The geriatric emergency literature 2023

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.