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Updated: Aug 26, 2025

A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings
Published on: November 9, 2016
Polypharmacy in the Emergency Department
Khai H Nguyen1, Vaishal Tolia2, Laura A Hart3
1Department of Medicine, University of California, 8899 University Center Lane, Suite 400, MC 0877, San Diego, CA 92122, USA.
Abstract:
Polypharmacy in the emergency department (ED) presents additional challenges for older adults with acute illnesses but is also an opportunity for healthcare providers to prevent adverse drug events as well as the use of potentially inappropriate medications. Older patients have complex health-related needs and are at risk for medication-related complications during an ED visit. Implementing mitigating strategies of performing medication reconciliation and review, using existing implicit or explicit tools to evaluate medications, and deprescribing or de-escalating high-risk medications are critical to positive health outcomes. These practices can help to optimize pharmacologic interventions for older patients in the ED.
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