Episode 34: Geriatric Emergency Medicine

Emergency Medicine Cases

Dr. Anton Helman

Education, Health & Fitness, Courses, Medicine, Science

4.7 • 602 Ratings

🗓️ 8 July 2013

⏱️ 106 minutes

🔗️ Recording | iTunes | RSS

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Summary

In this episode Dr. Don Melady, Canada's leading educator in Geriatric Emergency Medicine (Geri-EM) & Dr. Jaques Lee, one of Canada's leading researchers in Geri-EM, discuss the common yet challenging Geriatric Emergencies: a practical approach to geriatric Delirium, best practice for managing agitation and pain in the older patient, management of recurrent falls, pearls in the assessment of the 'Weak & Dizzy' geriatric patient, atypical presentations of common life threatening emergencies including ACS and surgical abdomen, key drug interactions in the geriatric patient and more..

Transcript

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0:00.0	Welcome to Emergency Medicine Cases.com.
0:03.8	I'm your host, Dr. Anton Hellman, bringing you Canada's brightest minds in emergency medicine
0:08.7	from EMC Studios in Toronto.
0:27.6	In this month's episode number 34 on geriatric emergencies, we have with us Dr. Don Malady and Dr.
0:34.2	Jack Lee. Dr. Malady is an emergency physician at Mount Sinai Hospital in Toronto and a lecturer at the University of Toronto.
0:38.5	He teaches in the undergraduate and postgraduate programs at the Faculty of Medicine, where his academic interest is of older patients in the ED. He created and teaches
0:44.1	an award-winning seminar series for EM residents on geriatric emergency medicine and is the creator
0:49.6	of the CME interactive website jerry-em.com. Dr. Jack Lee is an emergency physician and director
0:57.4	of EM research at Sunnybrook Health Science Center in Toronto. He's an assistant professor
1:02.2	at the University of Toronto and associate editor of the Canadian Journal of Emergency Medicine.
1:07.2	The fastest growing age group in the North American population are those over the age of 65,
1:12.6	and we're doing a better job every year of keeping these patients alive longer.
1:17.6	So we're seeing more and more of these patients in the ED.
1:20.6	This is a fact of ED life.
1:23.6	Patients over the age of 65 comprise more than 50% of ambulance calls, more than one-third of hospital admissions, and about half of all ICU admissions.
1:33.3	We're also a lot more likely to miss important life-threatening diagnoses in these patients compared to younger patients, and so there's also a higher bounce-back rate, and these patients that are misdiagnosed initially
1:45.3	in the ED have about double the mortality rate.
1:49.2	While the topic of geriatric emergencies isn't exactly the sexiest of EM topics, it is one of the
1:54.7	most important, because as you'll see in this episode, with the help of Dr. Lee and Dr. Malady
2:00.6	will not only learn the pearls and pitfalls
2:03.1	that will help you pick up diagnoses that are so difficult to make in these patients,
2:07.1	but you'll learn how to prevent an enormous amount of morbidity in these patients that we're
	...

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