Geriatrics and their meds: problems and perils

The EMS provider often encounters the elderly patient at home, where a comprehensive medication history can be obtained. Because of the aging process, the older patient may not be able to tolerate drug therapy as well as a younger adult. When obtaining a medication history, look and ask for detailed information, including the use of dietary and herbal supplements, especially if the signs and symptoms do not match existing or known conditions. The astute EMT or paramedic may be able to recognize drug-induced illness and alert the emergency department physician. Early intervention may save the elderly patient's life.