From sigh to smile.
Older adults are increasing in number in our Emergency Department (ED). Their needs are complex and difficult to meet without the proper setting and training. This is why many of us will sigh when we see “89 F presenting with general weakness”. This course will resolve many of your questions, and give you clinical tips and tools to change your approach to the geriatric patient in the ED. Our main objective is that each participant will become a better equip clinician and a positive leader for a population that once took care of all of us. It is our turn to give them back what they deserve: the best care.
Geriatric EM provides a modern approach to CPD by implementing the flipped classroom technique. You will receive 10 video modules to watch at your leisure, prior to attending the course.
At the end of this course, participants will be able to:
- Change their behaviour regarding older adults care in the emergency department in light of new knowledge and evidences;
- Describe and explain the main geriatric syndromes that have an impact on the clinical management of older adults in the emergency department;
- Resolve complex clinical situations involving older adults that are commonly seen in the emergency department.
This course runs for four hours, is about 50% interactive and can fit from 25 participants to 100.
This course will cover a wide range of Geriatric Emergency Medicine topics through typical cases. The participants have the opportunity to discuss cases in small group in order to learn from each other and the cases are resolved by the four instructors in large group allowing participants to ask questions but also to learn from the experienced instructors.
A wide range of Geriatric Emergency Medicine topics is covered by this course:
- Common infections and sepsis
- ED-specific Geriatric Pharmacology
- Trauma and falls (Femoral nerve block)
- Substance use and misuse
- Function and frailty assessment
- Dementia, Parkinson’s and behavioural disturbance
- Transition of care
- End of life issues
12:30 – 17:00
Lunch and nutrition break provided.
A 82 years old man was brought to the ED by EMS after a fall.
Vitals sign are “normal” and patient fell on the ground while trying to get up to go the bathroom. He can’t really explain why he fell. He hit his head on the nightstand corner and did not lose consciousness. He could not get up by himself and is too heavy for his wife. He has pain in his right leg and feels “fine” at the moment.
Physical exam findings are notable for a GCS 14 (disoriented day and year), deep laceration on his head without active bleeding, heart and lungs N and obvious deformation in external rotation of the right leg.
He has a polymedication and comorbidities such as coronary artery disease (2 stents 10 years ago), mild cardiac failure (EF 45%) and 1 admission for acute pulmonary edema 6 months ago, hypertension, dyslipidemia, BPH.
Does that case seems relatable to your ED population?
Come to the course to learn how best to care for this patient!
|Audrey-Anne Brousseau, MD, MSc, FRCPC||Don Melady MD, MSc, CCFP(EM), FCFP||Debra Eagles MD, MSc, FRCPC||Marcel Émond, MD, MSc, CCFP(EM), FRCP||Brittany Ellis PGY5-EM|