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, Carolyn Hullick (Australia) via the Secretariat.

We promote Geriatric Emergency Medicine through:

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


Dr Carolyn Hullick | Chair
Australasian College for Emergency Medicine

Dr Hullick is a Senior Staff Specialist Emergency Physician and Director of Emergency Medicine at Belmont District Hospital, Newcastle, Australia. She is the Clinical Lead, Aged Care Emergency program for the Hunter New England Local Health District.  She is Conjoint Senior Lecturer for the School of Medicine and Public Health at the University of Newcastle. She has been involved in the development of a State-wide Chest Pain pathway for all Emergency Departments in New South Wales, and pre-hospital thrombolysis for acute myocardial infarction and stroke assessment program. She is the Chair of the Australasian College for Emergency Medicine Geriatric Emergency Medicine Section. She was previously a Harkness Fellow with the Commonwealth Fund and completed a fellowship in Geriatric EM at Weill Cornell Medical School, New York, New York. She is an invited author for the Acute Geriatric Series in Emergency Medicine Australasia, a series to improve the engagement and knowledge of the EM community in the care of the older person. She has recently had a research grant to improve medication management in transitions of care for people with dementia.

Associate Professor Jiraporn Sri-on | Vice Chair
Thai College of Emergency Physicians

Dr Jiraporn is an Emergency Physician and chair of the Emergency Department, Vajira Hospital, Navamindardhiraj Univarsity, Bangkok, Thailand. She was previously a research fellow in geriatric emergency medicine at Massachusetts General Hospital, Harvard, USA. She is clinical lead in taking care of older patients in the ED for abdominal pain, delirium, procedure sedation, palliative care and the project “Develop the health system to improve quality of health status, Independent Living, Maintenance of Balance, among older urban adults with trauma (falls) of Thai Health Promotion organization.” She is chair of the academic section, Thai College of Emergency Physician. She has been involved in the development of stroke clinical practice guidelines for Thai emergency physicians. Her research focus is on delirium, falls, pain management and dehydration among older ED patients.

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.

e-mail contacts for members below may also be requested via the IFEM Secretariat.

1.  Australia

Dr Carolyn Hullick (Chair)

Prof. Peter Cameron

Dr Mya Cubitt

Dr Michelle Withers

Dr Judy Lowthian

Dr Guruprasad Nagaraj

Dr Julie Considine

Dr Paul Simpson

Dr Linda Schnitker

Dr Linda Ross

Dr Ogilvie Thom

Dr Jenny Love

Dr Len Gray

Dr Elizabeth Marsden

Dr Glenn Arendts

Bindiya Rai 

Easwaran Krishnan

Eric Van Puymbroeck   

Farzad Jazayeri 

Helen Rawson

John Roe

Kate Taliana

Dr Sheryl Twedell

Margaret Fry

Dr Nemat Alsaba (Conference Lead) 

Nigel Barr

Peter Roberts

Viet Tran

Rajesh Malik

Nadia Bowman

2.  Argentina

Dr Dario Eduardo Garcia

3.  Canada

Dr Audrey-Anne Brousseau (Communications Lead)

Dr Michael Bullard

Dr Debra Eagles

Dr Brittany Ellis (Secretary)
[email protected]

Dr Marcel Emond

Dr Jacques Lee

Dr Andrew Costa

Dr Patrick Archambault

Dr Eric Mercier

Elizabeth Lalande 

Kristin Morch

Rebecca Schonnop  

4.  Chile

Dr Oscar Navea

Luis Enberg 

5.  Costa Rica

Dr Alejandro Moya Alvarez (Regional Lead – South America)

6.  Denmark

Dr Helene Skjoet-Arkil

Dr Inge Hansen-Brun

Joas John Kyabonaki

7. Hong Kong

Dr Paul Ho

Dr Patric Leung

8.  India

Dr Srinath Kumar

Dr Imron Subhan

Dr Rishal Rahman

Saisurendar M (Regional Lead- Asia)

9. Japan

Dr Shoji Yokobori

10.  Malaysia

Dr Nik Rahman

Dr Chung Wai Mun

Dr Mohd Idzwan bin Zakaria

11 Peru

Dr Sayuri Enriquez

Maribel Juscamayta Tabraj         

12.  Mexico

Dr Diana Lemus

Gustavo a Gutierrez Reyes

Myrna Ibarra Gómez  

Lilia Hortensia Baruch Hernández 

13.  Netherlands

Dr Simon Mooijaart

Jacinta A. Lucke 

14.  New Zealand

Dr Paul Quigley

Alastair MacLean

David Levy  

Paul Quigley    

Scott Pearson  

15. Singapore

Dr Colin Ong

Dr Foo Chik Loon

Dr Vivian Siu

Audrey Tham          

Poh Juliana  

16.  Sweden

Dr Fredrik Sjöstrand

Miriam Bernieri     

17.  Switzerland

Dr Christian Nickel (Regional Lead – Europe)

18. Thailand

Dr Jiraporn Sri-On (Vice-Chair)

19. Turkey

Dr Murat Çetin 

20.  United Kingdom

Prof Suzanne Mason

Dr Jay Banerjee

Dr Simon Conroy

James van Oppen     

Priyadarshini Marathe 

21.  United States of America

Dr. Chris Carpenter

Dr Kevin Biese

Dr Ula Hwang

Dr Michael Stern

Dr Jeffrey Caterino

Dr Tess Hogan

Dr Shusen Sun

Dr Luiz Hargreaves

Dr Alexander Lo

Dr Michael Girardi

Michael Hargreaves          

Shan Liu (Membership Lead)

Tim Platts-Mills (Regional Lead – North America)          

Terrence Mulligan 

22.  West Indies

Dr Ian Sammy

Dr Jean Williams-Johnson

23.  Colombia

Ernesto Brun Rocha

24.  Yemen

Fouad Ahmed Ali    

Moajeb Saleh

25.  Ireland

Aine Mitchell 

Rosa McNamara

Rose Galvin

26.  Israel

Roei varona

27.  Jamaica

Jean Williams Johnson      

28.  Nepal

Ramesh Kumar Maharjan   

29.  Oman

Ammar Al-Kashmiri 

30.  Philippines

Bernadett Pua Velasco

Bernadett Velasco 

31.  Poland

Juliusz Jakubaszko   

32.  South Africa

Dries Engelbrecht    

33.  Uganda

John Bosco Kumugisha   

34.  Greece

Theodoris Aslanidis

Australia and New Zealand

Dr Guruprasad Nagaraj
Australian College for Emergency Medicine
[email protected]


Dr Debra Eagles
Canadian Association of Emergency Physicians
[email protected]

Costa Rica

Dr Alejandro Moya
Asociacion Costarricense de Medicos Emergenciologos
[email protected]


Dr Patrick Leung
Hong Kong College of Emergency Medicine
[email protected]


Dr Tamas Berenyi
Hungarian Society of Emergency Medicine
[email protected]


Dr Mohd Idzwan bin Zakaria
College of Emergency Physicians Academy of Medicine Malaysia
[email protected]


[email protected]


Dr Javier Martín Sánchez
Sociedad Española de Medicina de Urgencias y Emergencias
[email protected]

Dr Carles Ferre Losa
Sociedad Española de Medicina de Urgencias y Emergencias
[email protected]


Dr Miriam Bernieri
Swedish Society for Emergency Medicine
[email protected]


Dr Christian Nickel
Swiss Society of Emergency and Rescue Medicine
[email protected]


Dr Murat Çetin
Emergency Medicine Association of Turkey
[email protected]

United Kingdom

Dr Jaydip Banerjee
Royal College of Emergency Medicine
[email protected]

United States of America

Dr Mark Rosenberg
American College of Emergency Physicians
[email protected]


Dr Tran Quang Thang
Vietnamese Society of Emergency Medicine
[email protected]

This White Paper highlights that older people are the fastest growing demographic in most countries; that they access emergency services for many different reasons; and that it is essential to consider their multiple needs when developing emergency care systems.  Addressing the needs of the whole person, even at times of acute illness or injury, offers a great opportunity to improve older people’s lives.   This paper provides guidance to health care systems by stating general principles and giving practical examples that can be modified across all income and resource settings.

The Silver Book II 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.

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.

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.








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


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

Alexander X.Lo and Kevin Biese


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


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


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


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


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


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


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


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


may, 2022

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