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A Model for Developing Subspecialty Clinical Practice Guidelines: The Geriatric Emergency Department Guidelines 2.0
Satheesh Gunaga1,2,3, Christopher R Carpenter4, Maura Kennedy5,6
1Department of Emergency Medicine, Henry Ford Health, Wyandotte Hospital, Wyandotte, Michigan, USA.
Journal of the American College of Emergency Physicians Open
|September 29, 2025
Summary
The updated Geriatric Emergency Department (GED) Guidelines 2.0 offer improved, evidence-based emergency care for older adults. This revision emphasizes transparency and systematic reviews for enhanced clinical utility.
Area of Science:
- Geriatric Emergency Medicine
- Emergency Medicine Subspecialty Guidelines
- Health Services Research
Background:
- The 2014 Geriatric Emergency Department (GED) Guidelines provided a foundational framework for geriatric emergency care.
- Advances in research and clinical priorities necessitated an update to ensure continued relevance and rigor.
Purpose of the Study:
- To describe the systematic process of developing the Geriatric Emergency Department (GED) Guidelines 2.0.
- To ensure continued relevance, clinical utility, and evidence-based rigor in geriatric emergency medicine.
Main Methods:
- Formation of multidisciplinary working groups comprising clinical and academic experts.
- Application of the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) methodology.
- Conducting systematic reviews and meta-analyses to build a robust evidence base.
Main Results:
- Prioritized methodological transparency, formalized evidence grading, and consensus building.
- Identified key geriatric domains and priority topics for emergency care.
- Established a comprehensive evidence base through systematic reviews and meta-analyses.
Conclusions:
- The GED Guidelines 2.0 represent a significant update, enhancing the care of older adults in emergency departments.
- This revision serves as a novel blueprint for future emergency medicine subspecialty guideline development, fully adopting the GRADE framework.
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