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Emergency Medicine

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Geriatrics for Specialists

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Abstract

The emergency department (ED) provides acute care to America’s ill and injured; yet, the specifics of emergency care delivery are rapidly evolving as our nation ages and its health system changes. The growing number of older adults requiring emergent care is disrupting business as usual for our nation’s EDs. Today’s ED model of care, design, and operations are based on principles from as far back as 1962. Solutions for improving elder ED care range from enhanced geriatric training for ED staff, to providing specialized elder ED services, to the physical redesign of existing EDs with sections dedicated to older patients. To facilitate enhanced geriatric emergency care, the American College of Emergency Physicians (ACEP) is formally accrediting geriatric emergency departments (GEDs). Similar to trauma, chest pain, and stroke centers, GEDs identify a standard of excellence in care for the population of older adults. In this chapter, we will discuss older adults as a special ED population with unique needs and detail-specific topics in ED elder care. Finally, we discuss how the current ED model of care can shift to better fit the demands from the growing number and complexity of older adults in the ED.

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References

  1. Taylor TB. Threats to the health care safety net. Acad Emerg Med. 2001;8(11):1080–7. http://doi.wiley.com/10.1111/j.1553-2712.2001.tb01119.x. Accessed 14 Oct 2015.

    Article  CAS  PubMed  Google Scholar 

  2. Schuur JD, Venkatesh AK. The growing role of emergency departments in hospital admissions. N Engl J Med. 2012;367(5):391–3. https://doi.org/10.1056/NEJMp1204431.

    Article  CAS  PubMed  Google Scholar 

  3. Chou SC, Baker O, Schuur JD. Changes in emergency department care intensity from 2007–16: analysis of the National Hospital Ambulatory Medical Care Survey. West J Emerg Med. 2020;21(2):209–16. https://doi.org/10.5811/westjem.2019.10.43497.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Aminzadeh F, Dalziel WB. Older adults in the emergency department: a systematic review of patterns of use, adverse outcomes, and effectiveness of interventions. Ann Emerg Med. 2002;39(3):238–47. https://doi.org/10.1067/mem.2002.121523.

    Article  PubMed  Google Scholar 

  5. Wilber ST, Gerson LW, Terrell KM, et al. Geriatric emergency medicine and the 2006 Institute of Medicine reports from the Committee on the Future of Emergency Care in the U.S. health system. Acad Emerg Med. 2006;13(12):1345–51. https://doi.org/10.1197/j.aem.2006.09.050.

    Article  PubMed  Google Scholar 

  6. Fitzgerald R. The future of geriatric care in our Nation’s emergency departments: impact and implications. Dallas: American College of Emergency Physicians (ACEP); 2008.

    Google Scholar 

  7. Adams JG, Gerson LW. A new model for emergency care of geriatric patients. Acad Emerg Med. 2003;10(3):271–4.

    Article  PubMed  Google Scholar 

  8. Hwang U, Morrison RS. The geriatric emergency department. J Am Geriatr Soc. 2007;55(11):1873–6. https://doi.org/10.1111/j.1532-5415.2007.01400.x.

    Article  PubMed  Google Scholar 

  9. https://www.acep.org/geda/; https://www.acep.org/globalassets/sites/geda/documnets/geda-accreditation-list.xlsx.

  10. Rosenberg MS, Carpenter CR, Bromley M, et al. Geriatric emergency department guidelines. Ann Emerg Med. 2014;63(5):e7–25. https://doi.org/10.1016/j.annemergmed.2014.02.008.

    Article  Google Scholar 

  11. Ashman JJ, Schappert SM, Santo L. Emergency department visits among adults aged 60 and over: United States, 2014-2017. NCHS Data Brief. 2020;367:1–8.

    Google Scholar 

  12. Wolinsky FD, Liu L, Miller TR, et al. Emergency department utilization patterns among older adults. J Gerontol A Biol Sci Med Sci. 2008;63(2):204–9.

    Article  PubMed  Google Scholar 

  13. Gruneir A, Silver MJ, Rochon PA. Emergency department use by older adults: a literature review on trends, appropriateness, and consequences of unmet health care needs. Med Care Res Rev. 2011;68(2):131–55. https://doi.org/10.1177/1077558710379422.

    Article  PubMed  Google Scholar 

  14. Hwang U, Shah MN, Han JH, et al. Transforming emergency care for older adults. Health Aff (Millwood). 2013;32(12):2116–20. https://doi.org/10.1377/hlthaff.2013.0670.

    Article  Google Scholar 

  15. Downing A, Wilson R. Older people’s use of accident and emergency services. Age Ageing. 2005;34(1):24–30. https://doi.org/10.1093/ageing/afh214.

    Article  PubMed  Google Scholar 

  16. Albert M, McCaig LF, Ashman JJ. Emergency department visits by persons aged 65 and over: United States, 2009–2010. NCHS Data Brief. 2013;130:1–8. http://198.246.124.29/nchs/data/databriefs/db130.pdf

    Google Scholar 

  17. American Geriatrics Society, National Council of State EMS Training Coordinators, and Jones and Bartlett Publishers. About GEMS: history of GEMS. Available at: http://www.naemt.org/about_us/history.aspx. Accessed 15 Dec 2015.

  18. Kindig D, Stoddart G. What is population health? Am J Public Health. 2003;93(3):380–3. https://doi.org/10.2105/AJPH.93.3.380.

    Article  PubMed  PubMed Central  Google Scholar 

  19. Rosenthal RA, Kavic SM. Assessment and management of the geriatric patient. Crit Care Med. 2004;32(4 Suppl):S92–105. https://doi.org/10.1097/01.CCM.0000122069.56161.97.

    Article  PubMed  Google Scholar 

  20. Hustey FM, Wallis N, Miller J. Inappropriate prescribing in and older ED population. Am J Emerg Med. 2007;25(7):804–7. https://doi.org/10.1016/j.ajem.2007.01.018.

    Article  PubMed  Google Scholar 

  21. Hohl CM, Abu-Laban RB, Zed PJ, et al. Patient-reported adverse drug-related events from emergency department discharge prescriptions. CJEM. 2010;12(4):331–8.

    Article  PubMed  Google Scholar 

  22. Han JH, Zimmerman EE, Cutler N, et al. Delirium in older emergency department patients: recognition, risk factors, and psychomotor subtypes. Acad Emerg Med. 2009;16(3):193–200. https://doi.org/10.1111/j.1553-2712.2008.00339.x.

    Article  PubMed  PubMed Central  Google Scholar 

  23. Budnitz DS, Shehab N, Kegler SR, Richards CL. Medication use leading to emergency department visits for adverse drug events in older adults. Ann Intern Med. 2007;147(11):755–65.

    Article  PubMed  Google Scholar 

  24. Heffner C. Diagnostic and statistical manual of mental disorders. 4th ed. Virginia: American Psychiatric Association; 2002.

    Google Scholar 

  25. McCusker J, Cole M, Abrahamowicz M, et al. Delirium predicts 12-month mortality. Arch Intern Med. 2002;162(4):457–63. https://doi.org/10.1001/archinte.162.4.457.

    Article  PubMed  Google Scholar 

  26. Leslie DL, Marcantonio ER, Zhang Y, et al. One-year health care costs associated with delirium in the older population. Arch Intern Med. 2008;168(1):27–32. https://doi.org/10.1001/archinternmed.2007.4.

    Article  PubMed  PubMed Central  Google Scholar 

  27. Han JH, Shintani A, Eden S, et al. Delirium in the emergency department: an independent predictor of death within 6 months. Ann Emerg Med. 2010;56(3):244–52.e1. https://doi.org/10.1016/j.annemergmed.2010.03.003.

    Article  PubMed  PubMed Central  Google Scholar 

  28. Huff JS. Altered mental status and coma. In: Tintinalli JE, Stapczynski JS, Cline DM, et al., editors. Tintinalli’s emergency medicine: a comprehensive study guide. New York: McGraw-Hill; 2010. p. 1135–42.

    Google Scholar 

  29. Han JH, Wilson A, Ely EW. Delirium in the older emergency department patient: a quiet epidemic. Emerg Med Clin North Am. 2010;28(3):611–31. https://doi.org/10.1016/j.emc.2010.03.005.

    Article  PubMed  PubMed Central  Google Scholar 

  30. Qaseem A, Wilt TJ, Weinberger SE, et al. Diagnosis and management of stable chronic obstructive pulmonary disease: a clinical practice guideline update from the American College of Physicians, American College of Chest Physicians, American Thoracic Society, and European Respiratory Society. American College of Physicians; American College of Chest Physicians; American Thoracic Society; European Respiratory Society. Ann Intern Med. 2011;155(3):179–91. https://doi.org/10.7326/0003-4819-155-3-201108020-00008.

    Article  PubMed  Google Scholar 

  31. Green SM, Martinez-Rumayor A, Gregory SA, et al. Clinical uncertainty, diagnostic accuracy, and outcomes in emergency department patients presenting with dyspnea. Arch Intern Med. 2008;168(7):741–8. https://doi.org/10.1001/archinte.168.7.741.

    Article  PubMed  Google Scholar 

  32. Singer AJ, Emerman C, Char DM, et al. Bronchodilator therapy in acute decompensated heart failure patients without a history of chronic obstructive pulmonary disease. Ann Emerg Med. 2008;51(1):25–34. https://doi.org/10.1016/j.annemergmed.2007.04.005.

    Article  PubMed  Google Scholar 

  33. Jelinek GA, Ingarfield SL, Mountain D, et al. Emergency department diagnosis of pulmonary embolism is associated with significantly reduced mortality: a linked data population study. Emerg Med Australas. 2009;21(4):269–76. https://doi.org/10.1111/j.1742-6723.2009.01196.x.

    Article  PubMed  Google Scholar 

  34. Jauch EC, Saver JL, Adams HP Jr, et al. Guidelines for the early management of patients with acute ischemic stroke: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2013;44(3):870–947. https://doi.org/10.1161/STR.0b013e318284056a.

    Article  PubMed  Google Scholar 

  35. Powers WJ, Rabinstein AA, Ackerson T, et al. Guidelines for the early management of patients with acute Ischemic Stroke: 2019 update to the 2018 guidelines for the early management of acute Ischemic Stroke: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2019;50(12):e344–418. https://doi.org/10.1161/STR.0000000000000211.

    Article  PubMed  Google Scholar 

  36. Adams HP Jr, del Zoppo G, Alberts MJ, et al. Guidelines for the early management of adults with ischemic stroke: a guideline from the American Heart Association/American Stroke Association stroke council, clinical cardiology council, cardiovascular radiology and intervention council, and the atherosclerotic peripheral vascular disease and quality of care outcomes in research interdisciplinary working groups: the American Academy of Neurology affirms the value of this guideline as an educational tool for neurologist. Stroke. 2007;38(5):1655–711. https://doi.org/10.1161/strokeaha.107.181486.

    Article  PubMed  Google Scholar 

  37. Hanks N, Wen G, He S, et al. Expansion of U.S. emergency medical service routing for stroke care: 2000–2010. West J Emerg Med. 2014;15(4):499–503. https://doi.org/10.5811/westjem.2014.2.20388.

    Article  PubMed  PubMed Central  Google Scholar 

  38. Goldstein MB, Simel DL. Is this patient having a stroke? JAMA. 2005;293(19):2391–402. https://doi.org/10.1001/jama.293.19.2391.

    Article  CAS  PubMed  Google Scholar 

  39. Lin CB, Peterson ED, Smith EE, et al. Emergency medical service hospital prenotification is associated with improved evaluation and treatment of acute ischemic stroke. Circ Cardiovasc Qual Outcomes. 2012;5(4):514–22. https://doi.org/10.1161/circoutcomes.112.965210.

    Article  PubMed  Google Scholar 

  40. Martin GS, Mannino DM, Moss M. The effect of age on the development and outcome of adult sepsis. Crit Care Med. 2006;34(1):15–21. https://doi.org/10.1097/01.ccm.0000194535.82812.ba.

    Article  PubMed  Google Scholar 

  41. van Duin D. Diagnostic challenges and opportunities in older adults with infectious diseases. Clin Infect Dis. 2012;54(7):973–8. https://doi.org/10.1093/cid/cir927.

    Article  PubMed  Google Scholar 

  42. Garlington W, High K. Evaluation of infection in the older adult. [Online] UpToDate Dec 7, 2012 [cited 2013 March 12]. Available from: URL:http://www.uptodate.com.

  43. Mellors JW, Horwitz RI, Harvey MR, et al. A simple index to identify occult bacterial infection in adults with acute unexplained fever. Arch Intern Med. 1987;147(4):666–71. https://doi.org/10.1001/archinte.1987.00370040048009.

    Article  CAS  PubMed  Google Scholar 

  44. Gallagher EJ, Brooks F, Gennis P. Identification of serious illness in febrile adults. Am J Emerg Med. 1994;12(2):129–33.

    Article  CAS  PubMed  Google Scholar 

  45. Marco CA, Schoenfeld CN, Hansen KN, et al. Fever in geriatric emergency patients: clinical features associated with serious illness. Ann Emerg Med. 1995;26(1):18–24. https://doi.org/10.1016/S0196-0644(95)70232-6.

    Article  CAS  PubMed  Google Scholar 

  46. Rhodes A, Evans LE, Alhazzani W, et al. Surviving Sepsis campaign: international guidelines for management of sepsis and septic shock: 2016. Crit Care Med. 2017;45(3):486–552. https://doi.org/10.1097/CCM.0000000000002255.

    Article  PubMed  Google Scholar 

  47. Sun BC, Emond JA, Camargo CA Jr. Characteristics and admission patterns of patients presenting with syncope to US emergency departments, 1992–2000. Acad Emerg Med. 2004;11(10):1029–34. https://doi.org/10.1197/j.aem.2004.05.032.

    Article  PubMed  Google Scholar 

  48. Marrison VK, Fletcher A, Parry SW. The older patient with syncope: practicalities and controversies. Int J Cardiol. 2012;155(1):9–13. https://doi.org/10.1016/j.ijcard.2010.10.055.

    Article  CAS  PubMed  Google Scholar 

  49. Kapoor W, Snustad D, Peterson J, et al. Syncope in the older. Am J Med. 1986;80(3):419–28. https://doi.org/10.1016/0002-9343(86)90716-3.

    Article  CAS  PubMed  Google Scholar 

  50. Hogan TM, Jin L. Syncope in the older adult. In: Kahn J, Magauran Jr BG, Olskaher JS, editors. Geriatric emergency medicine: principles and practice. Cambridge, UK: Cambridge University Press; 2014. p. 114–27.

    Google Scholar 

  51. Cunningham R, Mikhail MG. Management of patients with syncope and cardiac arrhythmias in an emergency department observation unit. Emerg Med Clin North Am. 2001;19(1):105–21.

    Article  CAS  PubMed  Google Scholar 

  52. Sheldon RS, Morillo CA, Krahn AD, et al. Standardized approaches to the investigation of syncope: Canadian cardiovascular society position paper. Can J Cardiol. 2011;27(2):246–53. https://doi.org/10.1016/j.cjca.2010.11.002.

    Article  PubMed  Google Scholar 

  53. Lane P, Sorondo B, Kelly J. Geriatric trauma patients—are they receiving trauma center care? Acad Emerg Med. 2003;10(3):244–50. https://doi.org/10.1197/aemj.10.3.244.

    Article  PubMed  Google Scholar 

  54. Haas B, Gomez D, Zagorski B, et al. Survival of the fittest: the hidden cost of undertriage of major trauma. J Am Coll Surg. 2010;211(6):804–11. https://doi.org/10.1016/j.jamcollsurg.2010.08.014.

    Article  PubMed  Google Scholar 

  55. Callaway DW, Wolfe R. Geriatric trauma. Emerg Med Clin North Am. 2007;25(3):837–60. https://doi.org/10.1016/j.emc.2007.06.005.

    Article  PubMed  Google Scholar 

  56. Phillips S, Rond PC 3rd, Kelly SM, et al. The failure of triage criteria to identify geriatric patients with trauma: results from the Florida trauma triage study. J Trauma. 1996;40(2):278–83.

    Article  CAS  PubMed  Google Scholar 

  57. Heffernan DS, Thakkar RK, Monaghan SF, et al. Normal presenting vital signs are unreliable in geriatric blunt trauma victims. J Trauma. 2010;69(4):813–20. https://doi.org/10.1097/TA.0b013e3181f41af8.

    Article  PubMed  Google Scholar 

  58. Martin JT, Alkhoury F, O’Connor JA, et al. ‘Normal’ vital signs belie occult hypoperfusion in geriatric trauma patients. Am Surg. 2010;76(1):65–9.

    Article  PubMed  Google Scholar 

  59. National Association of EMS Physicians and American College Of Surgeons-Committee On Trauma. Field triage of the injured patient. Prehosp Emerg Care. 2011;58(4):541. https://doi.org/10.3109/10903127.2011.598622.

    Article  Google Scholar 

  60. Collett B, O’Mahoney S, Schofield P, Closs SJ, Potter J, Guideline Development Group. The assessment of pain in older people. Clin Med (Lond). 2007;7(5):496–500. https://doi.org/10.7861/clinmedicine.7-5-496.

    Article  CAS  Google Scholar 

  61. Gleason LJ, Escue ED, Hogan TM. Older Adult Emergency Department Pain Management Strategies. Clin Geriatr Med. 2018;34(3):491–504. https://doi.org/10.1016/j.cger.2018.04.009.

    Article  PubMed  Google Scholar 

  62. Hogan TM, Howell MD, Cursio JF, Wong A, Dale W. Improving pain relief in older patients (I-PREP): an emergency department education and quality intervention. J Am Geriatr Soc. 2016;64(12):2566–71. https://doi.org/10.1111/jgs.14377.

    Article  PubMed  Google Scholar 

  63. Falyar C, Tola D. Ultrasound-guided fascia iliaca blocks in the emergency department. Geriatr Nurs. 2019;40(4):441–4. https://doi.org/10.1016/j.gerinurse.2019.07.007.

    Article  PubMed  Google Scholar 

  64. Casey SD, Stevenson DE, Mumma BE, et al. Emergency department pain management following implementation of a geriatric hip fracture program. West J Emerg Med. 2017;18(4):585–91. https://doi.org/10.5811/westjem.2017.3.32853.

    Article  PubMed  PubMed Central  Google Scholar 

  65. Caplan GA, Brown A, Croker WD, et al. Risk of admission within 4 weeks of discharge of older patients from the emergency department—the DEED study. Discharge of older from emergency department. Age Ageing. 1998;27(6):697–702. https://doi.org/10.1093/ageing/27.6.697.

    Article  CAS  PubMed  Google Scholar 

  66. Liberman T, Roofeh R, Sohn N, et al. The GAP-ED project: improving care for older patients presenting to the emergency department. J Emerg Med. 2020;58(2):191–7. https://doi.org/10.1016/j.jemermed.2019.10.006.

    Article  PubMed  Google Scholar 

  67. Colby SL, Ortman JM. Projections of the size and composition of the U.S. population: 2014 to 2060 current population reports. Curr Popul Rep. 2015;25:1143. http://www.census.gov/content/dam/Census/library/publications/2015/demo/p25-1143.pdf.

    Google Scholar 

  68. D’Arcy LP, Stearns SC, Domino ME, et al. Is geriatric care associated with less emergency department use? J Am Geriatr Soc. 2013;61(1):4–11. https://doi.org/10.1111/jgs.12039.

    Article  PubMed  Google Scholar 

  69. Singer AJ, Thode HC Jr, Viccellio P, et al. The association between length of emergency department boarding and mortality. Acad Emerg Med. 2011;18(12):1324–9. https://doi.org/10.1111/j.1553-2712.2011.01236.x.

    Article  PubMed  Google Scholar 

  70. Carpenter CR, Heard K, Wilber S, et al. Research priorities for high-quality geriatric emergency care: medication management, screening, and prevention and functional assessment. Acad Emerg Med. 2011;18(6):644–54. https://doi.org/10.1111/j.1553-2712.2011.01092.x.

    Article  PubMed  PubMed Central  Google Scholar 

  71. The Advisory Board Company. Designing geriatric emergency departments—selected case studies. 2011. https://www.advisory.com/research/market-innovation-center/original-inquiry/2012/02/designing-geriatric-emergency-departments.

  72. American College of Emergency Physicians, Pediatric Committee; and American Academy of Pediatrics, Committee on Pediatric Emergency Medicine. Guidelines for preparedness of emergency departments that care for children: a call to action. Ann Emerg Med. 2001;37(4):389–91.

    Article  Google Scholar 

  73. Sullivan AF, Rudders SA, Gonsalves AL, et al. National survey of pediatric services available in US emergency departments. Int J Emerg Med. 2013;6(1):13. https://doi.org/10.1186/1865-1380-6-13.

    Article  PubMed  PubMed Central  Google Scholar 

  74. Better Care. Smarter spending. Healthier people: paying providers for value, not volume. https://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-sheets/2015-Fact-sheets-items/2015-01-26-3.html.

  75. Platts-Mills TF, Glickman SW. Measuring the value of a senior emergency department: making sense of health outcomes and health costs. Ann Emerg Med. 2014;63(5):525–7. https://doi.org/10.1016/j.annemergmed.2013.12.007.

    Article  PubMed  Google Scholar 

  76. Ouslander JG, Lamb G, Perloe M, et al. Potentially avoidable hospitalizations of nursing home residents: frequency, causes, and costs. J Am Geriatr Soc. 2010;58(4):627–35. https://doi.org/10.1111/j.1532-5415.2010.02768.x.

    Article  PubMed  Google Scholar 

  77. Keyes DC, Singal B, Kropf CW, et al. Impact of a new senior emergency department on emergency department recidivism, rate of hospital admission, and hospital length of stay. Ann Emerg Med. 2014;63(5):517–24. https://doi.org/10.1016/j.annemergmed.2013.10.033.

    Article  PubMed  Google Scholar 

  78. Schumacher JG, Hirshon JM, Magidson P, Chrisman M, Hogan T. Tracking the rise of geriatric emergency departments in the United States. J Appl Gerontol. 2020;39(8):871–9. https://doi.org/10.1177/0733464818813030.

    Article  PubMed  Google Scholar 

  79. Carpenter CR, Shelton E, Fowler S, et al. Risk factors and screening instruments to predict adverse outcomes for undifferentiated older emergency department patients: a systematic review and meta-analysis. Acad Emerg Med. 2015;22(1):1–21. https://doi.org/10.1111/acem.12569.

    Article  PubMed  Google Scholar 

  80. Southerland LT, Lo AX, Biese K, et al. Concepts in practice: geriatric emergency departments. Ann Emerg Med. 2020;75(2):162–70. https://doi.org/10.1016/j.annemergmed.2019.08.430.

    Article  PubMed  Google Scholar 

  81. Ballabio C, Bergamaschini L, Mauri S, et al. A comprehensive evaluation of older people discharged from an emergency department. Intern Emerg Med. 2008;3(3):245–9. https://doi.org/10.1007/s11739-008-0151-1.

    Article  PubMed  Google Scholar 

  82. Sanders AB. Care of the older in emergency departments: conclusions and recommendations. Ann Emerg Med. 1992;21(7):830–4. https://doi.org/10.1016/S0196-0644(05)81030-3.

    Article  CAS  PubMed  Google Scholar 

  83. Phelan EA, Genshaft S, Williams B, et al. A comparison of how generalists and fellowship-trained geriatricians provide “geriatric” care. J Am Geriatr Soc. 2008;56(10):1807–11. https://doi.org/10.1111/j.1532-5415.2008.01942.x.

    Article  PubMed  PubMed Central  Google Scholar 

  84. Rosen T, Liu SW, Cameron-Comasco L, et al. Geriatric emergency medicine fellowships: current state of specialized training for emergency physicians in optimizing care for older adults. AEM Educ Train. 2020;4(Suppl 1):S122–9. Published 2020 Jan 21. https://doi.org/10.1002/aet2.10428.

    Article  PubMed  PubMed Central  Google Scholar 

  85. American Geriatrics Society, National Association of Emergency Medical Technicians, Snyder DR. Geriatric education for emergency medical services. Jones & Bartlett Learning; 2014.

    Google Scholar 

  86. Désy PM, Prohaska TR. The geriatric emergency nursing education (GENE) course: an evaluation. J Emerg Nurs. 2008;34(5):396–402. https://doi.org/10.1016/j.jen.2007.08.023.

    Article  PubMed  Google Scholar 

  87. Carpenter CR, Shelton E, Fowler S, Suffoletto B, Platts-Mills TF, Rothman RE, Hogan TM. Risk factors and screening instruments to predict adverse outcomes for undifferentiated older emergency department patients: a systematic review and meta-analysis. Acad Emerg Med. 2015;22(1):1–21.

    Article  PubMed  Google Scholar 

  88. Meldon SW, Mion LC, Palmer RM, et al. A brief risk-stratification tool to predict repeat emergency department visits and hospitalizations in older patients discharged from the emergency department. Acad Emerg Med. 2003;10(3):224–32. https://doi.org/10.1197/aemj.10.3.224.

    Article  PubMed  Google Scholar 

  89. Brignell M, Wootton R, Gray L. The application of telemedicine to geriatric medicine. Age Ageing. 2007;36(4):369–74. https://doi.org/10.1093/ageing/afm045.

    Article  PubMed  Google Scholar 

  90. Sinha SK, Bessman ES, Flomenbaum N, et al. A systematic review and qualitative analysis to inform the development of a new emergency department-based geriatric case management model. Ann Emerg Med. 2011;57(6):672–82. https://doi.org/10.1016/j.annemergmed.2011.01.021.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Medicine, Section of Emergency Medicine, and Section of Geriatrics & Palliative Care, University of Chicago Medicine & Biological Sciences, Chicago, IL, USA

    Teresita M. Hogan

  2. Department of Medicine, Section of Emergency Medicine, University of Chicago Medicine & Biological Sciences, Chicago, IL, USA

    Thomas Spiegel & Jonathan Oskvarek

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  1. Teresita M. Hogan
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  2. Thomas Spiegel
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  3. Jonathan Oskvarek
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Correspondence to Teresita M. Hogan .

Editor information

Editors and Affiliations

  1. Blanton Eye Institute, Houston Methodist Hospital, Houston, TX, USA

    Andrew G. Lee

  2. Home Instead Center for Successful Aging, University of Nebraska Medical Center, Omaha, NE, USA

    Jane F. Potter

  3. San Francisco VA Health Care System, University of California, San Francisco, San Francisco, CA, USA

    G. Michael Harper

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Hogan, T.M., Spiegel, T., Oskvarek, J. (2021). Emergency Medicine. In: Lee, A.G., Potter, J.F., Harper, G.M. (eds) Geriatrics for Specialists. Springer, Cham. https://doi.org/10.1007/978-3-030-76271-1_10

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