GEMCAST
54 episodes - English - Latest episode: about 2 months ago - ★★★★★ - 11 ratingsWelcome 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 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.
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Episodes
An Outcome Comparison Between Geriatric and Nongeriatric Emergency Departments
February 20, 2024 12:00 - 24 minutes - 22.3 MBJoin 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.
How to Create Safe Transitions of Care for Older Patients
January 22, 2024 12:00 - 37 minutes - 34.3 MBAny 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.
How Paramedics Can Make a Difference in Geriatric Care
November 28, 2023 12:00 - 31 minutes - 29.2 MBHow Paramedics Can Make a Difference in Geriatric Care by Christina Shenvi
The Winding Road to Geriatric EM
July 28, 2023 12:00 - 40 minutes - 37.3 MBJoin 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
May 17, 2023 12:00 - 21 minutes - 19.5 MBIn 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.
Geriatric Transitional Care Nurses and How They Could Help Your ED
February 24, 2023 15:39 - 31 minutes - 72 MBIn 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.
How Can We Improve the Patient Experience for Older Adults?
January 13, 2023 17:01 - 18 minutes - 41.9 MBDr. 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.
Do You Know How to Diagnose Pneumonia in Older Patients?
November 25, 2022 15:00 - 26 minutes - 59.6 MBIn this episode, GEMCast host Dr. Christina Shenvi is joined by Dr. Katie Buck to discuss the challenges surrounding diagnosing older adults with pneumonia.
Do Anticoagulants Matter After a Head Injury?
November 04, 2022 20:00 - 24 minutes - 22 MBDr. 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.
How to Diagnose and Manage Vertebral Compression Fractures in the ED
September 20, 2022 12:00 - 35 minutes - 32.2 MBDr. Christina Shenvi and Dr. Robert Dachs discuss how ED clinicians can identify and manage vertebral compression fractures in older adults.
How to Identify and Intervene for Geriatric Self-Neglect
July 20, 2022 12:00 - 31 minutes - 29.2 MBDr. 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.
Geri Immersive Simulation
June 21, 2022 12:00 - 35 minutes - 32.7 MBDr. Shenvi is joined by Dr. Alice Gray and Dr. Brittany Ellis to discuss geriatric experiential education.
How to Help Prevent the Next Fall in Your Older Patients
May 31, 2022 21:00 - 25 minutes - 23.6 MBDr. Shenvi sits down with Dr. Elizabeth Goldberg to discuss ways to prevent and manage falls for older adults in the ED.
Creating a Geriatric Emergency Department
April 08, 2022 12:00 - 27 minutes - 47.4 MBDr. 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.
Safely Caring for the Agitated Older Adult in the Emergency Department
March 07, 2022 13:00 - 39 minutes - 64 MBDr. 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.
Infections in Older Adults
February 02, 2022 13:00 - 31 minutes - 49.2 MBInfections 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
December 12, 2021 15:28 - 17 minutes - 29.8 MBDementia in the ED is a critical and often overlooked issue. Dr Binkley and Dr. Shenvi discuss.
Pain Management in Older Adults in the ED
November 16, 2021 19:55 - 52 minutes - 84.4 MBIn 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.
Acute Brain Failure in Older Emergency Department Patients
October 12, 2021 15:48 - 26 minutes - 42.2 MBDebra Eagles and Danya Khoujah discuss delirium as a medical emergency and how to prevent, recognize, diagnose, and treat delirium in the ED.
Failure to Thrive and Frailty
September 17, 2021 15:40 - 19 minutes - 32.9 MBDr. 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
July 23, 2021 15:59 - 22 minutes - 37.4 MBNicole 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
March 23, 2020 05:36 - 50 minutes - 33.7 MBDr. 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
March 20, 2020 19:59 - 23 minutes - 15.5 MBDr. 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
February 04, 2020 22:47 - 24 minutes - 22.3 MBDr. 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
December 18, 2019 22:12 - 33 minutes - 22.8 MBChristian Nickel describes and explains the 10 "commandments" of geriatric EM care. See www.gempodcast.com for references and more.
Principles of Geriatric EM Care
November 01, 2019 19:29 - 27 minutes - 19.5 MBPaul 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.
How to Do a Discharge Risk Assessment
August 30, 2019 13:56 - 24 minutes - 9.99 MBDr. 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.com
Hypertensive Emergencies Management with Clevidipine
July 05, 2019 15:28 - 13 minutes - 10.8 MBLeah 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.com
Advance Care Planning - What does it all mean?
April 11, 2019 19:34 - 23 minutes - 9.24 MBDrs. 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/
Preventing Future Falls
November 09, 2018 16:33 - 20 minutes - 7.86 MBShan 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.
ADEPT
September 19, 2018 19:30 - 27 minutes - 10.8 MBDr. 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/adept
Are Orthostatic Vital Signs Helpful in the ED?
August 14, 2018 19:42 - 21 minutes - 9.58 MBMaura 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.
Subdissociative Ketamine in Older Adults
June 11, 2018 18:43 - 15 minutes - 13.1 MBSergey Motov discusses his recent paper on subdissociative ketamine in older adults. See www.gempodcast.com for more info and the full reference.
UTIs In The Elderly
February 02, 2018 20:11 - 26 minutes - 12 MBMary 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.
Trauma in Older Adults
September 27, 2017 22:41 - 29 minutes - 20.4 MBZara 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/
Geriatric ED Accreditation - And Why You Should Care
May 23, 2017 17:57 - 24 minutes - 22.1 MBChris 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 Records
Preventing Falls in the Elderly: an EMS story
March 13, 2017 19:23 - 29 minutes - 26.8 MBDavid 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/
Practical Tips for Palliative Care in the ED
February 03, 2017 19:56 - 37 minutes - 34.2 MBDr. 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_holding_the_hand_of_Love.jpg
Eye Emergencies in the Elderly - Part 2
November 30, 2016 19:00 - 18 minutes - 17 MBOphthalmologist 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-reds-female-red-color-1574829/
Eye Emergencies in the Elderly - Part 1
November 14, 2016 19:27 - 23 minutes - 21.8 MBOphthalmologist 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_selection_of_glass_eyes_from_an_opticians_glas_eye_case._Wellcome_L0036581.jpg
How to Reverse Oral Anticoagulants
September 30, 2016 16:47 - 20 minutes - 19 MBLeah 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/
How to Identify and Intervene in Cases of Elder Abuse
August 26, 2016 19:23 - 35 minutes - 32.4 MBTony 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 Emergency Medicine, who works at Cornell in NYC discusses what constitutes elder abuse, its prevalence, how to identify it, and what to do when you ...
The Atypical is Typical for ACS in Older Adults
July 29, 2016 16:19 - 19 minutes - 18.1 MBAmal 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.com Chest 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, and potentially a workup for acute coronary syndrome. However, many patients who are having ACS do not present with chest pain. Instead, they m...
5 Ways to Geriatricize Your ED
June 29, 2016 14:44 - 27 minutes - 25.3 MBChris 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 around the country. The idea behind them is that having a separate space, a distinct staff, and specialized protocols, can help provide better ca...
Pulmonary Emboli in Older Adults
June 02, 2016 16:30 - 30 minutes - 28.2 MBJeff Kline talks about PEs in older adults. What's different and what's the same for older vs younger patients? Find out here! See gempodcast.com/2016/06/02/pulmonary-emboli-in-older-adults/ for a full description, links, and to leave comments! Not a day goes by that an Emergency Physician doesn’t at least consider PE in a patient who presents with chest pain, dyspnea, or syncope. We have become familiar with using risk stratification tools like the Wells Score and the PERC criteria. But wh...
Pearls and Pitfalls of Pain Management in Older Adults
May 02, 2016 16:52 - 20 minutes - 18.7 MBTim Platts-Mills shares his pearls about pain management for older adults in the ED. See here to leave a comment: https://gempodcast.com/2016/05/02/pearls-and-pitfalls-of-pain-management-in-older-adults/ Pain is the number one reason why people seek care in the Emergency Department (ED). One major goal of acute care is diagnosing the cause of the pain, but another is helping relieve the suffering associated with pain. In older adults, some of the risks of pain management with opioids are a...
Dangerous Med Combos in Older Adults
March 30, 2016 21:57 - 30 minutes - 28 MBBryan Hayes and David Juurlink explain why several common meds we use in the ED can cause dangerous complications for older patients. See http://gempodcast.com/2016/03/30/dangerous-med-combos-in-older-adults/ to leave a comment. Look twice at the med list before you prescribe these! Two distinguished guests join me this month, David Juurlink (@DavidJuurlink) and Bryan Hayes (@PharmERToxyGuy) to discuss medication interactions. There are many medications that we commonly prescribe in the ED ...
Hip Fracture Management Pathways in Older Adults
March 01, 2016 17:06 - 27 minutes - 25.5 MBKatren Tyler and Dane Stevenson talk about their protocolized pathway to make sure patients with hip fractures get the best care possible. See http://gempodcast.com/2016/03/01/hip-fracture-management-pathways-in-older-adults/#more-130 for the full shownotes and to leave a comment! Hip fractures are a common injury among older adults and have a staggering one-year mortality of 20-30%. In this episode we discuss a multi-disciplinary pathway to improve the acute care of patients with hip frac...
Geriatric Toxicology Part 3: Digoxin and Calcium Channel Blockers
February 11, 2016 16:38 - 37 minutes - 34.2 MBMay Yen, toxicologist, talks about Digoxin and CCB toxicity in older adults. For the full description and to leave comments, please go to: http://gempodcast.com/2016/02/11/geriatric-toxicology-part-3-digoxin-and-ccbs/ Connect on twitter: @gempodcast Digoxin and Calcium Channel Blockers are both medications that can cause unstable bradycardias. Patients who overdose on them can present extremely ill-appearing, and require rapid intervention and stabilization. In this final geri-tox episode,...
Geriatric Toxicology and Acetaminophen
January 11, 2016 20:21 - 21 minutes - 19.3 MBMay Yen describes the signs, symptoms, and treatment of acetaminophen overdoses in older adults. For the Show Notes, see the gemcast website: http://gempodcast.com/2016/01/11/geriatric-toxicology-part-2-acetaminophen/ Connect on twitter: @gempodcast Acetaminophen overdoses can be deadly if they are not rapidly identified and treated. While the treatment is relatively simple, there are still subtleties and ambiguities. How do you identify who needs treatment? Which patients should be transf...