Palliative care in the ED

Palliative care in the ED. Two things that does not seem to be related and even counter-intuitive! In the ED, we save lives right?! Right! But not at all price. I did a presentation with a palliative care physician, Dr Russell Goldman from the Tammy Latner Center for Palliative Care about this topic and he taught …

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Initial management of geriatric trauma

This post is a must read if you are en emergency physician. The geriatric population is the only age group who had an increased proportion in trauma. They have a higher mortality rate but also complications. Here is a summary of the basic tips to remember when your in coming trauma activation is 80 years …

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Goals of care discussions: which approach is best?

In the emergency department, although we are the first line for the sickest patients, we tend to defer the "goals of care discussion" to the admission team. Reasons are numerous: it is time-consuming, we often do not have access to all the information necessary, and in geriatric we are confronted to cognitively non-intact patient frequently …

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Screening tool at triage for vulnerable elderly

Part of our role as emergency physician is risk stratification. Like for acute coronary syndrome, TIA, pulmonary embolism, frail older adults can be screened in the ED. Not only they can be screened, but the screening can start at triage. Why should we screen frail older adults? Great question! It is important because it has …

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Disaster preparedness and elderly

When we talk about mass casualties event, code orange or disaster preparedness, emergency people automatically stops what they are doing and listen. (I do it!) It is rare events that nobody wishes to happen, but we have to be adequately prepared to respond. Every hospital has a book, a protocol and procedures and it is …

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