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[Geriatricians in the emergency department: a response to the challenges of an aging population]
Louise Reinhart1, Tristan Cudennec2
1Service d'accueil des urgences, université Paris-Saclay, site Ambroise-Paré, AP-HP, 9 avenue Charles-de-Gaulle, 92100 Boulogne-Billancourt, France.
Abstract:
The proportion of older adults in emergency departments continues to rise, posing significant organizational and medical challenges. At Ambroise-Paré Hospital (AP-HP), where 21 % of the 40,000 annual visits involve patients over the age of 75, an innovative solution has been developed: the establishment of a geriatrician position dedicated to the emergency department. This article provides an overview of geriatric emergency care in France, the specific challenges of caring for older adults in emergency settings, and the experience with the program implemented at Ambroise-Paré since November 2022-including the creation of a fast-track, the daily presence of a geriatrician in the short stay unit (SSU), and strengthened coordination with the regional geriatric care network.
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