What ED Physicians need to know about Amyloid Targeting Treatments Part 1

What if the most important thing we can do for an older adult in the emergency department (ED) isn’t just to treat what brought them in - but to protect what matters most to them? Introducing the 4Ms framework: What Matters, Medication, Mentation, and Mobility, a foundation for delivering age-friendly care. In today’s episode, Dr. David Zodda joins GEMCast host Dr. Christina Shenvi to share his expertise on the 4Ms and the importance of addressing them in emergency care.

Every time a patient comes to the Emergency Department (ED) for care, there is an opportunity to identify and address factors in their life that may be contributing to their presentation. Social determinants of health (SDOH), including housing instability, access to transportation, economic hardship, and access to healthcare, are the non-medical aspects of a person’s life that influence their health. In today’s episode, Kristie Foster, Director of Nursing Operations at Mt. Ascutney Hospital in Vermont, joins host Dr Christina Shenvi to discuss the screening programme she implemented at her critical-access ED.

In today’s episode of GEMCast, host Dr. Christina Shenvi is joined by Dr. Cameron Gettel to discuss a critical but often overlooked issue in the emergency department (ED): the emergency care needs of family caregivers for persons living with dementia (PLWD). Caregivers play an integral role in supporting these patients, but what about their own acute care needs?

Dr. Danya Khoujah joins GEMCast host Dr. Christina to dive into the first clinical practice guideline in the Geriatric Emergency Department (GED) Guidelines 2.0, which is dedicated to delirium. Delirium is a clinical syndrome characterised by acute and fluctuating disturbances of attention, awareness, perception or consciousness and it commonly affects older adults presenting to the ED. However, it is often missed, which has significant impacts on mortality and functional status of older patients. Khoujah is an attending physician in the Department of Emergency Medicine at AdventHealth Tampa in Florida, and host of GEDC’s expert-panel webinars. She is part of the multidisciplinary team that created this GRADE-based clinical guideline, and in this episode, she talks through the development and recommendations arising from the guideline.

In this GEMCast episode host Dr. Christina Shenvi is joined by Dr. Meredith Busman, Director of Observation Medicine at Corewell Health West in Grand Rapids Michigan, Program Director for the Observation Medicine Fellowship at Emergency Care Specialists, and co-chair of the ACEP Accelerate Observation Medicine: Science and Solutions conference. Observation medicine is an outpatient service that encompasses rapid treatment, assessment, and reassessment of select patients with the hopes of avoiding admission. Learn more about this new and rapidly developing subspecialty of emergency medicine, how ED-directed observation units function, and how they are particularly beneficial for older patients or those with dementia.