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GEMCAST

by Christina Shenvi

Welcome to GEMCAST! Shownotes and more info are available on https://gedcollaborative.com/resources/?type=podcast. 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 @clshenviDisclaimer: 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, includ

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Episodes

  1. How to Put the 4Ms Into Practice

    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...

  2. Bringing the Heart Back to Medicine by Addressing Social Drivers of Health

    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...

  3. Caring for the Caregiver: How the ED Can Support Caregivers of Patients with Dementia

    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...

  4. Delirium Clinical Practice Guidelines: What Do We Know, and What Should We Do?

    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,...

  5. The 17‑Hour Turnaround: Rapid, Safe Observation Care for Older Adults

    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...

  6. Fire, Flood, and Fragility: Disasters Through a Geriatric Lens

    Dr. Stephen Gamboa is an Adjunct Associate Professor at UNC and medical director of UNC Health Pardee's emergency department in Hendersonville, North Carolina. In today’s GEMCast episode, he shares his first-hand experiences from two major natural disasters: the 2017 Tubbs Fire in Northern...

  7. Acute care of persons living with Dementia: From the clinic to the ED and back

    In this episode of GEMCast, Dr. Christina Shenvi sits down with Dr. Christina Prather, Director of Geriatrics and Palliative Medicine at George Washington University, for a dynamic, coffee-style conversation about innovations and challenges in geriatric emergency care. They explore strategies for...

  8. Frailty Frontline: How to identify frailty, and what to do next

    In this episode of GEMCast, host Dr. Christina Shenvi is joined by Dr. James Van Oppen, emergency physician and frailty expert at the University of Sheffield, to discuss the rising importance of frailty in emergency medicine. Frailty, defined as the loss of physiological resilience, is both…

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  9. Getting Hotter Heat Emergencies in Older Adults

    Climate change, and the associated increase in frequency and severity of heat waves, poses a threat to health. Amongst the most at risk for heat-related emergencies are older adults; age-associated physiologic vulnerabilities, chronic conditions, medications that disrupt thermoregulatory…

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  10. POCUS for Delirium and Agitation: Be ABLE

    Our population is aging, and with that comes an increase in the number of older adults in emergency departments. Delirium affects up to 1/3 older adults who present to the ED and is a medical emergency that is often overlooked by ED clinicians. In this episode of GEMCast host Dr. Christina Shenvi...

  11. ED Boarding of Older Adults: Risks and Opportunities

    ED Boarding of Older Adults: Risks and Opportunities by Christina Shenvi

  12. Getting ED Specific with Medication Safety

    Getting ED Specific with Medication Safety by Christina Shenvi

  13. Precision Relief: Nerve Blocks for Pain in Older Patients

    In today’s episode host Dr. Christina Shenvi is joined by Dr. Robert Sternberg, Ultrasound Director at Akron General to discuss ultrasound-guided nerve blocks for precise pain relief in older patients. Ultrasound-guided nerve blocks provide relief from one of the most common emergency department...

  14. Postmenopausal Problems - Geriatric Gynecology in the ED

    Postmenopausal Problems - Geriatric Gynecology in the ED by Christina Shenvi

  15. Creating A Generational Health Program

    In this episode learn about how the Generational Health Program at Sharp Memorial Hospital in San Diego was developed and expanded to create an extensive care program that provides specialised care for older adults. What started as a pilot program in 2019 is now a multidisciplinary age-friendly...

  16. High-Yield Overview Of The CMS Age-Friendly Measures

    Today’s episode provides an introduction and overview of the 5 domains of the CMS Age-Friendly Hospital Measure. Host Dr. Christina Shenvi is joined by Dr. Marcia Russell to help clarify what each of these domains entail and how they may be carried out in the ED. They also discuss concerns that…

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  17. Why Less Is More: Strategies For Deprescribing In The ED

    With the upcoming implementation of the new CMS age-friendly hospital measure, hospitals will be required to attest that they review medications to identify potentially inappropriate medications (PIMS) for older adults. Dr. Martin Casey, MD, MPH is an Assistant Professor in the Department of...

  18. Global Perspectives On Geriatric EM Care

    Dr. Cristina Shenvi is joined today by a panel to explore Geriatric Emergency Medicine (GEM) from a global perspective. As the global population ages, the importance of GEM and its continued development as a subspecialty becomes increasingly evident. This episode will examine the unique…

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  19. Revive And Survive- Pearls For Resuscitation Of Older Adults In The ED

    Resuscitation of older adults in the emergency department poses unique challenges for physicians. Understanding the differences between a typical resuscitation process compared to a resuscitation of an older adult is essential to appropriately manage and treat this population. In this episode Dr....

  20. Preventing Dementia

    Alzheimer's disease (AD) begins developing in the brain 20-30 years before symptoms start to present in patients. Recent evidence suggests that up to 40% of AD cases could potentially be prevented by addressing modifiable risk factors such as insufficient education, hearing loss, hypertension,...

  21. Constipation: What To Do Between a Rock and a Hard Place

    In 2021 constipation related visits to the ED reached over 1 million.The prevalence of constipation in elderly individuals in the community is between 15-30% and for those living in nursing homes or long-term care facilities it ranges between 50-75%. While constipation itself is not usually...

  22. Why Hospital at Home May be the Best Option for Your Next Patient

    Dr. Christina Shenvi and Dr. Mike Craig discuss the "Home Hospital" model and its potential to transform the way we care for older adults, by bringing hospital-level care to patients' homes.

  23. What ED Physicians need to know about Amyloid Targeting Treatments Part 2

    What ED Physicians need to know about Amyloid Targeting Treatments Part 2 by Christina Shenvi

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

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

  25. An Outcome Comparison Between Geriatric and Nongeriatric Emergency Departments

    Join 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.

  26. How to Create Safe Transitions of Care for Older Patients

    Any 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.

  27. How Paramedics Can Make a Difference in Geriatric Care

    How Paramedics Can Make a Difference in Geriatric Care by Christina Shenvi

  28. The Winding Road to Geriatric EM

    Join 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.

  29. Dementia Research in ED Settings

    In 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.

  30. Geriatric Transitional Care Nurses and How They Could Help Your ED

    In 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.

  31. How Can We Improve the Patient Experience for Older Adults?

    Dr. 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.

  32. Do You Know How to Diagnose Pneumonia in Older Patients?

    In this episode, GEMCast host Dr. Christina Shenvi is joined by Dr. Katie Buck to discuss the challenges surrounding diagnosing older adults with pneumonia.

  33. Do Anticoagulants Matter After a Head Injury?

    Dr. 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.

  34. How to Diagnose and Manage Vertebral Compression Fractures in the ED

    Dr. Christina Shenvi and Dr. Robert Dachs discuss how ED clinicians can identify and manage vertebral compression fractures in older adults.

  35. How to Identify and Intervene for Geriatric Self-Neglect

    Dr. 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.

  36. Geri Immersive Simulation

    Dr. Shenvi is joined by Dr. Alice Gray and Dr. Brittany Ellis to discuss geriatric experiential education.

  37. How to Help Prevent the Next Fall in Your Older Patients

    Dr. Shenvi sits down with Dr. Elizabeth Goldberg to discuss ways to prevent and manage falls for older adults in the ED.

  38. Creating a Geriatric Emergency Department

    Dr. 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.

  39. Safely Caring for the Agitated Older Adult in the Emergency Department

    Dr. 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.

  40. Infections in Older Adults

    Infections in older adults are common, and often present atypically leading to delayed diagnosis and increased morbidity and mortality - Dr. Shenvi and Dr. Khoujah discuss

  41. Dementia Care in the ED

    Dementia in the ED is a critical and often overlooked issue. Dr Binkley and Dr. Shenvi discuss.

  42. Pain Management in Older Adults in the ED

    In 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.

  43. Acute Brain Failure in Older Emergency Department Patients

    Debra Eagles and Danya Khoujah discuss delirium as a medical emergency and how to prevent, recognize, diagnose, and treat delirium in the ED.

  44. Failure to Thrive and Frailty

    Dr. Selman and I discuss the value and importance of understanding and evaluating frailty in older adults in the Emergency Department.

  45. Genitourinary Emergencies in Older Adults

    Nicole 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.

  46. COVID ICU Week 1

    Dr. 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...

  47. COVID-19 in the Elderly

    Dr. 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.

  48. GED Models Of Care

    Dr. 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/

  49. Ten Commandments of Geriatric EM

    Christian Nickel describes and explains the 10 "commandments" of geriatric EM care. See www.gempodcast.com for references and more.

  50. Principles of Geriatric EM Care

    Paul 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.

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ABOUT THIS SHOW

Welcome to GEMCAST! Shownotes and more info are available on https://gedcollaborative.com/resources/?type=podcast. 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 @clshenviDisclaimer: 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, includ

HOSTED BY

Christina Shenvi

Produced by GEMCAST

CATEGORIES

science

Frequently Asked Questions

How many episodes does GEMCAST have?

GEMCAST currently has 77 episodes available on PodParley. New episodes are automatically indexed when they're published to the podcast feed.

What is GEMCAST about?

Welcome to GEMCAST! Shownotes and more info are available on https://gedcollaborative.com/resources/?type=podcast. 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....

How often does GEMCAST release new episodes?

GEMCAST has 77 episodes. Check the episode list to see recent publication dates and frequency.

Where can I listen to GEMCAST?

You can listen to GEMCAST on PodParley by clicking any episode. We provide an embedded audio player for direct listening, and you can also subscribe via your preferred podcast app using the RSS feed.

Who hosts GEMCAST?

GEMCAST is created and hosted by Christina Shenvi.
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