Emergencies in the Older Adult, An Issue of Emergency Medicine Clinics of North America

1st Edition, Volume 39-2 - April 22, 2021
Editors: Robert A Anderson, Phillip Magidson, Danya Khoujah
Language: English
Hardback ISBN:
9 7 8 - 0 - 3 2 3 - 7 7 6 6 2 - 2
eBook ISBN:
9 7 8 - 0 - 3 2 3 - 7 7 6 6 3 - 9

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… Read more

Emergencies in the Older Adult, An Issue of Emergency Medicine Clinics of North America

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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.

Cover image
Title page
Table of Contents
Copyright
Contributors
Forthcoming Issues
Foreword
Preface
Trends in Geriatric Emergency Medicine
Key points
Introduction
Epidemiology
Accreditation and care models
Screening tools
Education/workforce preparation
Anticipated challenges and future opportunities
Summary
Clinics care points
Geriatric Trauma
Key points
Introduction/epidemiology
Age-related changes in older adults
Common injuries
Management
Disposition considerations
Summary
Clinics care points
Resuscitation of the Critically Ill Older Adult
Key points
Epidemiology of critical illness in older adults
Physiology of aging and critical illness
Management of shock in the older adult
Management of respiratory failure in the older adult
Advance directives and goals of care
Summary
Clinics care points
Rapid Fire: Acute Brain Failure in Older Emergency Department Patients
Key points
Case
Learning points
Predisposing factors and precipitating insults for delirium
History
Physical examination
Making the diagnosis
Work-up
Prevention and management
Disposition: does everybody need to be admitted?
Case conclusion
Summary: implementing change
Clinics pearls
Chronic Brain Failure
Key points
Case
Introduction and Background
Assessing patients
Treating Patients
Treatment of acute agitation
Treatment of chronic symptoms
Decision-making capacity
Disposition
Discussion
Cardiopulmonary Emergencies in Older Adults
Key points
Introduction
Atrial fibrillation
Congestive heart failure
Pulmonary embolism
Pneumonia
Coronavirus infectious disease 2019 considerations
Summary
Clinics care points
Identification of Acute Coronary Syndrome in the Elderly
Key points
Rapid fire: identification of acute coronary syndrome in the older adult
Introduction
Presentation and diagnosis
Pathophysiology of “atypical” symptoms
Common presentations of acute coronary syndrome in older adults
Utility of troponin in patients with nonspecific symptoms
Electrocardiographic interpretation in older adults
Outcomes of acute coronary syndrome in older adults without chest pain
Reframing “typical” symptoms
Systematic solutions
Case revisited
Clinics care points
Disaster Diagnoses in Geriatric Patients with Abdominal Pain
Key points
Introduction
Epidemiology
Features of Common Conditions
Summary
Genitourinary Emergencies in Older Adults
Key points
Introduction
Background
Urinary tract pathology
Urinary tract infections
Female genital pathology
Male external genital pathology
Clinics care points
Infections in Older Adults
Key points
Introduction
Aging and the atypical presentation
Pneumonia and influenza
Urinary tract infection
Gastrointestinal infections
Skin and Soft Tissue Infections
Antimicrobial Stewardship
Summary
Clinics care points
Rapid Fire: Polypharmacy in the Geriatric Patient
Key points
Case
Learning points
Case conclusion
Discussion
Clinics care points
Elder Abuse—A Guide to Diagnosis and Management in the Emergency Department
Key points
Background
Outcomes of abuse
Identifying elder abuse and neglect in the emergency department
Screening
Reporting
Disposition
Special topics
Summary
Clinics care points
Physical Therapy, Occupational Therapy, and Speech Language Pathology in the Emergency Department: Specialty Consult Services to Enhance the Care of Older Adults
Key points
Introduction
Background
Role of physical therapy
Role of occupational therapy
Role of the speech-language pathologist
Incorporating rehabilitation medicine into the emergency department
Case studies: applying rehabilitation medicine services in emergency department
Summary
Clinics care points
Applying Geriatric Principles to Transitions of Care in the Emergency Department
Key points
Introduction
The impact of care settings
Choosing the appropriate care setting
Case studies: applying the 4-Ms model to emergency department cases
Summary
Clinics care points
Clinical Relevance and Considerations of Palliative Care in Older Adults
Key points
Introduction and epidemiology
Interventions and considerations
Summary
Clinics care points

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Robert A Anderson

Phillip Magidson

Danya Khoujah