Скачать или смотреть Getting Hotter Heat Emergencies in Older Adults

Climate change, and the associated increase in frequency and severity of heat waves, poses a threat to health. Amongst the most at risk for heat-related emergencies are older adults; age-associated physiologic vulnerabilities, chronic conditions, medications that disrupt thermoregulatory responses, and social determinants all contribute to an increased risk of heat-related illness in this population. When an older adult presents to the emergency department (ED) with vague or subtle symptoms of heat exhaustion or heat stroke, they may be missed by ED practitioners – a concerning thought as these patients are at a greater risk of mortality from heat-related emergencies. Optimal management of these presentations requires clinical recognition and treatment within the ED as well as pre-hospital interventions that can be given by emergency medical services (EMS).

GEMCast host Dr. Christina Shenvi is joined by Geoff Comp, Associate Program Director at Creighton University School of Medicine/Valleywise Health Medical Center in Phoenix, Arizona, as the two do an in-depth review of this critical topic. Dr. Comp holds a wilderness medicine fellowship through the Wilderness Medical Society and is an expert in heat-related illness.

Show notes are available on the Geriatric Emergency Department Collaborative (GEDC) website.
https://gedcollaborative.com/resource...

Welcome to GEMCast! GEMCast is a series of Geriatric Emergency Medicine lectures covering clinical topics relevant to physicians, trainees, nurses, and paramedics who provide care to older adults, particularly in the Emergency Department. GEMCast is hosted by Dr. Christina Shenvi, who can be found on twitter @clshenvi. All episodes and show notes can be found on the Geriatric Emergency Department Collaborative (GEDC) website at https://gedcollaborative.com/resource.... Subscribe today to make sure you don’t miss out on the latest episode!

The GEDC is a worldwide collaborative of healthcare professionals, systems, and organizations. Together we’re dedicated to improving the quality of care for older people in Emergency Departments with the goal of reducing harm and improving healthcare outcomes.

Timestamps
00:00 Introduction
00:29 Welcome
02:50 Why are older people at higher risk of heat-related illness and emergencies?
05:04 Medical conditions
08:55 Medications
14:01 Social & Environmental Determinants
16:20 Clinical Recognition & Presentations
21:32 ED & Pre-Hospital Management
30:04 Summary