Physiologic change of aging

Older adults are not adults with grey hair. It is the same principle for pediatrics, they have their own physiologic particularities. These differences are very important to understand because it will change the clinical management. Lets review what happens when the body ages, starting at 25 years old! (Oh yes!) But first, I would like …

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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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Grandma stopped eating…

During my geri-psych rotation, a surprising common reason for referral was: not wanting to eat, please evaluate. Really? Geri-psych? Is that really a thing? Sometimes, it is the chief complaint in the emergency department. And most of emergency physicians would probably pause and ask "What do I know about this?", and answer, "nope, nothing". I discovered …

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About Me

I am an emergency physician recently graduated from Université Laval. Being passionate about geriatric care, I am pursuing my training with a year long fellowship in geriatric emergency Medicine in Toronto. You will see in this blog reflections about what I learned this week in the geriatric field. Of course, it will be colored by my opinions and thoughts! I hope you will learn something from it as well! Enjoy!

Hip fracture Co-Management

Hip fractures in our older adults population are common and carry a significant increase in mortality and morbidity. Some sources stated 60% mortality at 6 months and many who survived will not recover their baseline independence. It is deadly. Here, they have an interesting way to manage their hip fracture population based on a few …

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