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The geriatric emergency literature 2023.

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This summary is machine-generated.

This review covers 2023 updates in geriatric emergency medicine, focusing on medication safety, delirium, trauma care, and dementia. It also highlights a program improving post-emergency department care for older adults.

Keywords:
DementiaFallsGeriatricsHigh-risk medicationsTransitions of careTrauma

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Area of Science:

  • Geriatric Emergency Medicine
  • Internal Medicine
  • Gerontology

Background:

  • Emergency Departments (EDs) face unique challenges caring for older adults.
  • The field of geriatric emergency medicine is rapidly evolving with new research and guidelines.
  • A comprehensive approach is needed to address the complex needs of geriatric patients.

Purpose of the Study:

  • To review key practice-changing updates in geriatric emergency medicine from 2023.
  • To highlight advancements in managing older adults within the ED setting.
  • To discuss innovations extending care beyond the ED visit for improved outcomes.

Main Methods:

  • Review of prominent geriatric emergency medicine articles published in 2023.
  • Analysis of updates to established guidelines, such as the Beers Criteria.
  • Inclusion of novel programs demonstrating improved post-discharge care for older adults.

Main Results:

  • Updated Beers Criteria identify potentially inappropriate medications for older adults.
  • Key medications linked to delirium and strategies for its prevention are discussed.
  • Geriatric trauma center standards and management of behavioral issues in dementia patients are presented.
  • Emergency department process outcomes in geriatric-specific EDs are examined.
  • A Veterans Affairs program utilizing former medics for home-based post-ED care shows promise.

Conclusions:

  • Practice-changing updates in 2023 enhance the care of older adults in the ED.
  • Focusing on medication management, delirium, trauma, and dementia improves patient outcomes.
  • Innovative programs extending care beyond the ED are crucial for holistic geriatric management.