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Geriatric Emergencies

  • Sethu Babu
Chapter

Abstract

  • The clinical characteristics and needs of elderly in the emergency department are quite different than the younger patient.

  • Life-endangering diseases can present with atypical features or with subtle symptoms and signs in elderly often leading to a delayed or missed diagnosis.

  • Presence of multiple comorbid conditions and cognitive impairment usually complicates the clinical presentations as well as treatment decisions.

  • A comprehensive workup including detailed history, physical examination, and liberal investigations and imaging is recommended than a brief goal-directed or symptom-based workup.

  • Altered mental status, falls, functional decline, acute coronary syndromes, stroke, infections with or without sepsis, acute abdominal and trauma are the common geriatric syndromes in the emergency department.

  • Psychosocial and environmental issues are important and necessitate multidisciplinary input to ensure safe and effective disposition of these patients from the emergency department.

Keywords

Emergency Department Functional Decline Clinical Pathway Altered Mental Status Acute Abdominal Pain 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer India 2016

Authors and Affiliations

  1. 1.Department of Critical CarePushpagiri Institute of Medical SciencesThiruvallaIndia

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