Welcome to GEMCAST! Shownotes and more info are available on https://gedcollaborative.com/resources/gemcast/ 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 m ...
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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, physica…
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Revive And Survive- Pearls For Resuscitation Of Older Adults In The ED
53:46
53:46
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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 the…
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Constipation: What To Do Between a Rock and a Hard Place
36:52
36:52
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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…
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Why Hospital at Home May be the Best Option for Your Next Patient
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47:19
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Dr. Christina Shenvi and Dr. Mike Craig discuss the "Home Hospital" model and its potential to transform the way we care for older adults, by bringing hospital-level care to patients' homes.By Christina Shenvi
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What ED Physicians need to know about Amyloid Targeting Treatments Part 1
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25:28
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What ED Physicians need to know about Amyloid Targeting Treatments Part 1 by Christina ShenviBy Christina Shenvi
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What ED Physicians need to know about Amyloid Targeting Treatments Part 2
33:47
33:47
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What ED Physicians need to know about Amyloid Targeting Treatments Part 2 by Christina ShenviBy Christina Shenvi
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An Outcome Comparison Between Geriatric and Nongeriatric Emergency Departments
24:21
24:21
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Join Dr. Christina Shenvi and Dr. Cameron Gettel as they talk about a paper that provides the first benchmarks for emergency care process outcomes in geriatric EDs compared with nongeriatric EDs.By Christina Shenvi
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How to Create Safe Transitions of Care for Older Patients
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37:30
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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.By Christina Shenvi
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How Paramedics Can Make a Difference in Geriatric Care
31:51
31:51
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How Paramedics Can Make a Difference in Geriatric Care by Christina ShenviBy Christina Shenvi
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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.By Christina Shenvi
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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.By Christina Shenvi
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Geriatric Transitional Care Nurses and How They Could Help Your ED
31:28
31:28
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In this episode of GEMCast Dr. Christina Shenvi is joined by Pamela Martin and Dr. Ula Hwang to learn about Geriatric transitional care nurses and how they can be incorporated into an ED to improve care for older patients.By Christina Shenvi
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How Can We Improve the Patient Experience for Older Adults?
18:17
18:17
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Dr. Christina Shenvi is joined by Dr. Lucas Da Silva for a conversation about the concept of patient experience and why it is important to older adult care in the emergency department.By Christina Shenvi
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Do You Know How to Diagnose Pneumonia in Older Patients?
26:02
26:02
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In this episode, GEMCast host Dr. Christina Shenvi is joined by Dr. Katie Buck to discuss the challenges surrounding diagnosing older adults with pneumonia.By Christina Shenvi
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Do Anticoagulants Matter After a Head Injury?
24:04
24:04
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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.By Christina Shenvi
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How to Diagnose and Manage Vertebral Compression Fractures in the ED
35:09
35:09
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Dr. Christina Shenvi and Dr. Robert Dachs discuss how ED clinicians can identify and manage vertebral compression fractures in older adults.By Christina Shenvi
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How to Identify and Intervene for Geriatric Self-Neglect
31:55
31:55
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Dr. Christina Shenvi and Dr. Lauren Southerland have a conversation about self-neglect; a complicated geriatric syndrome that is both a diagnostic and care coordination challenge.By Christina Shenvi
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Dr. Shenvi is joined by Dr. Alice Gray and Dr. Brittany Ellis to discuss geriatric experiential education.By Christina Shenvi
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How to Help Prevent the Next Fall in Your Older Patients
25:45
25:45
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Dr. Shenvi sits down with Dr. Elizabeth Goldberg to discuss ways to prevent and manage falls for older adults in the ED.By Christina Shenvi
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Creating a Geriatric Emergency Department
27:39
27:39
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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.By Christina Shenvi
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Safely Caring for the Agitated Older Adult in the Emergency Department
39:55
39:55
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Dr. Shenvi sits down with Dr. Maura Kennedy to discuss safe and effective management of agitated older patients, and the role of dementia in producing these symptoms.By Christina Shenvi
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Infections in older adults are common, and often present atypically leading to delayed diagnosis and increased morbidity and mortality - Dr. Shenvi and Dr. Khoujah discussBy Christina Shenvi
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Dementia in the ED is a critical and often overlooked issue. Dr Binkley and Dr. Shenvi discuss.By Christina Shenvi
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Pain Management in Older Adults in the ED
52:55
52:55
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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.By Christina Shenvi
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Acute Brain Failure in Older Emergency Department Patients
26:49
26:49
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Debra Eagles and Danya Khoujah discuss delirium as a medical emergency and how to prevent, recognize, diagnose, and treat delirium in the ED.By Christina Shenvi
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Dr. Selman and I discuss the value and importance of understanding and evaluating frailty in older adults in the Emergency Department.By Christina Shenvi
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Genitourinary Emergencies in Older Adults
22:59
22:59
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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.By Christina Shenvi
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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…
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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.By Christina Shenvi
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By Christina Shenvi
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Christian Nickel describes and explains the 10 "commandments" of geriatric EM care. See www.gempodcast.com for references and more.By Christina Shenvi
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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.By Christina Shenvi
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Dr. Lauren Southerland and I discuss her recent paper on the importance of and how to do a discharge risk assessment in elderly patients in the ED. For more, go to www.gempodcast.comBy Christina Shenvi
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Hypertensive Emergencies Management with Clevidipine
13:48
13:48
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Leah Hatfield and I discuss the potential benefits of clevidipine for management of Hypertensive Emergencies. Learn more about indications, dosing, titration, and potential contra-indications. For full shownotes, credits, and references, see www.gempodcast.comBy Christina Shenvi
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Advance Care Planning - What does it all mean?
23:48
23:48
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Drs. Ferdinando Mirarchi and Marie-Carmelle Elie explain the meaning and ramifications of different types of advance care planning orders and what they mean to physicians, APPs, or nurses caring for patients.Image credit: pixabay.com/photos/business-signature-contract-962355/Sound credit:www.freesound.org/people/HerbertBoland/sounds/128544/…
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Shan Liu talks about why we should avoid the term "mechanical fall" and how we can help prevent future falls from the ED. See www.gempodcast.com for references and more.By Christina Shenvi
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Dr. Sandy Schneider and I discuss a new toll released by ACEP for assessing and managing older adults with agitation and confusion. See the full show notes at www.gempodcast.com.The tool is available at www.acep.org/adeptBy Christina Shenvi
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Are Orthostatic Vital Signs Helpful in the ED?
21:50
21:50
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21:50
Maura Kennedy discusses a recent paper on orthostatic vital signs. The conclusions may surprise you! See www.gempodcast.com for more info and the paper reference.By Christina Shenvi
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Sergey Motov discusses his recent paper on subdissociative ketamine in older adults. See www.gempodcast.com for more info and the full reference.By Christina Shenvi
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Mary Mulcare and I talk about how to diagnose and treat UTIs, the dangers of catheters, and how to protocolize catheter reduction. See https://gempodcast.com/2018/02/02/utis-in-older-adults/ for show notes, more info, and references.By Christina Shenvi
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Zara Cooper is an acute care and trauma surgeon at the Brigham and Women's hospital. See www.gempodcast.com for full details and show notes.This podcast uses sounds from freesound.org by Jobro and HerbertBoland.Image is from: https://pixabay.com/en/heart-first-aid-medical-medicine-2730784/By Christina Shenvi
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Geriatric ED Accreditation - And Why You Should Care
24:08
24:08
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Chris Carpenter discusses the new ACEP accreditation of Geriatric EDs and what your ED would need to do to become accredited. See www.gempodcast.com for full shownotes and more info or to leave a comment.Music credit: Bob Dylan, The Times They Are Changing, 1964, Columbia RecordsBy Christina Shenvi
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Preventing Falls in the Elderly: an EMS story
29:14
29:14
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David Silfen, an EMS provider describes a program he has helped initiate to intervene with older adults who have a high falls risk.See www.gempodcast.com for full details and show notes.This podcast uses sounds from freesound.org by Jobro and HerbertBoland.Image credit: https://pixabay.com/en/step-falling-tripping-danger-98822/…
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Practical Tips for Palliative Care in the ED
37:23
37:23
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37:23
Dr. Alisha Benner discusses tips for palliative care in the ED. see www.gempodcast.com for show notes, references, information, and to leave comments! Follow @gempodcast on twitter.This podcast uses sounds from freesound.org by Jobro and HerbertBoland.Image credit: https://commons.wikimedia.org/wiki/File:Dante_Gabriel_Rossetti_-_Study_of_Dante_hold…
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Ophthalmologist Dr. Bryan Hong continues to discuss his approach to some of the common eye emergencies that bring older adults to the Emergency Department.see www.gempodcast.com for show notes and information and to leave comments.This podcast uses sounds from freesound.org by Jobro and HerbertBoland.Image credit: https://pixabay.com/en/eye-black-r…
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Ophthalmologist Dr. Bryan Hong talks about his approach to some of the common eye emergencies that bring older adults to the Emergency Department. see www.gempodcast.com for show notes and information and to leave comments.This podcast uses sounds from freesound.org by Jobro and HerbertBoland. Image credit: https://commons.wikimedia.org/wiki/File:A…
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Leah Hatfield discusses the new oral anticoagulants, and how to reverse them in cases of life threatening bleeds. To leave a comment and for the shownotes, see https://gempodcast.com/2016/09/30/how-to-reverse-oral-anticoagulants/By Christina Shenvi
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How to Identify and Intervene in Cases of Elder Abuse
35:22
35:22
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35:22
Tony Rosen discusses how to identify elder abuse and ways to intervene. Elder abuse is a common and under-recognized problem among older adults. In the Emergency Department, we are uniquely positioned to identify patients who may be at risk. In this episode, Tony Rosen, an Emergency Physician and researcher with fellowship training in Geriatric Eme…
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The Atypical is Typical for ACS in Older Adults
19:44
19:44
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Amal Mattu talks about ACS presentations, workup, and management in older adults, and why the atypical is typical!For the full shownotes and references, and to leave a comment, see: https://gempodcast.comChest pain is one of the most common reasons why people present to the ED. The chief complaint of Chest Pain typically triggers an automatic EKG, …
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Chris Carpenter, one of the authors of the Geriatric ED guidelines, presents 5 high-impact, low-cost ways to make your ED and your practice more geriatric-friendly.For the full show notes with references and to leave comments, see: https://gempodcast.com/2016/06/29/5-ways-to-geriatricize-your-ed/Geriatric EDs, or Senior EDs, have been popping up ar…
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