EM Vivas · Geriatric emergency medicine
Elderly and frailty in ED — Viva
Viva on the structured ED assessment of the older adult, the CFS, and the discharge safety-net.
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ACEMFRCEMABEM
Prompt
An 82-year-old woman is brought in by ambulance after a fall. Her daughter is worried she should not live alone anymore.
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Viva Stems
- Walk me through your bedside assessment of this patient. [2]
- What is the Clinical Frailty Scale and where does she score? [3]
- What are the components of the falls workup in the older adult in ED? [2]
- What is the role of fracture liaison after a fragility fracture? [4]
- How do you decide whether this patient can go home safely? [2]
References5ShowHide
- [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