of seniors seeking emergent care will continue to increase, the ED setting must become responsive to geriatric-specific needs. This book will provide a variety of models detailing how to offer comprehensive, state-of-the-art, optimal care for managing the full range of geriatric syndromes that regularly present in the emergent care setting.

In this issue of Emergency Medicine Clinics, guest editors Drs. Jeremy G. Berberian and Leen Alblaihed bring their considerable expertise to the topic of Cardiovascular Emergencies. Top experts in the field cover key topics such as approach to the pediatric ECG; ACS in women; the aging heart; cardiogenic syncope; the ischemic ECG; and more. Contains 14 relevant, practice-oriented topics including evaluation and management of pacemaker malfunction; medicolegal topics in emergency cardiology; tachydysrhythmias; ED evaluation and management of patients with LVAD; acute heart failure; cardiovascular pharmacology; and more. Provides in-depth clinical reviews on cardiovascular emergencies, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

In this issue of Emergency Medicine Clinics, guest editors Drs. Kimberly A. Boswell and Christopher Hicks bring their considerable expertise to Trauma Emergencies. Top experts in the field cover key topics such as management of the complex airway in the trauma setting; neck trauma; trauma in the aging population; pediatric trauma; trauma patients in shock; minor procedures in trauma; and more. Contains 15 relevant, practice-oriented topics including neurotrauma update; the Big Five: heroic procedures in the trauma bay; new approaches to pain management in trauma; new uses for ultrasound in trauma; intimate partner violence and human trafficking; and more. Provides in-depth clinical reviews on trauma emergencies, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

This issue of Emergency Medicine Clinics, guest edited by Drs. Michael C. Bond and Arun Sayal, focuses on Orthopedic Emergencies. This is one of four issues each year selected by the series consulting editor, Dr. Amal Mattu. Articles in this issue include, but are not limited to: Emergency Medicine Orthopedic Assessment: Pearls/Pitfalls; Emergency Orthogeriatrics: Concepts and Therapeutic Considerations for the Elderly Patient; Pediatric Orthopedic Emergencies; The Emergent Evaluation and Treatment of Hand and Wrist Injuries; The Emergent Evaluation and Treatment of Elbow and Forearm Injuries; The Emergent Evaluation and Treatment of Shoulder, Clavicle and Humerus Injuries; The Emergent Evaluation and Treatment of Pelvic, Hip and Femur Injuries; The Emergent Evaluation and Treatment of Knee and Leg Injuries; The Emergent Evaluation and Treatment of Ankle and Foot injuries; The Emergent Evaluation and Treatment of Neck and Back Pain; Risk Management and Avoiding Legal Pitfalls in the Emergency Treatment of High-Risk Orthopaedic Injuries; Sports Medicine Update: Mild Traumatic Head Injury; Pain Management for Orthopaedic Injuries; and Ultrasound Imaging in Orthopaedic Injuries.