Geriatric Emergency Medicine
Transcript of Geriatric Emergency Medicine
Geriatric Emergency Medicine
Simon Conroy
Professor of Geriatric (Emergency) Medicine
University of Leicester
Update in Medicine, Loughborough
Why this is relevant to us all…
• Who has been a patient in the Emergency Department?
• Who has had an older relative stay >4 hours in the Emergency Department?
• Who has had a procedure cancelled because of emergency pressures?
Why this is important
• Significant opportunities
– Patient outcomes
– Carer outcomes
– Service outcomes
– Staff outcomes
A GEM narrative
• Once upon a time…
• Every day…
• One day…
• Because of that…
• Because of that…
• Until finally…
What would you want for your relative?
A brave new world?
• What did stroke units ever do for us?
• What did orthogeriatrics every do for us?
• What could Geriatric Emergency Medicine do for us?
Summary
• Frail older people often come to Emergency Departments
• Harms common in the weeks-months surrounding attendance
• Geriatric Emergency Medicine fuses ED and GER MED competencies
– Frailty to risk stratify (CFS)
– CGA to improve outcomes
– ED competencies,
pace and scale
• In the pipeline…
– Frailty registry
– System dynamic modelling
– Patient Reported Outcome Measures