Geriatric Emergency Medicine Special Interest Group

Geriatric Emergency Medicine Special Interest Group

The IFEM Geriatric Emergency Medicine Special Interest Group was established in  2015. In many IFEM countries – on all continents — older people are the fastest growing demographic segment in the population. In all countries older patients are among the most complex, most vulnerable, and most resource-intensive of all ED patients. There is a growing awareness that care of older ED patients represents an identifiable sub-specialty within the practice of EM. The GEM SIG brings together clinicians, researchers, and educators who have a specific focus on improving care of older ED patients. We are a coalition of the willing and if you are interested in being involved, please contact the Chair, Don Melady (Canada) via the Secretariat.

We promote Geriatric Emergency Medicine through:

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sharing best practices by identifying, developing and disseminating guidelines and standards pertaining to GEM;
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developing globally relevant education and training opportunities;
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promoting research in GEM;
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supporting service development in GEM globally (including in the developing world);
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advocating for older people and their requirements from the Emergency Services.

1.  Australia

Prof. Peter Cameron
Australasian College for Emergency Medicine
[email protected]

Dr. Michelle Withers
Australasian College for Emergency Medicine
[email protected]

Dr Judy Lowthian
[email protected]

Dr Guru Nagaraj
Australasian College for Emergency Medicine Australia
[email protected]

Dr Julie Considine
Australasian College for Emergency Medicine Australia
[email protected]

Dr Paul Simpson
[email protected] Australia

Dr Linda Schnitker
[email protected]

Dr Linda Ross
[email protected]

Dr Ogilvie Thom
Australasian College for Emergency Medicine
[email protected]

Dr Jenny Love
Australasian College for Emergency Medicine
[email protected]

Dr Len Gray
[email protected] Australia

Dr Elizabeth Marsden
Australasian College for Emergency Medicine Australia
[email protected]

2.  Canada

Dr Audrey-Anne Brousseau
[email protected]

Dr Michael Bullard
Canadian Association of Emergency Physicians
[email protected]

Dr Don Melady
Canadian Association of Emergency Physicians
[email protected]

Dr Marcel Emond
[email protected]

Dr Debra Eagles
[email protected]

Dr Jacques Lee
[email protected]

Dr Andrew Costa
[email protected]

Dr Alan Batt
[email protected]

Dr John Ross
[email protected]

Dr Patrick Archambault
[email protected]

Dr Eric Mercier
[email protected]

3.  Denmark

Dr Helene Skjoet-Arkil
[email protected]

Dr Inge Hansen-Brun
[email protected]

4. Hong Kong

Dr Paul Ho
[email protected]

Dr LP Leung
[email protected]

5.  India

Dr Srinath Kumar
Royal College of Emergency Medicine
[email protected]

Dr Imron Subhan
Society for Emergency Medicine, India
[email protected]

6. Japan

Dr Shoji Yokobori
[email protected]

7. Malaysia

Dr Nik Rahman
[email protected]

Dr Chung Wai Mun
[email protected]

8.  Netherlands

Dr Simon Mooijaart
[email protected]

9.  New Zealand

Dr Paul Quigley
Australasian College for Emergency Medicine
[email protected]

10. Singapore

Dr Colin Ong
[email protected]

Dr Foo Chik Loon
[email protected]

Dr Vivian Siu
[email protected]

11.  Sweden

Dr Fredrik Sjöstrand
[email protected]

12.  Switzerland

Dr Christian Nickel
[email protected]

13. Thailand

Dr Jiraporn Sri-On
[email protected]

14.  United Kingdom

Dr Ian Sammy
Trinidad and Tobago Association of Emergency Physicians and Surgeons
[email protected]

Prof Suzanne Mason
[email protected]

Dr Jay Banerjee
[email protected]

Dr Simon Conroy
[email protected]

Dr Ashgar Zaidi
[email protected]

Dr Rose Galvin
[email protected]

15.  United States of America

Assoc Prof Chris Carpenter
American College of Emergency Physicians
[email protected]

Dr Kevin Biese
[email protected]

Dr Ula Hwang
[email protected]

Dr Michael Stern
[email protected]

Dr Jeffrey Caterino
[email protected]

Dr Tess Hogan
[email protected]

Dr Shusen Sun
[email protected]

Dr Luiz Hargreaves
[email protected]

Dr Alexander Lo
[email protected]

Dr Michael Girardi
American College of Emergency Physicians
[email protected]

16.  West Indies

Dr Jean Williams-Johnson
[email protected]

The Geriatric Emergency Department Guidelines document is the product of two years of consensus-based work that included representatives from the American College of Emergency Physicians, The American Geriatrics Society, Emergency Nurses Association, and the Society for Academic Emergency Medicine.

The Silver Book is a collaborative response to a pressing need to address how older people are cared for over the first 24 hours of an urgent care episode.

This document is a policy of the Australasian College for Emergency Medicine (ACEM) and relates to the recommended standards of care for older persons in the Emergency Department

Statement on Minimum Standards for the Care of Older People in Emergency Departments by the Geriatric Emergency Medicine Special Interest Group of the International Federation for Emergency Medicine.

This position statement represents the views of the Australian and New Zealand Society for Geriatric Medicine. This statement was approved by the ANZSGM Federal Council on 5 May 2015.

Personalized e-learning in Geriatric Emergency Medicine

Each of the six modules in this website is designed to provide in-depth knowledge about issues in geriatric emergency medicine to physicians working in Emergency Departments who want to provide optimal care to their older patients.

Geriatric Emergency Medicine podcast

GEMCAST is a Geriatric Emergency Medicine Podcast : A series of lectures on clinical topics to help physicians, trainees, nurses, and paramedics who take care of older adults particularly in the acute care setting.

The Portal Of Geriatric Online education

A comprehensive and free collection of expert-contributed geriatrics educational materials for educators and learners.

Acute Geriatric series published in Emergency Medicine Australasia

 The Geriatric Emergency Medicine Special Interest Group  (GEMSIG) fosters and promotes quality clinical care for older people in emergency departments throughout Australia and New Zealand.

British Geriatric Society blog 

 The BGS blog aims to presents issues relevant to people working to improve the health and care of older people. It will highlight the latest news and activities from across all the BGS campaigns, events, publications and activities as well as original articles commissioned by leaders in geriatric medicine.

The Portal Of Geriatric Online education

This is a consensus document developed by identified experts to set a minim of performance standards that all residents should be able to demonstrate by completion of residency training.

The basic courses are designed to improve your knowledge of the basic principles of geriatric emergency care with an emphasis on quality of care issues. The content is presented through questions, most of which are case-based.

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Geriatric Emergency Medicine researchers are numerous and very productive. Here are a few recent and/or strong articles that changed and continue to improve care for older adults in the emergency department.

A controlled evaluation of comprehensive geriatric assessment in the emergency department: The Emergency Frailty Unit

Simon Paul Conroy, Kharwar Ansari, Mark Williams, Emily Laithwaite, Ben Teasdale, Jeremy Dawson, Suzanne Mason, Jay Banerjee

2013

Disseminating and sustaining emergency department innovations for older adults: good ideas deserve better policies

Alexander X.Lo and Kevin Biese

2017

Profiles of Older Patients in the Emergency Department: Findings From the interRAI Multinational Emergency Department Study

Leonard C. Gray, Nancye M. Peel, Andrew P. Costa, Ellen Burkett, Aparajit B. Dey, Palmi V. Jonsson, Prabha Lakhan, Gunnar Ljunggren, Fredrik Sjostrand, Walter Swoboda, Nathalie I. H. Wellens, John Hirdes

2013

Geriatric Syndromes Predict Postdischarge Outcomes Among Older Emergency Department Patients: Findings From the interRAI Multinational Emergency Department Study

Andrew P. Costa, John P. Hirdes, George A. Heckman, Aparajit B. Dey, Palmi V. Jonsson, Prabha Lakhan, Gunnar Ljunggren, Katrin Singler, Fredrik Sjostrand, Walter Swoboda, Nathalie I.H. Wellens, Leonard C. Gray

2014

Identification of older adults with frailty in the Emergency Department using a frailty index: results from a multinational study

Audrey-Anne Brousseau, Elsa Dent, Ruth Hubbard, Don Melady, Marcel Émond, Éric Mercier, Andrew Costa

2017

Risk stratification and rapid geriatric screening in an emergency department – a quasi-randomised controlled trial

Chik Loon Foo, Vivan Wing Yin Siu, Hou Ang, Madeline Wei Ling Phuah, Chee Kheong Ooi

2014

Paramedics assessing Elders at Risk for Independence Loss (PERIL): Derivation, Reliability and Comparative Effectiveness of a Clinical Prediction Rule

Jacques S. Lee, P. Richard Verbeek, Michael J. Schull, Lisa Calder, Ian G. Stiell, John Trickett, Laurie J. Morrison, Michael Nolan, Brian H. Rowe, Sunil Sookram David Ryan, Alex Kiss, Gary Naglie

2016

Geriatric-Specific Triage Criteria Are More Sensitive Than Standard Adult Criteria in Identifying Need for Trauma Center Care in Injured Older Adults

Chwan B, Darbha S, Shah M N, Thompson L, Evans DC, Boulger CT, Caterino JM

2015

Polypharmacy and potential drug-drug interactions in emergency department patients in the Caribbean

Darrent Dookeeram, Satesh Bidaise, Joanne F. Paul, Paula Nunes, Paula Robertson, Vidya Ramcharitar Maharaj, Ian Sammy

2017

Risk Factors and Screening Instruments to Predict Adverse Outcomes for Undifferentiated Older Emergency Department Patients: A Systematic Review and Meta-analysi

Christopher R. Carpenter, Erica Shelton, Susan Fowler, Brian Suffoletto, Timothy F. Platts-Mills, Richard E. Rothman, Teresita M. Hogan

2014

november, 2018

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Expressions of interest are invited from individuals from IFEM Member organisations and individuals with an interest in GEM.   Nominations by your organisation, or self-nominations by individuals within your organisation, should be forwarded to the IFEM Secretariat.

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