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Christina Shenvi

GEMCAST

A Science podcast

#159 in Science · 🇮🇪
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About the show

Welcome to GEMCAST! Shownotes and more info are available on https://gedcollaborative.com/resources/?type=podcast. GEMCAST is a Geriatric Emergency Medicine Podcast created to help clinicians, nurses, or paramedics who take care of older adults, particularly in the Emergency Department setting. Welcome! I'm your host, Christina Shenvi. You can connect with me on twitter @clshenvi Disclaimer: By listening to this podcast, you agree not to use this podcast or website as medical advice to treat any medical condition in either yourself or others, including but not limited to patients that you are treating. Consult your own physician for any medical issues that you may be having. This entire disclaimer also applies to any guests or contributors to the podcast or website. Under no circumstances shall this podcast, website, or any contributors to it be responsible for damages arising from use of the podcast. Furthermore, this podcast should not be used in any legal capacity whatsoever, including but not limited to establishing “standard of care” in a legal sense or as a basis for expert witness testimony. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast.

Newest episodes

How to Put the 4Ms Into Practice

34 min

What if the most important thing we can do for an older adult in the emergency department (ED) isn’t just to treat what brought them in - but to protect what matters most to them? Introducing the 4Ms framework: What Matters, Medication, Mentation, and Mobility, a foundation for delivering age-friendly care. In today’s episode, Dr. David Zodda joins GEMCast host Dr. Christina Shenvi to share his expertise on the 4Ms and the importance of addressing them in emergency care. David Zodda is an award-winning board-certified emergency medicine physician, fellowship-trained in evidence-based medicine, and recipient of the National Medicine Award for Clinical Excellence. He is also the founder of BetterMedicine.com, an online social media platform turning research into practical strategies for better health. He practices at Northern Light Mercy Hospital in Portland, Maine. Zodda shares personal stories, highlights emerging evidence, and offers practical approaches to integrate the 4Ms into your practice. Tune in to learn how using the evidence-based framework can help patients maintain independence, reduce avoidable hospitalizations and readmissions, and deliver care that treats the patient, not just the diagnosis. Additional resources and information for this episode can be found at https://gedcollaborative.com/resource/cms-measure/how-to-put-the-4ms-into-practice-age-friendly-care-in-the-ed/ Timestamps 00:00 - Introduction 07:50 - What Matters 11:36 - Mentation 16:59 - Mobility 23:07 - ED Boarders 26:31 - Medication 30:03 - Top Takeaway 31:04 - Future Research 32:38 - Conclusion

Bringing the Heart Back to Medicine by Addressing Social Drivers of Health

37 min

Every time a patient comes to the Emergency Department (ED) for care, there is an opportunity to identify and address factors in their life that may be contributing to their presentation. Social determinants of health (SDOH), including housing instability, access to transportation, economic hardship, and access to healthcare, are the non-medical aspects of a person’s life that influence their health. In today’s episode, Kristie Foster, Director of Nursing Operations at Mt. Ascutney Hospital in Vermont, joins host Dr Christina Shenvi to discuss the screening programme she implemented at her critical-access ED. At the heart of the SDOH screening programme is Kristie’s focus on compassionate care. It starts with a personal, conversation-based approach in which ED technicians use a simple checklist to identify common needs. When a need is identified, a three-tiered approach is initiated to connect patients with resources that can address those needs. Tune in to learn more about how the screening programme works in practice and hear stories from this successful intervention. Additional resources for this episode can be found at https://gedcollaborative.com/resource/what-matters/bringing-the-heart-back-to-medicine-by-addressing-social-drivers-of-health/.

Caring for the Caregiver: How the ED Can Support Caregivers of Patients with Dementia

22 min

In today’s episode of GEMCast, host Dr. Christina Shenvi is joined by Dr. Cameron Gettel to discuss a critical but often overlooked issue in the emergency department (ED): the emergency care needs of family caregivers for persons living with dementia (PLWD). Caregivers play an integral role in supporting these patients, but what about their own acute care needs? Dr. Gettel is an emergency physician and health services researcher at Yale University. His recent study on ED utilization of family caregivers of PLWD found that these caregivers have a 30% higher rate of ED visits compared to matched counterparts. Tune in as Dr. Shenvi and Dr. Gettel discuss why this may be, and how healthcare systems and physicians may attend to the needs of both PLWD and caregivers when they visit the ED. For more information visit https://gedcollaborative.com/resource/dementia/caring-for-the-caregiver-how-the-ed-can-support-caregivers-of-patients-with-dementia/.

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All episodes

How to Put the 4Ms Into Practice

34 min

What if the most important thing we can do for an older adult in the emergency department (ED) isn’t just to treat what brought them in - but to protect what matters most to them? Introducing the 4Ms framework: What Matters, Medication, Mentation, and Mobility, a foundation for delivering age-friendly care. In today’s episode, Dr. David Zodda joins GEMCast host Dr. Christina Shenvi to share his expertise on the 4Ms and the importance of addressing them in emergency care. David Zodda is an award-winning board-certified emergency medicine physician, fellowship-trained in evidence-based medicine, and recipient of the National Medicine Award for Clinical Excellence. He is also the founder of BetterMedicine.com, an online social media platform turning research into practical strategies for better health. He practices at Northern Light Mercy Hospital in Portland, Maine. Zodda shares personal stories, highlights emerging evidence, and offers practical approaches to integrate the 4Ms into your practice. Tune in to learn how using the evidence-based framework can help patients maintain independence, reduce avoidable hospitalizations and readmissions, and deliver care that treats the patient, not just the diagnosis. Additional resources and information for this episode can be found at https://gedcollaborative.com/resource/cms-measure/how-to-put-the-4ms-into-practice-age-friendly-care-in-the-ed/ Timestamps 00:00 - Introduction 07:50 - What Matters 11:36 - Mentation 16:59 - Mobility 23:07 - ED Boarders 26:31 - Medication 30:03 - Top Takeaway 31:04 - Future Research 32:38 - Conclusion

Bringing the Heart Back to Medicine by Addressing Social Drivers of Health

37 min

Every time a patient comes to the Emergency Department (ED) for care, there is an opportunity to identify and address factors in their life that may be contributing to their presentation. Social determinants of health (SDOH), including housing instability, access to transportation, economic hardship, and access to healthcare, are the non-medical aspects of a person’s life that influence their health. In today’s episode, Kristie Foster, Director of Nursing Operations at Mt. Ascutney Hospital in Vermont, joins host Dr Christina Shenvi to discuss the screening programme she implemented at her critical-access ED. At the heart of the SDOH screening programme is Kristie’s focus on compassionate care. It starts with a personal, conversation-based approach in which ED technicians use a simple checklist to identify common needs. When a need is identified, a three-tiered approach is initiated to connect patients with resources that can address those needs. Tune in to learn more about how the screening programme works in practice and hear stories from this successful intervention. Additional resources for this episode can be found at https://gedcollaborative.com/resource/what-matters/bringing-the-heart-back-to-medicine-by-addressing-social-drivers-of-health/.

Caring for the Caregiver: How the ED Can Support Caregivers of Patients with Dementia

22 min

In today’s episode of GEMCast, host Dr. Christina Shenvi is joined by Dr. Cameron Gettel to discuss a critical but often overlooked issue in the emergency department (ED): the emergency care needs of family caregivers for persons living with dementia (PLWD). Caregivers play an integral role in supporting these patients, but what about their own acute care needs? Dr. Gettel is an emergency physician and health services researcher at Yale University. His recent study on ED utilization of family caregivers of PLWD found that these caregivers have a 30% higher rate of ED visits compared to matched counterparts. Tune in as Dr. Shenvi and Dr. Gettel discuss why this may be, and how healthcare systems and physicians may attend to the needs of both PLWD and caregivers when they visit the ED. For more information visit https://gedcollaborative.com/resource/dementia/caring-for-the-caregiver-how-the-ed-can-support-caregivers-of-patients-with-dementia/.

Delirium Clinical Practice Guidelines: What Do We Know, and What Should We Do?

39 min

Dr. Danya Khoujah joins GEMCast host Dr. Christina to dive into the first clinical practice guideline in the Geriatric Emergency Department (GED) Guidelines 2.0, which is dedicated to delirium. Delirium is a clinical syndrome characterised by acute and fluctuating disturbances of attention, awareness, perception or consciousness and it commonly affects older adults presenting to the ED. However, it is often missed, which has significant impacts on mortality and functional status of older patients. Khoujah is an attending physician in the Department of Emergency Medicine at AdventHealth Tampa in Florida, and host of GEDC’s expert-panel webinars. She is part of the multidisciplinary team that created this GRADE-based clinical guideline, and in this episode, she talks through the development and recommendations arising from the guideline. The group aimed to assess the quality and applicability of direct and indirect evidence, with the goal of providing ED clinicians a patient-centred approach to delirium. To do so they asked 3 key questions: Which older patients in the ED are at higher risk of delirium? Which diagnostic tests are effective at identifying ED delirium? Do older ED patients with delirium need a CT head? Tune in to today’s episode to hear more about screening, diagnosing and brain imaging for delirium in the ED, and keep an eye out for upcoming clinical guidelines in the GED Guidelines 2.0 series including medication safety, fall prevention, Find more information about this topic at https://gedcollaborative.com/resource/delirium/delirium-clinical-practice-guidelines-what-do-we-know-and-what-should-we-do/ GEMCAST is a Geriatric Emergency Medicine Podcast created to help clinicians, nurses, or paramedics who take care of older adults, particularly in the Emergency Department setting. GEMCast episodes, show notes and recommended resources can be found on the GEDC website at gedcollaborative.com/resources/?type=podcast.

The 17‑Hour Turnaround: Rapid, Safe Observation Care for Older Adults

40 min

In this GEMCast episode host Dr. Christina Shenvi is joined by Dr. Meredith Busman, Director of Observation Medicine at Corewell Health West in Grand Rapids Michigan, Program Director for the Observation Medicine Fellowship at Emergency Care Specialists, and co-chair of the ACEP Accelerate Observation Medicine: Science and Solutions conference. Observation medicine is an outpatient service that encompasses rapid treatment, assessment, and reassessment of select patients with the hopes of avoiding admission. Learn more about this new and rapidly developing subspecialty of emergency medicine, how ED-directed observation units function, and how they are particularly beneficial for older patients or those with dementia. The care provided in an observation unit uses predetermined protocols and pathways, leading to the notably shorter length of stay (LOS) – Dr. Busmans’ unit has an average LOS of just 17 hours! A rapid turnaround, coupled with efficient care from specialists and multidisciplinary input, leads to better outcomes for patients. In older patients who are susceptible to unfavorable outcomes such as delirium and deconditioning from either ED boarding or inpatient stays, the impact of a specialized service can be significant on acute and long-term health. Alongside the benefits for patients, an observation unit helps offload patients from other services and can improve patient flow through busy EDs. For more show notes visit https://gedcollaborative.com/resource/boarding/the-17-hour-turnaround-rapid-safe-observation-care-for-older-adults/.

Fire, Flood, and Fragility: Disasters Through a Geriatric Lens

33 min

Dr. Stephen Gamboa is an Adjunct Associate Professor at UNC and medical director of UNC Health Pardee's emergency department in Hendersonville, North Carolina. In today’s GEMCast episode, he shares his first-hand experiences from two major natural disasters: the 2017 Tubbs Fire in Northern California and Hurricane Helene, which hit Western North Carolina in 2024. As he joins host Dr. Christina Shenvi, the two talk about how these events have a disproportionate impact amongst our frail older patients, which can be attributed to age-related comorbidities, reduced mobility, and higher care needs. Tune in and hear a variety of innovative solutions brought about by the various challenges that these major events can pose. The immediate impacts of natural disasters, such as smoke inhalation and needing to rapidly evacuate homes and skilled nursing facilities (SNFs), are just the tip of the iceberg. Older patients with decompensation or exacerbations of chronic conditions made up a large proportion of the increased demand on EDs following these disasters. Coupled with power outages, electricity shortages, no internet connectivity, and pharmacies closing, Dr. Gamboa describes how his team had to adapt quickly and how system-level support from UNC during Hurricane Helene, including staff, equipment and transport, was crucial to providing care to these vulnerable patients. Find more information about this topic at https://gedcollaborative.com/resource/falls/fire-flood-and-fragility-disasters-through-a-geriatric-lens/ . GEMCAST is a Geriatric Emergency Medicine Podcast created to help clinicians, nurses, or paramedics who take care of older adults, particularly in the Emergency Department setting. GEMCast episodes, show notes and recommended resources can be found on the Geriatric Emergency Department Collaborative (GEDC) website at https://gedcollaborative.com/resources/?type=podcast.

Acute care of persons living with Dementia: From the clinic to the ED and back

42 min

In this episode of GEMCast, Dr. Christina Shenvi sits down with Dr. Christina Prather, Director of Geriatrics and Palliative Medicine at George Washington University, for a dynamic, coffee-style conversation about innovations and challenges in geriatric emergency care. They explore strategies for supporting older adults with dementia, preventing avoidable ED visits, and advancing patient-centered care through better communication, system protocols, and interdisciplinary teamwork. Listen in for practical tips, real-world stories, and insights on how emergency clinicians and leaders can better navigate the complexities of cognitive impairment and deliver compassionate, collaborative care to our aging population. Additional resources can be found at https://gedcollaborative.com/resource/dementia/acute-care-of-persons-living-with-dementia-from-the-clinic-to-the-ed-and-back/.

Frailty Frontline: How to identify frailty, and what to do next

31 min

In this episode of GEMCast, host Dr. Christina Shenvi is joined by Dr. James Van Oppen, emergency physician and frailty expert at the University of Sheffield, to discuss the rising importance of frailty in emergency medicine. Frailty, defined as the loss of physiological resilience, is both common and clinically significant for older adults presenting to the emergency department (ED). The two discuss what frailty means, how it can be identified, and how to approach ED assessment and management in a frail patient, emphasizing the value of person-centred care. Furthermore, they highlight recent studies regarding frailty, which can be found in the resources below, and discuss the need for system-wide changes to support frailty care. Alongside his work as an emergency physician and clinical lecturer, Dr. van Oppen is the chair of the geriatric emergency medicine section of the European Society of Emergency Medicine. Tune in to this episode to expand your understanding of frailty and hear some practical tips to improve your clinical practice.

Getting Hotter Heat Emergencies in Older Adults

33 min

Climate change, and the associated increase in frequency and severity of heat waves, poses a threat to health. Amongst the most at risk for heat-related emergencies are older adults; age-associated physiologic vulnerabilities, chronic conditions, medications that disrupt thermoregulatory responses, and social determinants all contribute to an increased risk of heat-related illness in this population. When an older adult presents to the emergency department (ED) with vague or subtle symptoms of heat exhaustion or heat stroke, they may be missed by ED practitioners – a concerning thought as these patients are at a greater risk of mortality from heat-related emergencies. Optimal management of these presentations requires clinical recognition and treatment within the ED as well as pre-hospital interventions that can be given by emergency medical services (EMS). GEMCast host Dr. Christina Shenvi is joined by Geoff Comp, Associate Program Director at Creighton University School of Medicine/Valleywise Health Medical Center in Phoenix, Arizona, as the two do an in-depth review of this critical topic. Dr. Comp holds a wilderness medicine fellowship through the Wilderness Medical Society and is an expert in heat-related illness. Show notes are available on the Geriatric Emergency Department Collaborative (GEDC) website. https://gedcollaborative.com/resource/atypical-presentations/getting-hotter-heat-emergencies-in-older-adults/

POCUS for Delirium and Agitation: Be ABLE

31 min

Our population is aging, and with that comes an increase in the number of older adults in emergency departments. Delirium affects up to 1/3 older adults who present to the ED and is a medical emergency that is often overlooked by ED clinicians. In this episode of GEMCast host Dr. Christina Shenvi discusses the importance of recognising delirium, documenting it, and intervening where possible in the ED with Dr. Kayla Furlong and Dr. Gillian Sheppard. Dr. Furlong and Dr. Sheppard are both emergency medicine physicians in St. John’s, Newfoundland & Labrador, who are experts in point of care ultrasound (POCUS). Dr. Furlong is a Clinical Assistant Professor in the Faculty of Medicine at Memorial University and is the Chair of the CAEP Geriatric EM Committee. Dr. Sheppard is an Associate Professor and Chair of the Discipline of Emergency Medicine at Memorial University. She is also a Diplomate of the Royal College of Physicians of Canada with an Area of Focused Competence in POCUS and is the education lead for the Canadian Association of Emergency Physicians Emergency Ultrasound Committee. They have taken a special interest in whether the use of POCUS increases the ED clinicians’ ability to determine the aetiology of a geriatric patient’s delirium or agitation, and in doing so have developed the ABLE approach. They discuss why and how POCUS can be a useful tool and provide helpful tips for ED clinicians for how to implement POCUS. Tune in to learn more about how to approach older adults in the ED considering delirium, agitation, and the challenges they present. For further show notes head to https://gedcollaborative.com/resource/delirium/delirium-agitation-and-the-role-of-pocus-in-older-adults-in-the-ed/

Precision Relief: Nerve Blocks for Pain in Older Patients

46 min

In today’s episode host Dr. Christina Shenvi is joined by Dr. Robert Sternberg, Ultrasound Director at Akron General to discuss ultrasound-guided nerve blocks for precise pain relief in older patients. Ultrasound-guided nerve blocks provide relief from one of the most common emergency department complaints: pain. In addition to their use in acute pain management, nerve blocks can help reduce the use of opioids, reduce hospital length of stay, and improve patient outcomes and experiences. Using case examples, Dr. Sternberg talks through how to perform 4 common types of nerve blocks you may use in the emergency department with an elderly patient: Fascia Iliaca Compartment Block (FICB), Pericapsular Nerve Group (PENG) Block, Serratus Anterior Plane (SAP) Block and Erector Spinae Block (ESB). Tune in to hear indications, key anatomical landmarks, dosing, and techniques for each of the nerve blocks.

Creating A Generational Health Program

26 min

In this episode learn about how the Generational Health Program at Sharp Memorial Hospital in San Diego was developed and expanded to create an extensive care program that provides specialised care for older adults. What started as a pilot program in 2019 is now a multidisciplinary age-friendly collaboration that begins right at admission.   Host Christina Shenvi is joined by 3 experts from Sharp Memorial Hospital who provide insight into how this program operates to provide the highest level of care for older patients. Diane Wintz, MD, a trauma surgeon who was heavily involved in creating the Generational Health Program. Her goal was to change how traditional health care models approach elderly patients presenting to the ED. Kelly Wright, RN, trained as an oncology nurse and now serves as manager of the program, and Stacy Nilsen, PhD RN, who’s focus is on the feasibility, implementation, education and data assessment of the program. Together they discuss the creation and expansion of the program and highlight the most important aspects of what makes it a success.

High-Yield Overview Of The CMS Age-Friendly Measures

33 min

Today’s episode provides an introduction and overview of the 5 domains of the CMS Age-Friendly Hospital Measure. Host Dr. Christina Shenvi is joined by Dr. Marcia Russell to help clarify what each of these domains entail and how they may be carried out in the ED. They also discuss concerns that may be brought about following the implementation of this measure on January 1, 2025, and how these issues might be addressed and minimised. Dr. Marcia Russel is a colorectal surgeon and Associate Professor at UCLA. She has a special interest in the surgical care of older adults and has worked with ACS to improve geriatric surgery through the ACS Geriatric Surgery Verification Program.

Why Less Is More: Strategies For Deprescribing In The ED

21 min

With the upcoming implementation of the new CMS age-friendly hospital measure, hospitals will be required to attest that they review medications to identify potentially inappropriate medications (PIMS) for older adults. Dr. Martin Casey, MD, MPH is an Assistant Professor in the Department of Emergency Medicine at UNC School of Medicine. Dr. Caseys’ work has focused on the identifying PIMS and finding opportunities to reduce the use of, and deprescribe, potentially harmful medications in the emergency department. In this episode, Dr. Christina Shenvi and Dr. Martin Casey will discuss strategies for ED physicians who face unique challenges when assessing older patients’ medications. Using case examples of deprescribing in practice, they illustrate how deprescribing is a nuanced skill and how to approach it.

Global Perspectives On Geriatric EM Care

25 min

Dr. Cristina Shenvi is joined today by a panel to explore Geriatric Emergency Medicine (GEM) from a global perspective. As the global population ages, the importance of GEM and its continued development as a subspecialty becomes increasingly evident. This episode will examine the unique challenges that arise as GEM evolves and how different healthcare systems are adapting to meet these challenges. The panel will also discuss innovative practices and solutions that have emerged in their respective countries to advance GEM and improve care for elderly patients. The expert panel features three distinguished guests: Dr. Mohd Idzwan Zakaria (@prof_idzwan), a senior consultant and professor of Emergency Medicine at University Malaya in Malaysia, specializing in innovative approaches to managing older patients; Dr. Rosa McNamara (@rosaMcNamara), a consultant at St. Vincent’s University Hospital in Dublin, Ireland, and GEM Special Interest Group Chair for the International Federation for Emergency Medicine, with extensive expertise in GEM and medical education; and Dr. Rasha Buhumaid (@Rbuhamaid), an Emergency Physician in Dubai, UAE, President of the Emirates Society for Emergency Medicine, working in both public health and private practice, and an Assistant Professor at Mohammed Bin Rashid University of Medicine and Health Sciences.

Preventing Dementia

38 min

Alzheimer's disease (AD) begins developing in the brain 20-30 years before symptoms start to present in patients. Recent evidence suggests that up to 40% of AD cases could potentially be prevented by addressing modifiable risk factors such as insufficient education, hearing loss, hypertension, obesity, smoking, depression, social isolation, physical inactivity, diabetes, excessive alcohol consumption, air pollution, and traumatic brain injury.  Dr. Christina Shenvi is joined once again by Dr. Richard Isaacson, M.D., a Harvard-trained preventive neurologist and world-renowned researcher at the Institute for Neurodegenerative Diseases in Florida. In 2013, he founded the Alzheimer's Prevention Clinic at Weill Cornell Medicine and New York-Presbyterian, the first of its kind in the United States. In this episode of GEMCast they focus on the importance of individualized intervention and prevention as the future of AD treatment.

Revive And Survive- Pearls For Resuscitation Of Older Adults In The ED

53 min

Resuscitation of older adults in the emergency department poses unique challenges for physicians. Understanding the differences between a typical resuscitation process compared to a resuscitation of an older adult is essential to appropriately manage and treat this population. In this episode Dr. Cliff Reid joins Dr. Christina Shenvi to explore these differences and the associated challenges, and highlight some tools he uses in his own practice. Cliff Reid, MD, is an Emergency, Retrieval, and Critical Care Physician and educator in the greater Sydney area with a focus on resuscitation of adults and children.

Constipation: What To Do Between a Rock and a Hard Place

36 min

In 2021 constipation related visits to the ED reached over 1 million.The prevalence of constipation in elderly individuals in the community is between 15-30% and for those living in nursing homes or long-term care facilities it ranges between 50-75%. While constipation itself is not usually life-threatening, it can be indicative of life-threatening diseases or disorders and therefore a comprehensive history and physical assessment of patients is essential to avoid missing a critical diagnosis. Sarah Lee is an emergency physician at the University of Maryland. In this episode she joins Dr. Christina Shenvi to discuss the presentation, risk factors, assessment and management of constipation in geriatric patients in the ED.

How to Create Safe Transitions of Care for Older Patients

37 min

Any transition of care has risks, especially for older patients. In this episode of GEMCast, Dr. Shenvi and Dr. Magidson talk about the importance of thoughtful and deliberate transitions of care for older adults.

The Winding Road to Geriatric EM

40 min

Join Dr. Christina Shenvi and Dr. Teresita Hogan as they walk through the history of geriatric emergency medicine. Learn about the challenges, changes, and breakthroughs that have shaped this field over the past 40 years.

Dementia Research in ED Settings

21 min

In this episode of GEMCast Dr. Christina Shenvi is joined by Dr. Chris Carpenter to discuss GEAR 2.0-Advancing Dementia Care. Learn how GEAR 2.0 identified and prioritized research gaps in emergency care for persons living with dementia and their care partners.

Do Anticoagulants Matter After a Head Injury?

24 min

Dr. Christina Shenvi sits down with Dr. Kerstin de Wit to learn how much anticoagulation matters in terms of increasing the risk of intracranial hemorrhage after a ground-level fall.

Geri Immersive Simulation

35 min

Dr. Shenvi is joined by Dr. Alice Gray and Dr. Brittany Ellis to discuss geriatric experiential education.

Creating a Geriatric Emergency Department

27 min

Dr. Shenvi sits down with Dr. Don Melady and Dr. John Schumacher to discuss their new book: Creating a Geriatric Emergency Department. The book is practical and accessible, providing essential guidance on assessing the ED care of older patients - and improving it.

Infections in Older Adults

31 min

Infections in older adults are common, and often present atypically leading to delayed diagnosis and increased morbidity and mortality - Dr. Shenvi and Dr. Khoujah discuss

Dementia Care in the ED

17 min

Dementia in the ED is a critical and often overlooked issue. Dr Binkley and Dr. Shenvi discuss.

Pain Management in Older Adults in the ED

52 min

In this episode we discuss inadequate pain assessment in older adults, opiophobia, lack of current pharmacologic knowledge, and how to better manage pain in older adults in the ED.

Failure to Thrive and Frailty

19 min

Dr. Selman and I discuss the value and importance of understanding and evaluating frailty in older adults in the Emergency Department.

Genitourinary Emergencies in Older Adults

22 min

Nicole Soria and Danya Khoujah join in as we discuss the importance of GU emergencies in older adults and get clinical tips to do better in your ED.

COVID ICU Week 1

50 min

Dr. Kusum Mathews discusses her experience as the attending on the first week of the COVID ICU in her hospital. We discuss vent management, ethics, protecting our families, and coping skills. There are links to the surviving sepsis COVID-19 recommendations and other training resources at www.gempodcast.com

COVID-19 in the Elderly

23 min

Dr. Tess Hogan and I discuss COVID-19 and the elderly. Mortality is highest in this population. What can we do to make sure we don't miss it, and to help prevent spread? See: www.gempodcast.com for show notes. Image from cdc.gov.

GED Models Of Care

24 min

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/

Ten Commandments of Geriatric EM

33 min

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

Principles of Geriatric EM Care

27 min

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.

See all 78 episodes

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