Station brief

Format. Clinical-management station, 11 minutes. You are the EM consultant in resus.

Candidate instructions. Assess and manage an 84-year-old woman who has fallen at home. ^[2]

References5Show

[1]Rockwood K, Song X, MacKnight C, et al. A global clinical measure of fitness and frailty in elderly people CMAJ, 2005.PMID 16129869
[2]Smyth H, Breslin D, Mullany L, et al. Silver Trauma Review Clinic: a novel model of care to manage non-operative injuries in older patients. Emerg Med J, 2023.PMID 37640437
[3]Church S, Rogers E, et al. A scoping review of the Clinical Frailty Scale. BMC Geriatr, 2020.PMID 33028215
[4]Nakayama A, Major G, et al. Evidence of effectiveness of a fracture liaison service to reduce the re-fracture rate. Osteoporos Int, 2016.PMID 26650377
[5]Fried LP, Tangen CM, et al. Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci, 2001.PMID 11253156

Prompt

An 84-year-old woman after a fall with possible hip injury.

Format. Clinical-management station, 11 minutes. You are the EM consultant in resus.

Candidate instructions. Assess and manage an 84-year-old woman who has fallen at home. ^[2]

References5Show

[1]Rockwood K, Song X, MacKnight C, et al. A global clinical measure of fitness and frailty in elderly people CMAJ, 2005.PMID 16129869
[2]Smyth H, Breslin D, Mullany L, et al. Silver Trauma Review Clinic: a novel model of care to manage non-operative injuries in older patients. Emerg Med J, 2023.PMID 37640437
[3]Church S, Rogers E, et al. A scoping review of the Clinical Frailty Scale. BMC Geriatr, 2020.PMID 33028215
[4]Nakayama A, Major G, et al. Evidence of effectiveness of a fracture liaison service to reduce the re-fracture rate. Osteoporos Int, 2016.PMID 26650377
[5]Fried LP, Tangen CM, et al. Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci, 2001.PMID 11253156

Elderly woman after a fall — resus station