Acute Medical Events: Falls, Seizures, CVAs, Urinary Retention, Cardiac Events, Hypotension, SIADH, Dehydration, and Infection

  • Niamh O’Regan
  • Jenny Thain
  • Andrew Thain
  • Amer M. BurhanEmail author


Transfer to an Emergency Department (ED) is the safest and most expeditious plan for any geriatric patient with an acute medical event. Of course, consultation with appropriate specialists is useful, but finding and waiting for specialists or consultants should not delay emergency care either on the unit, with an emergency medical team (EMT), or in the ED. The challenge is to manage the acute medical event until more definitive evaluation and treatment can be provided. Many medical events on inpatient geriatric psychiatric units fall within the four domains discussed in this chapter, and an overview of each is offered.


Acute adverse events: Falls Seizures Stroke Urinary retention Cardiac Hypotension Dehydration 


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Niamh O’Regan
    • 1
  • Jenny Thain
    • 1
  • Andrew Thain
    • 2
  • Amer M. Burhan
    • 3
    Email author
  1. 1.Division of Geriatric Medicine, Department of MedicineSchulich School of Medicine and Dentistry, Western UniversityLondonCanada
  2. 2.Division of Cardiology, Department of MedicineSchulich School of Medicine and Dentistry, Western UniversityLondonCanada
  3. 3.Department of PsychiatrySchulich School of Medicine and Dentistry, Western University, St. Joseph’s Health Care London/Parkwood Institute Mental Health Care BuildingLondonCanada

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