EPISODE · Oct 12, 2026 · 34 MIN
How to Put the 4Ms Into Practice
from GEMCAST · host Christina Shenvi
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. David Zodda is an award-winning board-certified emergency medicine physician, fellowship-trained in evidence-based medicine, and recipient of the National Medicine Award for Clinical Excellence. He is also the founder of BetterMedicine.com, an online social media platform turning research into practical strategies for better health. He practices at Northern Light Mercy Hospital in Portland, Maine. Zodda shares personal stories, highlights emerging evidence, and offers practical approaches to integrate the 4Ms into your practice. Tune in to learn how using the evidence-based framework can help patients maintain independence, reduce avoidable hospitalizations and readmissions, and deliver care that treats the patient, not just the diagnosis. Additional resources and information for this episode can be found at https://gedcollaborative.com/resource/cms-measure/how-to-put-the-4ms-into-practice-age-friendly-care-in-the-ed/ Timestamps 00:00 - Introduction 07:50 - What Matters 11:36 - Mentation 16:59 - Mobility 23:07 - ED Boarders 26:31 - Medication 30:03 - Top Takeaway 31:04 - Future Research 32:38 - Conclusion
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How to Put the 4Ms Into Practice
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