Geriatric Emergency Medicine

Simon Conroy

Professor of Geriatric (Emergency) Medicine

University of Leicester

Update in Medicine, Loughborough

Why this is relevant to us all…

• Who has been a patient in the Emergency Department?

• Who has had an older relative stay >4 hours in the Emergency Department?

• Who has had a procedure cancelled because of emergency pressures?

Why this is important

• Significant opportunities

– Patient outcomes

– Carer outcomes

– Service outcomes

– Staff outcomes

A GEM narrative

• Once upon a time…

• Every day…

• One day…

• Because of that…

• Because of that…

• Until finally…

What would you want for your relative?

A brave new world?

• What did stroke units ever do for us?

• What did orthogeriatrics every do for us?

• What could Geriatric Emergency Medicine do for us?

Summary

• Frail older people often come to Emergency Departments

• Harms common in the weeks-months surrounding attendance

• Geriatric Emergency Medicine fuses ED and GER MED competencies

– Frailty to risk stratify (CFS)

– CGA to improve outcomes

– ED competencies,

pace and scale

• In the pipeline…

– Frailty registry

– System dynamic modelling

– Patient Reported Outcome Measures