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