Geriatric emergencies PDF
Preview Geriatric emergencies
(cid:2) Trimsize:189mmx246mm Mattu ffirs.tex V3-04/22/2016 2:38P.M. Pagei Geriatric Emergencies (cid:2) (cid:2) (cid:2) (cid:2) Trimsize:189mmx246mm Mattu ffirs.tex V3-04/22/2016 2:38P.M. Pageii Current Topics in Emergency Medicine Series editor-in-chief, Peter L. Rosen Associate series editor-in-chief, Shamai A. Grossman (cid:2) (cid:2) (cid:2) (cid:2) Trimsize:189mmx246mm Mattu ffirs.tex V3-04/22/2016 2:38P.M. Pageiii Geriatric Emergencies A discussion-based review Edited by Amal Mattu UniversityofMarylandSchoolofMedicine,DepartmentofEmergencyMedicine,USA Shamai A. Grossman HarvardMedicalSchool,USA BethIsraelDeaconessMedicalCenter,BostonMassachusetts,USA Peter L. Rosen HarvardMedicalSchool,USA BethIsraelDeaconessMedicalCenter,BostonMassachusetts,USA (cid:2) Associate Editors (cid:2) Robert Anderson, MD Christopher Carpenter, MD, MSC Andrew Chang, MD, MS Jon Mark Hirshon, MD, MPH, PhD Ula Hwang, MD, MPH Maura Kennedy, MD, MPH Don Melady, MD, MSC(Ed) Vaishal Tolia, MD, MPH Scott Wilber, MD, MPH (cid:2) (cid:2) Trimsize:189mmx246mm Mattu ffirs.tex V3-04/22/2016 2:38P.M. Pageiv Thiseditionfirstpublished2016©2016byJohnWiley&Sons,Ltd Registeredoffice: JohnWiley&Sons,Ltd,TheAtrium,SouthernGate,Chichester,WestSussex,PO198SQ,UK Editorialoffices: 9600GarsingtonRoad,Oxford,OX42DQ,UK TheAtrium,SouthernGate,Chichester,WestSussex,PO198SQ,UK 111RiverStreet,Hoboken,NJ07030-5774,USA Fordetailsofourglobaleditorialoffices,forcustomerservicesandforinformationabouthowtoapplyforpermissiontoreuse thecopyrightmaterialinthisbookpleaseseeourwebsiteatwww.wiley.com/wiley-blackwell TherightoftheauthorstobeidentifiedastheauthorsofthisworkhasbeenassertedinaccordancewiththeUKCopyright, DesignsandPatentsAct1988. Allrightsreserved.Nopartofthispublicationmaybereproduced,storedinaretrievalsystem,ortransmitted,inanyformor byanymeans,electronic,mechanical,photocopying,recordingorotherwise,exceptaspermittedbytheUKCopyright,Designs andPatentsAct1988,withoutthepriorpermissionofthepublisher. 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Coverimage:©DustinDiaz/EyeEm/Gettyimages Setin9/11.5pt,SabonLTStdbySPiGlobal,Chennai,India. 1 2016 (cid:2) (cid:2) Contents ListofContributors,vii 1 Generalassessmentoftheelderlypatient,1 AlisonSouthern&ScottWilber 2 Physiologicchangeswithaging,13 KateD.Zimmerman&RobertS.Anderson,Jr. 3 Functionalassessmentoftheelderly,28 KirkA.Stiffler 4 Pharmacologicalissuesintheelderly,43 RubenOlmedo&DeniseNassisi 5 Alteredmentalstatusintheelderly,58 JoshJoseph&MauraKennedy 6 Geriatricpsychiatricemergencies,71 JoshJoseph&MauraKennedy 7 Acuteabdominalpainintheelderly:Surgicalcauses,83 KatrenTyler&MauraKennedy (cid:2) (cid:2) 8 Nonsurgicalabdominalpainintheelderly,99 KatrenTyler&MauraKennedy 9 Backpain,110 NicholasSantavicca&MichaelE.Winters 10 Headache,123 BenjaminW.Friedman&RebeccaNerenberg 11 Dyspneaintheelderly,139 MercedesTorres&SiamakMoayedi 12 Acutechestpaininthegeriatricpatient,152 MarianneHaughey 13 Acutecardiacdiseaseinelderpatients,168 SusanneDeMeester 14 SyncopeinGeriatrics,191 TimothyCPeck,NissaJAli&ShamaiAGrossman 15 Stroke,203 JulieWatkins-Torrey,RoxannaSadri&KamaGuluma 16 Infections,218 JasonOndrejka&ScottWilber 17 Dizzinessandvertigointhegeriatricpopulation,234 JonathanEdlow&AlessandroCancelliere v (cid:2) (cid:2) CONTENTS 18 Weaknessandfunctionaldecline,252 ColleenMMcQuown 19 Emergencydepartmentevaluationoffallsintheelderly,264 TaniaD.Strout&RobertS.Anderson 20 Traumainthegeriatricpatient,280 ChristopherR.Carpenter&PeterL.Rosen 21 Surgicalconsiderationsintheelderly,304 CharlesW.O’Connell,DavutSavaser&ColleenCampbell 22 Oncologicemergencies,321 GabrielWardi,AlexanderBromfield&LeslieC.Oyama 23 Elderabuseandneglect,351 MichaelC.Bond&KennethH.Butler 24 Geriatricemergencypainmanagementcase,363 TeresitaMHogan&AlexandraWong 25 Ethicalissuesandend-of-lifecare,386 PhillipD.Magidson&JonMarkHirshon 26 Geriatricdispositionsandtransitionsofcare,394 BarbaraMorano,CarmenMorano,KevinBiese,EricA.Coleman&UlaHwang 27 ThegeriatricED,407 PhillipD.Magidson,JohnG.Schumacher&ElizabethA.Couser (cid:2) Index,417 (cid:2) vi (cid:2) (cid:2) List of Contributors Nissa J. Ali,MD Colleen Campbell,MD BethIsraelDeaconessMedicalCenter AssociateClinicalProfessor HarvardAffiliatedEmergencyMedicineResidency DepartmentofEmergencyMedicine DepartmentofEmergencyMedicine DivisionofEmergencyUltrasound WestCampusClinicalCenter UniversityofCalifornia Boston,MA,USA SanDiegoHealthSystem SanDiego,CA,USA Robert S. Anderson, Jr.,MD AssistantProfessor Alessandro Cancelliere,MDPhD TuftsUniversitySchoolofMedicine AssistantProfessor DepartmentsofEmergencyMedicineandInternal DepartmentofEmergencyMedicine MedicineandDivisionofGeriatricMedicine UniversityofMassachusettsMedicalSchool MaineMedicalCenter Worcester,MA,USA Portland,ME,USA Kevin Biese,MD,MAT Christopher R. Carpenter,MD,MSC ViceChairofAcademicAffairs AssociateProfessor DepartmentofEmergencyMedicine DivisionofEmergencyMedicine UniversityofNorthCarolinaatChapelHillChapel WashingtonUniversityinSt.LouisSchoolof (cid:2) Hill,NC,USA Medicine (cid:2) St.Louis,MO,USA Michael C. Bond,MD AssociateProfessor,ResidencyProgramDirector Andrew K. Chang,MD,MS DepartmentofEmergencyMedicine VincentP.VerdileViceChairforResearchand UniversityofMarylandSchoolofMedicine AcademicAffairs Baltimore,MD,USA ProfessorofEmergencyMedicine AlbanyMedicalCollege Alexander Bromfield,MD AttendingPhysician ClinicalInstructor,DepartmentofEmergency AlbanyMedicalCenter Medicine Albany,NewYork UniversityofCaliforniaSanDiegoHealthSystem SanDiego,CA,USA Eric A. Coleman,MD,MPH ProfessorofMedicineandHead,DivisionofHealth Kenneth H. Butler,DO CarePolicyandResearch AssociateProfessor,AssociateResidencyProgram Director Director CareTransitionsProgramUniversityofColorado DepartmentofEmergencyMedicine Denver UniversityofMarylandSchoolofMedicine AnschutzMedicalCampus Baltimore,MD,USA Aurora,CO,USA vii (cid:2) (cid:2) LIST OF CONTRIBUTORS Elizabeth Couser,MSW Bryan Hayes,PharmD GerontologyPhDCandidate ClinicalAssociateProfessor DoctoralPrograminGerontology DepartmentofEmergencyMedicine UniversityofMaryland UniversityofMarylandSchoolofMedicine Baltimore,MD,USA Baltimore,MD,USA Susanne DeMeester,MD Jon Mark Hirshon,MD,MPH,PhD AttendingPhysicianandDirectorEmergency Professor ObservationCenter DepartmentsofEmergencyMedicineandof StJosephMercyHospital EpidemiologyandPublicHealth AnnArbor,MI,USA UniversityofMarylandSchoolofMedicine Baltimore,MD,USA Jonathan Edlow,MD Vice-Chair,DepartmentofEmergencyMedicine Teresita M. Hogan,MD BethIsraelDeaconessMedicalCenter DirectorofGeriatricEmergencyMedicine ProfessorofMedicineandEmergencyMedicine DepartmentofMedicine HarvardMedicalSchool SectionsofEmergencyMedicineandGeriatrics& Boston,MA,USA PalliativeCare TheUniversityofChicago Benjamin W. Friedman,MD,MS Chicago,IL,USA AssociateProfessorofEmergencyMedicine AlbertEinsteinCollegeofMedicine Ula Hwang,MD,MPH MontefioreMedicalCenter AssociateProfessor Bronx,NY,USA DepartmentofEmergencyMedicine BrookdaleDepartmentofGeriatricsandPalliative (cid:2) (cid:2) Shamai A. Grossman,MD Medicine AssociateProfessorofMedicineandEmergency IcahnSchoolofMedicineatMountSinai Medicine NewYork,NY HarvardMedicalSchool GeriatricResearch,EducationandClinicalCenter ViceChairforHealthCareQuality JamesJ.PetersVAMC Director Bronx,NY,USA ObservationMedicine DepartmentofEmergencyMedicine Joshua W. Joseph,MD BethIsraelDeaconessMedicalCenter FellowinClinicalInformatics Boston,MA,USA DepartmentofEmergencyMedicine BethIsraelDeaconessMedicalCenter Kama Guluma,MD ClinicalFellowinEmergencyMedicine ClinicalProfessor HarvardMedicalSchool,Boston,MA,USA DepartmentofEmergencyMedicine UniversityofCaliforniaSanDiegoHealthSystem Maura Kennedy,MD,MPH SanDiego,CA,USA AssociateDirectorforEmergency MedicineResearch Marianne Haughey,MD DepartmentofEmergencyMedicine AssociateProfessorofEmergencyMedicine BethIsraelDeaconessMedicalCenter AlbertEinsteinCollegeofMedicine AssistantProfessorofEmergencyMedicine JacobiMedicalCenter HarvardMedicalSchool Bronx,NewYork,NY,USA Boston,MA,USA viii (cid:2)
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