This book discusses all important aspects of emergency medicine in the elderly, identifying the particular care needs of this population, which all too often remain unmet. The up-to-date and in-depth coverage will assist emergency physicians in identifying patients at risk for adverse outcomes, in conducting appropriate assessment, and in providing timely and adequate care. Particular attention is paid to the common pitfalls in emergency management and means of avoiding them.Between 1980 and 2013, the number of elderly patients in emergency departments worldwide doubled. Compared with younger patients, the elderly suffer from more comorbidities and higher mortality, require more complex work-up and diagnostic testing, and tend to stay longer in the emergency department. This book, written by internationally recognized experts in emergency medicine and geriatrics, not only presents the state of the art in the care of this population but also underlines the increasing need for ade
quate training and development in the field.
1. Profiles of older patients in the emergency department.- 2. Triage of elderly patients.- 3. High-risk presentations in the elderly.- 4. Trauma in the elderly.- 5. Dementia and delirium.- 6. Comprehensive geriatric assessment.- 7. Detection of older people with increased risk of adverse health outcomes after an emergency visit.- 8. Interventions to improve outcomes for elderly patients discharged from the emergency department.- 9. Pathophysiology of severe sepsis in the elderly: clinical impact and therapeutic considerations.- 10. Drug-related problems in the elderly.
Recenzijas
Given the rapidly growing geriatric population presenting to the emergency department, a book like this is well timed, particularly because there are too few resources on this topic. This book fills this void and the authors succeed in writing a book that can be easily embraced by general emergency providers, but is nuanced enough to provide an in depth and thorough exploration of the subject. (Callie K. Schnitker, Doody's Book Reviews, September, 2018)
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Part I Pre-hospital Care and Initial Assessment |
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1 Prehospital Management of Older Patients |
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3 | (14) |
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2 Triage of Older ED Patients |
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17 | (6) |
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3 Primary Assessment and Stabilization of Life-Threatening Conditions in Older Patients |
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23 | (26) |
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4 Secondary Assessment of Life-Threatening Conditions of Older Patients |
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49 | (26) |
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5 Clinical Assessment and Management of Older People: What's Different? |
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75 | (16) |
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6 Comprehensive Geriatric Assessment in the Emergency Department |
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91 | (20) |
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Part II Management of Common Conditions |
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7 Pitfalls in the Management of Older Patients in the Emergency Department |
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111 | (16) |
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8 Nonspecific Disease Presentation: The Emergency Department Perspective |
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127 | (10) |
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9 Falls Presenting in the Emergency Department |
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137 | (10) |
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10 Syncope in Older People in the Emergency Department |
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147 | (16) |
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11 Trauma in Older People |
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163 | (14) |
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12 Management of Sepsis in Older Patients in the Emergency Department |
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177 | (22) |
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13 Cognitive Impairment in Older People Presenting to ED |
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199 | (10) |
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14 Depression in Acute Geriatric Care |
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209 | (8) |
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15 Abdominal Pain in Older Patients |
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217 | (18) |
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16 Urinary Tract Infections in Older Patients |
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235 | (12) |
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17 Management of Acute Chest Pain in Older Patients |
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247 | (14) |
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18 Dyspnoea in Older People in the Emergency Department |
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261 | (14) |
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Juan Gonzalez del Castillo |
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19 Management of Back Pain in Older Patients |
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275 | (16) |
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Part III Special Considerations in Frail Older People |
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20 Medicine in Older Patients: Evidence Based? |
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291 | (8) |
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21 Prescribing for Older Patients |
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299 | (16) |
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22 Pain in Older People Attending Emergency Departments |
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315 | (14) |
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23 Transitions of Care and Disposition |
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329 | (16) |
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24 Principles of Rehabilitation in Geriatric Emergency Medicine |
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345 | (8) |
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25 Palliative and End of Life Care for Dementia Patients in the Emergency Department |
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353 | (8) |
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26 Palliative and End of Life Care for the Older Person in the Emergency Department |
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361 | (8) |
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27 Ethical Issues of Emergency Medical Care for Older Patients |
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369 | (28) |
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Monique Weissenberger-Leduc |
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| Index |
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Christian Nickel is an emergency physician at the Emergency Department of the University Hospital Basel, Switzerland. He has a special interest in geriatric emergency care. Recently, he has been elected chair of the Geriatric Emergency Medicine Section of the European Society of Emergency Medicine (EUSEM). His main research focus is disease presentation and risk stratification of older Emergency Department patients.
Abdelouahab Bellou is Professor of Therapeutics and Emergency Medicine, University of Rennes, France, Associate Professor of Emergency Medicine at Harvard Medical School and Director of the Quality and Safety, Administration and Leadership, International Emergency Medicine Fellowship (QuALIEF) at Beth Israel Deaconess Medical Center, a Teaching Hospital of Harvard Medical School, Boston, USA. He was also the co-founder and the former chair of the Section of Geriatric Emergency Medicine of the European Society for Emergency Medicine. Dr. Bellou has beencommitted to the advancement of emergency medicine for over 20 years. Having served as a former president of the European Society for Emergency Medicine, he has been a leader in the development of international emergency medicine.Dr. Bellous consulting specialty areas include emergency medicine education, geriatric emergency medicine, ED operations improvement, ED design and layout, and disaster planning. He is an expert on implementing quality assurance and safety programs in the ED. He is also a basic science researcher working on the role of potassium voltage-dependant channels in vasodilatory shock.
Simon Conroy, Geriatrician, University Hospitals of Leicester & Honorary Professor, University of Leicester. His research addresses different models of care for frail older people, assessing feasibility as well as clinical and cost-effectiveness. Professor Conroys educational activities take an interdisciplinary perspective on developing and teaching knowledge locally (frailty services), regionally, nationally and internationally. His Specific areas of interest include: frailty, acute care of frail older people, falls in older people, community geriatrics & intermediate care, end of life care & advance care planning, comprehensive geriatric assessment, complex interventions for older people, prescribing in older people
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