Geriatric Emergency Medicine

In this episode, Dr Eunizar Omar interviews Dr Colin Ong and Dr Juliana Poh on the  topic of Geri EM! They discuss CFS, safe discharge measures, falls, frailty and gait assessments and more! Tune in to find out more. Timestamps01:03 Tell us about GeriEm in your department?04:50 Clinical Frailty Scale (CFS): Why it is important, evidence supporting it, and applicability. 06:03 Falls: What are the issues with the term “mechanical fall”, and what questions should we be asking to uncover the truth behind the fall?07:51 Minimum falls history; SPLATT mnemonic (Symptoms, Previous falls, Location, Activity, Time of fall, Trauma/ post fall complications)09:36 Reversible causes of falls to look out forMAPHD (Medications, visual Acuity, Postural Hypotension, 4 Ds - Delirium, Dementia, Depression, Vitamin D) 10:47 Gait assessment: Timed up and go test, Gait Speed Test13:56 Safe alternatives to admissions17:17 PolypharmacyHigh risk meds mnemonic: ABCS (anticholinergics, benzodiazepines and sedating drugs, cardiovascular medications). 22:33 Safe discharge measures 24:36 Advice for those who would like to learn more about the GeriEM scene26:13 Practical takeawaysReferences1. Sri-on J, Tirrell GP, Lipsitz LA, Liu SW. Is there such a thing as a mechanical fall? Am J Emerg Med. 2016 Mar;34(3):582-5. doi: 10.1016/j.ajem.2015.12.009. Epub 2015 Dec 12. PMID: 26795891; PMCID: PMC6785031.2. American College of Surgeons Geriatric Trauma Management: Best Practice Guidelines Nov 20233. https://www.facs.org/media/ubyj2ubl/best-practices-guidelines-geriatric-trauma.pdf4. GeriatricsCareOnline.org5. https://gedcollaborative.com/ CreditsMusic: Life-line by Colorful Sound via Pixabay SGH Podcast StudioAny comments or feedback? Suggestions for future episodes? Send us a message!https://semspodcast.buzzsprout.com/