Clinical Decision-Making (CDM) is an important part of medical education. Given young doctors’ limited experience, their CDM is more likely to be influenced by uncertainty [ 1 , 2 ] and associated with errors [ 3 ]. However, a variety of …

Falls in the elderly is a major public health issue, as post-fall complications are the third leading cause of chronic disability and mortality [ 1 ]. Approximately 30% of community dwelling patients over 65 years of age, and half of patients over …

Chest pain, dyspnea and abdominal pain are all specified symptoms frequently appearing at the Emergency Department (ED) that can be caused by a limited number of possible diagnoses. In those patients having these specific chief-complaints, there …

Acute care encompasses emergency departments, urgent care, and acute admissions ward settings. Traditionally this operationalises ‘single-problem’ rapid-flowing pathways and is increasingly recognised to have limitations in serving older people …

The traditional fast-paced and problem-focused emergency department (ED) model does not enable optimal care delivery to the growing group of older adults (i.e. persons over 65 years of age) [ 1 , 2 ]. This is illustrated by several studies …

Geriatric emergency departments (Geriatric EDs) have rapidly evolved as a significant care model for responding to the unique emergency care needs of older people. Advancements and insights addressing older emergency department (ED) patients’ …

Frailty assessment of older patients presenting to the Emergency Department (ED) may help to estimate the risk of adverse events [ 1 ] and to deliver proper care [ 2 ]. Frailty has been shown to increase the risk of delirium, a serious alteration …

The proportion of older patients visiting the Emergency Department (ED) is increasing in western countries [ 1 – 6 ] and, among older patients, those aged 85 years and over have twice the rate of ED visits than their younger counterpart [ 5 , 7 ].

Overnight wait in the emergency department linked to increased rates of mortality and adverse events in older patients.

Hypertensive urgency and echolalia were the most striking symptoms of memantine overdose in an elderly man with mild dementia and hypertension. Early medication review with caregivers of people with dementia is key.

Older adults presenting to the emergency department (ED) are characterized by interacting multi-domain problems and outcomes that are generally poorer compared to those of their younger counterparts [ 1 – 4 ]. As complaint-oriented approaches in …

“While some inappropriate diagnosis of CAP is unavoidable due to diagnostic uncertainty when patients are first hospitalized, many patients remain inappropriately diagnosed even on hospital discharge,” say Ashwin Gupta (VA Ann Arbor Healthcare System, Michigan) and associates in JAMA Internal Medicine .

Every medical intervention requires the patient’s consent– both potentially curative as well as palliative measures. However, in case of an emergency treatment the patient’s capacity to understand and consent to or decline an intervention can be …

The number of people aged 60 years and older worldwide is increasing. There were 1 billion in 2019 and this number will increase to 2.1 billion by 2050 [ 1 ]. This increase is occurring at an unprecedented pace and requires adaptations of societal …

Up to 60% of persons living with dementia (PLWD) in LTC experience agitation and/or aggression symptoms, with the prevalence varying based on dementia pathology and severity [ 1 ]. Although agitation and aggression are separate constructs, they are …

Very old critically ill patients pose a growing challenge for intensive care. Critical illness and the burden of treatment in the intensive care unit (ICU) can lead to a long-lasting decline of functional and cognitive abilities, especially in …