Geriatric Emergencies (eBook)

A Discussion-based Review

Amal Mattu, Shamai Grossman, Peter Rosen (Herausgeber)

eBook Download: EPUB

2016 | 1. Auflage
448 Seiten
Wiley-Blackwell (Verlag)
978-1-118-75333-0 (ISBN)

Infos

The elderly represent the fastest growing segment of the population in developed countries, reflected in the patient population presenting to EDs and hospitals. These patients more often than not have greater co-morbidities, more complicated workups and utilize more laboratory and radiologic services.
This text is designed to teach emergency physicians how best to care for this specific demographic of patients. It addresses physiologic changes, high-risk conditions, and atypical presentations associated with elderly patients in the ED that result in frequent misdiagnosis or delays in diagnosis. It instructs the readers how best to care for elderly patients in order to minimize morbidity and mortality, addressing some of the difficult psychosocial issues that confront health care providers that care for elderly patients, such as psychiatric disease and end-of-life care. The utility of this text is not limited to emergency physicians, but it should be useful to all health care providers involved in the treatment of elderly patients with acute medical or surgical conditions.

Autor

Series Editors: Shamai Grossman, Assistant Professor of Medicine; Director, Clinical Decision Unit and Cardiac Emergency Center. Beth Israel Deaconess Medical Center, Boston, MA. Peter Rosen, Senior Lecturer Emergency Medicine Harvard Medical School; Attending Emergency Physician Beth Israel Deaconess Medical Center; Visiting Clinical Professor Emergency Medicine University of Arizona; Professor Emergency Medicine University of California San Diego, MA. Editor-Chief: Amal Mattu, MD, Professor of Emergency Medicine and Vice Chair, Department of Emergency Medicine, University of Maryland School of Medicine, Baltimore, MD, USA. Dr. Mattu is one of the leading emergency medicine educators in the US and a strong advocate for geriatric emergency medicine training. He has authored or co-authored 5 books for Wiley, including his extremely successful ECGs for Emergency Physicians titles, which have been perennial bestsellers. Dr. Mattu is Consulting Editor for Emergency Medicine Clinics of North America; he is a popular speaker at conferences around the world and he has won multiple awards for his excellence in teaching, including national awards from the American College of Emergency Physicians, the American Academy of Emergency Medicine, and the Council of Residency Directors in Emergency Medicine.

Inhalt

List of Contributors vii

1 General assessment of the elderly patient 1
Alison Southern & Scott Wilber

2 Physiologic changes with aging 13
Kate D. Zimmerman & Robert S. Anderson, Jr.

3 Functional assessment of the elderly 28
Kirk A. Stiffler

4 Pharmacological issues in the elderly 43
Ruben Olmedo & Denise Nassisi

5 Altered mental status in the elderly 58
Josh Joseph & Maura Kennedy

6 Geriatric psychiatric emergencies 71
Josh Joseph & Maura Kennedy

7 Acute abdominal pain in the elderly: Surgical causes 83
Katren Tyler & Maura Kennedy

8 Nonsurgical abdominal pain in the elderly 99
Katren Tyler & Maura Kennedy

9 Back pain 110
Nicholas Santavicca & Michael E. Winters

10 Headache 123
Benjamin W. Friedman & Rebecca Nerenberg

11 Dyspnea in the elderly 139
Mercedes Torres & Siamak Moayedi

12 Acute chest pain in the geriatric patient 152
Marianne Haughey

13 Acute cardiac disease in elder patients 168
Susanne DeMeester

14 Syncope in Geriatrics 191
Timothy C Peck, Nissa J Ali & Shamai A Grossman

15 Stroke 203
Julie Watkins-Torrey, Roxanna Sadri & Kama Guluma

16 Infections 218
Jason Ondrejka & Scott Wilber

17 Dizziness and vertigo in the geriatric population 234
Jonathan Edlow & Alessandro Cancelliere

18 Weakness and functional decline 252
Colleen M McQuown

19 Emergency department evaluation of falls in the elderly 264
Tania D. Strout & Robert S. Anderson

20 Trauma in the geriatric patient 280
Christopher R. Carpenter & Peter L. Rosen

21 Surgical considerations in the elderly 304
Charles W. O'Connell, Davut Savaser & Colleen Campbell

22 Oncologic emergencies 321
Gabriel Wardi, Alexander Bromfield & Leslie C. Oyama

23 Elder abuse and neglect 351
Michael C. Bond & Kenneth H. Butler

24 Geriatric emergency pain management case 363
Teresita M Hogan & Alexandra Wong

25 Ethical issues and end-of-life care 386
Phillip D. Magidson & Jon Mark Hirshon

26 Geriatric dispositions and transitions of care 394
Barbara Morano, Carmen Morano, Kevin Biese, Eric A. Coleman & Ula Hwang

27 The geriatric ED, 407
Phillip D. Magidson, John G. Schumacher & Elizabeth A. Couser

Index 417

Textauszug

List of Contributors

1. Nissa J. Ali, MD
2. Beth Israel Deaconess Medical Center
3. Harvard Affiliated Emergency Medicine Residency
4. Department of Emergency Medicine
5. West Campus Clinical Center
6. Boston, MA, USA

1. Robert S. Anderson, Jr., MD
2. Assistant Professor
3. Tufts University School of Medicine
4. Departments of Emergency Medicine and Internal Medicine and Division of Geriatric Medicine
5. Maine Medical Center
6. Portland, ME, USA

1. Kevin Biese, MD, MAT
2. Vice Chair of Academic Affairs
3. Department of Emergency Medicine
4. University of North Carolina at Chapel Hill Chapel
5. Hill, NC, USA

1. Michael C. Bond, MD
2. Associate Professor, Residency Program Director
3. Department of Emergency Medicine
4. University of Maryland School of Medicine
5. Baltimore, MD, USA

1. Alexander Bromfield, MD
2. Clinical Instructor, Department of Emergency Medicine
3. University of California San Diego Health System
4. San Diego, CA, USA

1. Kenneth H. Butler, DO
2. Associate Professor, Associate Residency Program Director
3. Department of Emergency Medicine
4. University of Maryland School of Medicine
5. Baltimore, MD, USA

1. Colleen Campbell, MD
2. Associate Clinical Professor
3. Department of Emergency Medicine
4. Division of Emergency Ultrasound
5. University of California San Diego Health System
6. San Diego, CA, USA

1. Alessandro Cancelliere, MD PhD
2. Assistant Professor
3. Department of Emergency Medicine
4. University of Massachusetts Medical School
5. Worcester, MA, USA

1. Christopher R. Carpenter, MD, MSc
2. Associate Professor
3. Division of Emergency Medicine
4. Washington University in St. Louis School of Medicine
5. St. Louis, MO, USA

1. Andrew K. Chang, MD, MS
2. Vincent P. Verdile Vice Chair for Research and Academic Affairs
3. Professor of Emergency Medicine
4. Albany Medical College
5. Attending Physician
6. Albany Medical Center
7. Albany, New York

1. Eric A. Coleman, MD, MPH
2. Professor of Medicine and Head, Division of Health Care Policy and Research
3. Director
4. Care Transitions Program University of Colorado Denver
5. Anschutz Medical Campus
6. Aurora, CO, USA

1. Elizabeth Couser, MSW
2. Gerontology PhD Candidate
3. Doctoral Program in Gerontology
4. University of Maryland
5. Baltimore, MD, USA

1. Susanne DeMeester, MD
2. Attending Physician and Director Emergency Observation Center
3. St Joseph Mercy Hospital
4. Ann Arbor, MI, USA

1. Jonathan Edlow, MD
2. Vice-Chair, Department of Emergency Medicine
3. Beth Israel Deaconess Medical Center
4. Professor of Medicine and Emergency Medicine
5. Harvard Medical School
6. Boston, MA, USA

1. Benjamin W. Friedman, MD, MS
2. Associate Professor of Emergency Medicine
3. Albert Einstein College of Medicine
4. Montefiore Medical Center
5. Bronx, NY, USA

1. Shamai A. Grossman, MD
2. Associate Professor of Medicine and Emergency Medicine
3. Harvard Medical School
4. Vice Chair for Health Care Quality
5. Director
6. Observation Medicine
7. Department of Emergency Medicine
8. Beth Israel Deaconess Medical Center
9. Boston, MA, USA

1. Kama Guluma, MD
2. Clinical Professor
3. Department of Emergency Medicine
4. University of California San Diego Health System
5. San Diego, CA, USA

1. Marianne Haughey, MD
2. Associate Professor of Emergency Medicine
3. Albert Einstein College of Medicine
4. Jacobi Medical Center
5. Bronx, New York, NY, USA

1. Bryan Hayes, PharmD
2. Clinical Associate Professor
3. Department of Emergency Medicine
4. University of Maryland School of Medicine Baltimore, MD, USA

1. Jon Mark Hirshon, MD, MPH, PhD
2. Professor
3. Departments of Emergency Medicine and of Epidemiology and Public Health
4. University of Maryland School of Medicine
5. Baltimore, MD, USA

1. Teresita M. Hogan, MD
2. Director of Geriatric Emergency Medicine
3. Department of Medicine
4. Sections of Emergency Medicine and Geriatrics & Palliative Care
5. The University of Chicago
6. Chicago, IL, USA

1. Ula Hwang, MD, MPH
2. Associate Professor
3. Department of Emergency Medicine
4. Brookdale Department of Geriatrics and Palliative Medicine
5. Icahn School of Medicine at Mount Sinai
6. New York, NY
7. Geriatric Research, Education and Clinical Center
8. James J. Peters VAMC
9. Bronx, NY, USA

1. Joshua W. Joseph, MD
2. Fellow in Clinical Informatics
3. Department of Emergency Medicine
4. Beth Israel Deaconess Medical Center
5. Clinical Fellow in Emergency Medicine
6. Harvard Medical School, Boston, MA, USA

1. Maura Kennedy, MD, MPH
2. Associate Director for Emergency Medicine Research
3. Department of Emergency Medicine
4. Beth Israel Deaconess Medical Center
5. Assistant Professor of Emergency Medicine
6. Harvard Medical School
7. Boston, MA, USA

1. Phillip D. Magidson, MD, MPH
2. Departments of Emergency Medicine and Medicine
3. University of Maryland Medical Center
4. Baltimore, MD, USA

1. Amal Mattu, MD
2. Professor of Emergency Medicine and Vice Chair
3. Department of Emergency Medicine
4. University of Maryland School of Medicine
5. Baltimore, MD, USA

1. Colleen M. McQuown, MD
2. Associate Professor, Northeast Ohio Medical University
3. Rootstown, OH, USA
4. Associate Research Director
5. Department of Emergency Medicine
6. Summa Akron City Hospital
7. Akron, OH, USA

1. Don Melady, MD, MSc(Ed)
2. Schwartz/Reisman Emergency Centre
3. Mount Sinai Hospital
4. Assistant Professor, Faculty of Medicine
5. University of Toronto
6. Toronto, ON, Canada

1. Siamak Moayedi, MD
2. Assistant Professor
3. Department of Emergency Medicine
4. University of Maryland School of Medicine
5. Baltimore, MD, USA

1. Barbara Morano, MPH, LCSW
2. Program Manager
3. Department of Geriatrics
4. Icahn School of Medicine at Mount Sinai
5. New York, NY, USA

1. Carmen Morano, PhD, LCSW
2. Associate Professor
3. Silberman School of Social Work at Hunter College
4. Director
5. Silberman Aging: A Hartford Center of Excellence in Diverse Aging
6. Managing Editor
7. Journal of Gerontological Social Work
8. New York, NY, USA

1. Denise Nassisi, MD
2. Director of the Geriatric Emergency Department
3. Mount Sinai Medical Center
4. Associate Professor Departments of Emergency Medicine & Medicine Icahn School of Medicine at Mount Sinai
5. New York, NY, USA

1. Rebecca Nerenberg, MD
2. Assistant Professor of Clinical Emergency Medicine
3. Department of Emergency Medicine
4. Montefiore Medical Center
5. Albert Einstein College of Medicine
6. Bronx, NY, USA

1. Charles W. O'Connell, MD
2. Clinical Instructor
3. Department of Emergency Medicine
4. Division of Medical Toxicology
5. University of California San Diego Health System
6. San Diego, CA, USA

1. Ruben E. Olmedo, MD
2. Director
3. Division of Toxicology
4. Department of Emergency Medicine
5. Mount Sinai Medical Center
6. Assistant Professor
7. Icahn School of Medicine at Mount Sinai
8. New York, NY, USA

1. Jason Ondrejka, DO
2. Summa Akron City Hospital
3. Department of Emergency Medicine
4. Akron, OH, USA

1. Leslie C. Oyama, MD
2. Associate Clinical Professor
3. Associate Residency Director
4. University of California San Diego Health System
5. San Diego, CA, USA

1. Timothy C. Peck, MD
2. Beth Israel Deaconess Medical Center
3. Harvard Affiliated Emergency Medicine Residency
4. Department of Emergency Medicine
5. West Campus Clinical Center
6. Boston, MA, USA

1. Peter L. Rosen, MD
2. Senior Lecturer Emergency Medicine
3. Harvard Medical School
4. Attending Emergency Physician Beth Israel/Deaconess Medical Center
5. Visiting Clinical Professor of Emergency Medicine
6. University of Arizona School of Medicine Tucson
7. Emeritus Professor of Emergency Medicine
8. University of California
9. San Diego, CA, USA

1. Roxanna Sadri, MD
2. Department of Emergency Medicine
3. University of California San Diego Health System
4. San Diego, CA, USA

1. Nicholas Santavicca, MD
2. Fellow, Emergency...

Produkt-Details

• Erscheint lt. Verlag: 19.5.2016
• Reihe/Serie: CTEM - Current Topics in Emergency Medicine
• Reihe/Serie: CTEM - Current Topics in Emergency Medicine
• Reihe/Serie: Current Topics in Emergency Medicine
• Mitarbeit: Stellvertretende Herausgeber: Robert Anderson, Christopher R. Carpenter, Andrew Chang, Jon Mark Hirshon, Ula Hwang, Maura Kennedy, Don Melady, Vaishal Tolia, Scott Wilbur
• Sprache: englisch
• Themenwelt: Medizin / Pharmazie ► Allgemeines / Lexika
• Themenwelt: Medizin / Pharmazie ► Medizinische Fachgebiete ► Geriatrie
• Themenwelt: Medizin / Pharmazie ► Medizinische Fachgebiete ► Notfallmedizin
• Schlagworte: Acute • Co-morbidity • elderly • Emergency • Emergency Medicine & Trauma • end-of-life • geriatric medicine • Geriatrie • Medical Science • Medizin • Mortality • Notfallmedizin • Notfallmedizin u. Traumatologie • Psychosocial
• ISBN-10: 1-118-75333-X / 111875333X
• ISBN-13: 978-1-118-75333-0 / 9781118753330